FLORIDA EAST COAST POST-POLIO SUPPORT GROUP  -  Vol. 18 #1

                 12 Eclipse Trail / Ormond Beach, FL  32174 / 386-676-2435

          E-Mail: bgold@iag.net   --   Web Site: home.iag.net/~bgold/polio.htm

SEPTEMBER / OCTOBER 2011

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WISHING   EVERYONE

 

A   RESTFULL LABOR DAY

A SHANA TOVAH (HAPPY NEW YEAR)

TO ALL OUR JEWISH MEMBERS AND FRIENDS

- and -

A TREAT FILLED HOLLOWEEN

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MEETING NOTICE

 

September 18th, 2011 – Mark S. Rubin, M.D., F.A.C.S., a local ophthalmologist, has

                                          been practicing in Daytona Beach since 1988. 

November 13th, 2011 – Dr. Armand Zilioli.

 

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CONTENTS

 

From Barbara                                           

Staying Alive                                             

Follow the New Rules of Weight Loss   

Health Message                                       

OMG – but isn’t it the truth                       

Labels                                                       

To Life                                                      

Just for Us Gals                                       

What is a Calorie?                                   

My New Doctor                                       

Tasty Tips                                               

10 Tips to Building a Healthy Meal        

Thought for the Day                               

 

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FROM BARBARA

 

Well, we were lucky – Hurricane Irene decided to leave us alone and this summer is almost over – all I did this summer was stay home (except for a few days to my grandkids on Long Island), and go from my air conditioned house to my air conditioned car to whatever air conditioned store (or other air conditioned destination) and then just reversed the procedure.  This has been an exceptionally hot summer and, I find that now that I’m a “senior” citizen (note I didn’t use the word “older” citizen) I can’t take the sun… this from someone who grew up on the beaches in Brooklyn (Brighton Beach – the other end to Coney Island for those of you who never heard of Brighton Beach) – my friends and I used to spend every day we could on the beach, from 10:00 am to 5:00 pm.  We did this from Memorial Weekend to the day before school started again the week after Labor Day.

 

It’s funny, now that I live in Daytona Beach, another very well-known beach, I rarely go on it.  Of course, I can’t do the walking and swimming in the ocean is something else that I no longer can do.  We can drive our cars on the beach here and I’ve been known to drive my minivan on, open the windows, and just sit in the car and watch the beach walkers, remembering the times I did that.  I also just sit there and look out at the water – I love doing that and find it very relaxing.

 

Our guest speaker, Dr. Mark Rubin, will be speaking to us about all types of eye problems that we, as seniors, may have.  He will also answer any and all questions you may have.  He received his bachelor’s degree from the State University of Buffalo and then attended medical school at the University of Bologna, Italy, receiving his Summa Cum Laude in 1974.  Returning to Buffalo, he did his internship at Deaconess Hospital and his residency in ophthalmology at the Wettlaufer Eye Clinic.  After doing a stint as Chief of Ophthalmology at the U.S. Amy Hospital in Augsburg, Germany he went into private practice in Modena, Italy, where he served as consultant ophthalmologist for the U.S. Air Force at Aviano Air Base.  You may recognize the name of one of his famous patients, Luciano Pavarotti, just one among others.

 

Dr. Rubin’s practice here concentrates on same day cataract surgery, laser surgery, as well as the diagnosis and treatment of glaucoma, uveitis, and whatever other forms of ophthalmology is needed. 

 

Now, for those of you who expected our friend, Dr. Armand Zilioli, to be our speaker, let it be known that Dr. Z won tickets to his alma mater’s (Notre Dame) foot game being held that weekend.  He has promised to be our November 13th meeting speaker.

 

This issue of our newsletter has a lot of articles from things people have sent me via e-mail.  I thank all of my e-mail buddies for doing that as it is making the newsletter a little easier for me.  Also, you’ll notice that there are a lot of “nutrition” type items in this newsletter (some serious, some not so serious) – well, I decided it was time that we all learned to think a little about what we put into our bodies.

 

I know that since I started eating better, I’ve lost some weight and find that I can get around a lot easier.   

 

That’s it for now – will let you know what’s happening next time.

 

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Our thanks to Rick, editor of the PPS Manager.

Staying Alive

                                                               REVanDerLinden, June, 2011

 

For many PPS folks, hypoventilation (not breathing enough) can creep up slowly over the years as diaphragm and chest muscles progressively weaken. Dysphagia often runs side by side with breathing problems. Either condition can be deadly by itself, but when the two are combined the threat is tripled.

 

[Dysphagia: difficulty or discomfort in swallowing. Can result in food being aspirated (sucked into the lungs). Studies indicate as many as half of PPS folks may be affected.]

 

Difficulty swallowing is a troublesome, stressful, and sometimes dangerous problem. In fact, fear of choking in public is a real and disabling symptom of the disorder.

 

Consider this – you’re barely able to breathe enough, then you suck food or drink or maybe just saliva into your lungs, start to cough, muscles get weaker, aspirated debris won’t come up, infection sets in, you end up in the hospital.

 

To avoid this cascade of events, careful attention to how you swallow can be very useful, and breathing problems should be assessed and treated (normally with bilevel ST noninvasive positive pressure ventilation) as early as possible. And, using a vent can actually improve swallowing, but we’ll talk about that later.

 

Swallow Carefully

There are two main phases of swallowing. The first phase is the part we have control over – the voluntary phase. The second is involuntary and controlled by the brainstem.

 

[An ear, nose and throat doctor might order a barium swallow to confirm the diagnosis of dysphagia and problems with the upper and lower esophageal sphincters.]

Phase 1: Seeing and smelling food stimulates the digestive juices. You take a bite. You control your lips, jaws, and tongue to make a bolus (that’s the medical term for a ready-to-swallow wad of food). Then you use your tongue to push the bolus to the back of your throat where the gag reflex takes place. That reflex is the beginning of the involuntary phase. But before we get to that, let’s talk about what can go wrong up to this point and how to avoid problems.

 

The consistency is important. Is the food liquid or a dry solid or somewhere between the two? The easiest bolus to get down is usually a thick paste. Careful chewing and mixing in of saliva or some other liquid will help attain that level of swallowability of dry foods. If you’re eating a liquid such as soup, you can add crackers. There are also thickening products commercially available.

 

When you’re ready to swallow, don’t be distracted. Those of us with PPS swallowing problems might have one set of muscles weaker than others, so each of us has to develop our best technique. In my case, I have to turn my head to the right and lower my chin as I swallow, then give it an extra second or two to be sure it made it past the critical juncture where the wind pipe and esophagus meet. If I don’t keep my chin down and to the side through this phase, food will usually go over the edge into the trachea. Socially -- people who are unaccustomed to my ways often wonder what I’m looking at.

 

Once the bolus gets sent on its way past the back of the throat, the brain stem takes over and a wave of muscle activity (called peristalsis), and the automatic opening and closing of the sphincters at the top and bottom of the esophagus completes the journey to the stomach.

 

What can go wrong?

If polio did damage to the brain stem (as in bulbar polio, and perhaps to a lesser extent in cases of paralytic polio) breathing and swallowing are usually affected and could become symptoms of PPS later in life. It seems reasonable that both should be managed carefully and medically treated as needed.

 

[Hypoventilation: reduction in level of oxygen in the blood, and simultaneous increase in carbon dioxide (CO2). In chronic cases, includes increased level of CO2 in organs.]

 

Hypoventilation Syndrome (HVS) comes in a few different flavors based on the source of the problem. However, the bottom line is: Breathing is slowed, interrupted, or otherwise inadequate because certain muscles are too weak to do the job.

 

Bilevel ST Can Help

When breathing isn’t right, everything is wrong. Bad breathing can impair thinking, weaken muscles, harm organs, and encourage depression, etc. All of which could affect eating habits. When hypoventilation is properly treated, some muscle strength can be regained, particularly in the areas surrounding the chest. A properly applied ventilator can also help lung function by introducing a deep, humidified breath, which is then expelled as completely as possible. This helps aspirated debris work its way out of the lungs as normal breathing is intended to do.

 

[A person with PPS breathing and swallowing problems can minimize the risk of lung sickness by using breathing assistance, avoiding contact with sick people, and swallowing carefully.]

 

What’s the worst that can happen?

If you do everything right and still have problems, there are two remaining, invasive actions available that can prolong your life while maintaining a reasonable quality of life. Each has specific management challenges, but they are worthy of serious consideration.

 

Tracheostomy

Muscles in the neck direct not only food, but also air. There may come a time when noninvasive ventilation via positive pressure sends air into the stomach, or is a too high a pressure to work effectively by way of a mask. At that point a permanent trach tube (PTT) may be the answer.

 

A PTT is a tube, which is surgically inserted in the front of the neck. When breathing assistance is needed (at night, or full time depending on personal need), the ventilator is connected to the tube and bilevel pressure is applied directly into the trachea. When disconnected, talking and swallowing are normally enabled.

 

Feeding Tube

Feeding tubes can be temporary or permanent. The temporary kind, called a nasogastric feeding tube, or "NG-tube", is passed through the nose, down the esophagus, and into the stomach. This type of feeding tube is generally used for short term feeding, usually only 2 weeks maximum.

 

A gastric feeding tube (or "G-tube," or "button") is a tube inserted through a small incision in the abdomen into the stomach and is used for long-term nutrition.

 

Pureed food and fluids are injected by syringe. The tube and button may need replacement as soon as a few months, though some have lasted 2 or 3 years before replacement was necessary.

Although the G-tube is not generally effective in most aging or dementia related illnesses, there is some evidence of positive outcomes in neuromuscular diseases such as ALS and PPS.

 

The overall rate of complication is about 1%, most commonly irritation around the insertion point, a situation minimized by careful maintenance.

 

It’s difficult to face the possibility of having to take invasive measures to stay alive, but after using up all the available non-invasive options, it’s good to know something can still be done.

In an informal poll, 4 out of 5 PPS folks say they would rather starve to death than feed themselves via G-tube. Eating is that important to them.

 

Of course, eating is very important. Not only is it the single solitary method of subsistence we’ve depended on and enjoyed all our lives, but it also plays a part in social bonding.

 

On the other hand, as swallowing problems get progressively worse, the fear of choking on food while eating brings on a fear of eating in public. Eventually a fear of eating, even in private, can develop and starvation becomes a real threat.

 

Looking at it from a purely practical point of view, there are definite advantages to going from severe swallowing problems to a G-tube, one being the convenience of not having to prepare meals and do dishes. I know it seem silly to think of, but even though my wife does half the cooking and dish cleaning, and all the shopping, I spend a sizeable portion of my daily energy allotment on meal processing.

 

Another advantage is that it’s easier to get the right nutrition from a pre-packaged mix than from the average person’s hard-to-swallow mix of food groups.

 

Besides the gross factor, there are other disadvantages to a G-tube. I asked around and couldn’t find anyone who uses a G-tube, but our good friend Richard Daggett knew a fellow in Orange County who did. Richard pointed out two downsides: depression and saliva control.

You would expect to be depressed if forced into a situation where it’s either a G-tube or starvation. Life without food is a tough decision.

 

When I asked the open question at a recent PPS meeting, Glenda (who has PPS with non-critical breathing and swallowing weakness and diabetes and heart problems) told us she would not even consider a G-tube. So I asked if she injected insulin to treat diabetes. She does, she stated, but often stops and asks herself if it’s worth it. Obviously it is, as she continues treatment.

 

The inability to swallow your own saliva means you have to spit it out. We swallow saliva more often than we realize, so it would be a real issue. You’d have to carry a container all the time. Because it’s something we do without thinking, I aspirate saliva as often as I do food and drink.

 

Gladys Swensrud points out: “The folks that I know with saliva issues, like some with Parkinson's Disease, carry a towel to absorb saliva. It is much more portable than a basin and you can easily tuck it away and out of sight for public areas and yet is handy for constant use.” [I’ve known people with saliva issues to use a soda can or a soda bottle with darkened bottom.]

 

So, why should we even talk about these unpleasant things? Well, it’s a life or death decision that any of us may face some day. Assuming proper breathing assistance has assured maximum brain (mind) health and therefore our decision-making process is un-impaired, we are more likely to choose life – as long as there’s a good reason to live.

 

Polio survivors adapt, adjust, compen-sate, and do what has to be done to get through life. Where do you draw the line? At what point do you give up and give in?

Personally, all I need is a functioning body to support my brain – my creative mind. I don’t see myself wasting it because the means of doing so is yucky.

 

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RealAge is e-mailed to me almost every day – this is an article from one of the May editions.

 

RealAge Article

Follow the New Rules of Weight Loss

By Mehmet C. Oz, MD, and Michael F. Roizen, MD

 

The path to your new life and your new shape really is simple. Adopt these strategies and watch your body change effortlessly.

Make Your Eating Plan Automatic

Over a 14-day period, train yourself to make good-for-YOU food choices (Step 2 makes this easy). You'll reprogram your appetite, so YOU will be in charge of what you're eating.

Eat three main meals, plus snacks, so you're never hungry.

·                                 Eat the same things for breakfast and lunch almost every day. Yes, every day. People who minimize food choices lose more weight.

·                                  

Eat Deliciously

·                                 Fill up on whole-grain carbohy-drates (that includes vegetables); fiber; nuts; and lean, healthy protein such as fish, poultry, and (sparingly) lean meats.

·                                 In a hunger emergency, chew on your favorites from this list: apples, almonds, walnuts, edamame (soybeans), sugar-free gum, chopped veggies, nonfat yogurt or cottage cheese. And water, of course.

 

Remember That Waist Is More Import-ant Than Weight

Because of its proximity to vital organs, belly fat is the most dangerous fat you can carry. It is one of the strongest predictors of health risks (heart disease, diabetes, and more bad stuff) associated with obesity.

·                                 Ditch the scale in favor of the tape measure.

·                                 Measure your waist and aim small: Ideal is 32 1/2 inches or less for women and 35 inches or less for men.

 

Stay Satisfied

To lose weight, you need to eat.

·                                 Eat often -- five or six times throughout the day -- so you're always satisfied. Slipping into starvation mode makes your body wants to store fat.

·                                 Eat plenty of fiber and some protein in the morning: Fiber in the morning helps control afternoon cravings; protein decreases appetite.

 

Add Support

Enlist a friend, family member, or new on- line buddy as your partner. Everyone needs encouragement -- and an occasional prod.

·                                 After finishing your 30-minute walk every day, call a buddy or post something on the YOU Diet boards for a pat on the back.

·                                 When you start the 20-minute workout, do the same thing.

 

It's Okay to Make Mistakes

As long as you quickly get back on the right road, you won't travel too far down the wrong one. Just make a YOU-turn to change course.

A Few Final Tips

·                                 Check food labels. Don't buy anything with more than 4 grams of saturated fat or 4 grams of any sugar (especially high-fructose corn syrup) per serving. Saturated fat is an ager that's bad for your whole body, and simple sugars make you crave high-calorie foods.

·                                 Get 7 to 8 hours of sleep each night. Fatigue also makes you crave sugary foods. Why? They release the brain chemicals that a lack of sleep leaves you short on.

·                                 Eat a little healthy fat -- like a handful of walnuts -- about 20 minutes before a meal. It will take the edge off, so you won't be tempted to overeat.

·                                 Choose elegance over force. Weight-loss battles are won when you diet smart, not hard.

From YOU: On a Diet, by RealAge experts Michael F. Roizen, MD, and Mehmet C. Oz, MD

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Another e-mail from one of our members, Beverly Schroll – Thanks, Bev.

 

                                     HEALTH MESSAGE

 

1. If walking/cycling is good for your health, the postman would be immortal.

2. A whale swims all day, only eats fish, drinks water and is fat.

3. A rabbit runs and hops and only lives 15 years.

4. A tortoise doesn't run, barely walks & does nothing... yet lives for 450 years.

 

And you want me to Exercise?

 

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This next little “article” came from one of our local members, Conrad Garlo – Thanks, Conrad.

 

OMG ---

                                but isn¹t it the truth!!!!!



A group of seniors were sitting around talking about all their ailments.

 

"My arms have gotten so weak I can hardly lift this cup of coffee," said one.

 

"Yes, I know," said another. "My cataracts are so bad; I can't even see my coffee."

 

"I couldn't even mark an "X" at election time, my hands are so crippled," volunteered a third.


"What? Speak up! What? I can't hear you!"

 

"I can't turn my head because of the arthritis in my neck," said a fourth, to which several nodded weakly in agreement.


"My blood pressure pills make me so dizzy!" exclaimed another.


"I forget where I am, and where I'm going," said another.


"I guess that's the price we pay for getting old," winced an old man as he slowly shook his head.


The others nodded in agreement.


"Well, count your Blessings," said a woman cheerfully - - "thank God we can all still drive"


Must be from Florida

 

FECPPSG Editor’s Note: - Maybe they

should make an appointment with Dr. Rubin.

 

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This came from one of our snow-bird members, MaryPat Hart.

Thanks, MaryPat.

 

Just a reminder to all of us to be sure to read the labels on ALL the products we use.

==================

LABELS

I finally figured out why I am so "full-figured."

As I was conditioning my hair in the shower this morning, I took time to read my shampoo bottle. I am in shock! The shampoo I use in the shower that runs down my entire body says "for extra volume and body." Seriously, why have I not noticed this before?

Tomorrow I am going to start using "Dawn" dish soap! It says right on the bottle, "dissolves fat that is otherwise difficult to remove."

It pays to read the warning labels my friends.

 

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The following is from Prof. Michael Kossove, whose articles have appeared several times in our newsletters, and has been a guest speaker at our meetings several times – Thanks, Michael.

 

TO LIFE!!

 

Someone once said that the best cure for depression is to stop watching the news on TV, and stop reading the newspaper.  Here in NY the 5 pm news talks about how our census dropped today by how many were killed in the city, and by what method.  There are so many methods.  The 11 pm news, if I stay up that late, adds to the numbers.  When you look at how many people were shot and killed in one day in the big cities, you have to wonder why we worry about Swine Flu.  We have 2 deaths in NY since the epidemic began, and at least 10 people are shot, killed, or both daily.  What’s the answer?  You just go about your life and live it, regardless of the quality, if you love life.

 

I have read so many polio posts on so many websites over the years, covering everything from dandruff to cancer, and their relationship to polio and PPS.  It shows we are aging.  Years ago we wrote on websites about happy times; children, grandchildren, graduations, marriages, vacations, etc.  We gave support to those who lost a loved one. You read many posts now on different sites and it’s all about pain and suffering.  The big question is: “Is this a result of PPS?” But as we grow older, we normally begin to age, perhaps a nicer word for “break down.”  I go to the ophthalmologist annually, and I need a new prescription, she says to me: “well, you know, as you age so does your sight.”  Like that’s going to make me feel better.  We all know we’re aging.  Every time I see my grandchildren, then look at my children, I realize that I was once there, and now I’m here.  

 

We, as polio survivors, have lived longer than many of our friends who did not have polio.  We are still subject to the diseases that others get without having polio.  To try to relate every medical problem to PPS will only get you into therapy.  Lately I’ve been reading about chemotherapy and PPS.  We know chemotherapy has side effects.  We’ve seen it on TV, in the newspaper, in family and friends.  Sometimes it works, and sometimes it doesn’t.  But the people who undergo chemo have a goal, “TO LIVE.”  I feel that at my age PPS isn’t going to kill me, but cancer might.  Loving life as I do, I’m not going to worry about the chemo affects on PPS.


I’d be more concerned about the chemo effects on my cancer, which is life threatening.  You have to take care of the life threatening issues first or you wouldn’t have to worry about PPS any more.  

 

TO LIFE!!

 

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This came from one of my local friends – and since this particular newsletter seems to be dealing quite a

bit with our weight control, thought I would put this one in.  Thanks, Millie….

 

Just for us Gals…

 

With time, women gain weight because we accumulate so much information and wisdom in our heads

that when there is no more room, it distributes out to the rest of our bodies. So we aren't heavy, we are

                                                enormously cultured, educated and happy.


Beginning today, when I look at my butt in the mirror I will think,


Good grief, look how smart I am!

 

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Another e-mail cutie – this one from Gary Fredericks, one of our NY State members --- thanks, Gary – I really believe this happens in my closet.

 

What is a calorie?

 

Calories are the little monsters that get into your wardrobe at

night and sew your clothes tighter...

 

MY CLOSET IS INFESTED WITH THE LITTLE CREEPS!!

 

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Here’s another one from Prof. Michael Kossove – all about his new Oriental doctor.

 

My New Doctor

 

Q: Doctor, I've heard that cardio-vascular exercise can prolong life.  Is this true?  

A: Your heart only good for so many beats, and that it...don't waste on exercise.  Everything wear out eventually.  Speeding up heart not make you live longer; it like saying you extend life of car by driving faster.  Want to live longer?  Take nap.  


Q: Should I cut down on meat and eat more fruits and vegetables? 

A: You must grasp logistical efficiency. What does cow eat?   Hay and corn.  And what are these?  Vegetables.  So steak is nothing more than efficient mechanism of delivering vegetables to your system.  Need grain?  Eat chicken.  Beef also good source of field grass (green leafy vegetable).  And pork chop can give you 100% of recommended daily allowance of vegetable product. 


Q: Should I reduce my alcohol intake?   

A:  No, not at all.  Wine made from fruit.  Brandy is distilled wine, that mean they take water out of fruity bit so you get even more of goodness that way.  Beer also made of grain.  Bottom up! 


Q: How can I calculate my body/fat ratio?  

A: Well, if you have body and you have fat, your ratio one to one.  If you have two bodies, your ratio two to one, etc. 


Q: What are some of the advantages of participating in a regular exercise program?  

A: Can't think of single one, sorry.  My philosophy is: No pain...good!

         

Q:  Aren't fried foods bad for you?   

A:  YOU NOT LISTENING!  Foods are fried these days in vegetable oil.  In fact, they permeated by it.  How could getting more vegetable be bad for you?!?


Q:  Will sit-ups help prevent me from getting a little soft around the middle?  

A: Definitely not!  When you exercise muscle, it get bigger.  You should only be doing sit-up if you want bigger stomach.  


Q:  Is chocolate bad for me?   

A:  Are you crazy?!?  HEL-LO-O!!  Cocoa bean!  Another vegetable!  It best feel-good food around! 


Q:  Is swimming good for your figure?

A:  If swimming good for your figure, explain whale to me.. 


Q:  Is getting in shape important for my lifestyle?   

A:  Hey!  'Round' is a shape!  


Well, I hope this has cleared up any misconceptions you may have had about food and diets. 


And remember:

 

Life should NOT be a journey to the grave with the intention of arriving safely in an attractive and well-preserved body, but rather to skid in sideways, martini in one hand, chocolate in the other, body thoroughly used up, totally worn out and screaming "WOO-HOO, what a  ride!!"

 

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Continuing with my “nutritional” newsletter, this one is from the “USA Weekend” edition, August 12-14, 2011.

 

Tasty tips…

 

Pick the least-processed foods.

An apple is a whole food, applesauce is slightly processed, and apple juice is the most processed of the three – so the most healthful choice is the apple.

 

Halve the nuts.

If the recipe calls for nuts, use half the amount, but toast the nuts – that intensify the flavor and saves on calories.

 

Think about portions.

Strive to have half of your plate made up of fruits and vegetables.

 

Try add-ins.

Add fresh or dried fruits such as chopped apples, raisins, kiwi or orange slices to green leafy salads.

 

Add beans.

Try rinsed and drained canned beans in soups, stews and salads.  They are a low-fat, high-fiber protein.

 

Whole grains are the best choice.

Select whole-grain products over processed ones.  Consider whole-grain bread, whole-grain pasta, brown rice, quinoa and bulgur.

 

Spice up your grains.

Add vegetables or dried fruits to grain-based dishes such as rice or couscous.

 

Replace the white flour.

Substitute whole-wheat flour for up to half or more of the white flour in recipes.  Make muffins using oatmeal, bran or whole-wheat flour.

 

Buy leaner cuts of meat.

Look for ones with the words “loin” or “round” in the name.

 

Go skinless.

Cook poultry with the skin on to keep it moist, but remove the skin before eating to reduce the fat.

 

Another little tip – Stop building meals around convenience and fast foods.  Get back to the basics.

 

FECPPSG Editor’s Note:-  I’ve gotten into the habit of requesting a box as soon as I order my food in a restaurant and putting approximately half of it in when delivered to me – that way I know I’m watching what I eat and… I also have a second meal out of it.  Works for me….

 

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Reprinted from Daytona Beach News-Journal, July 24, 2011.

 

10 Tips to Building

A Healthy Meal

 

Based on the USDA Center for Nutrition, Policy and Promotion website: choose-myplate.gov – a healthy meal starts with more vegetables and fruits and smaller portions of protein and grains.

 

By following the tips listed, you can adjust the portions on your plate to get more of what you need without too many calories.

Make half your plate veggies and fruits that are red, orange and dark green (i.e.: tomatoes, sweet potatoes and broccoli).

Add lean protein like chicken, pork, beans, tofu and lean beef/pork with a serving of seafood at least twice a week.

Include whole grains that provide more nutrients like fiber than refined grains.

Don’t forget dairy in the form of a cup of low-fat or fat-free milk/yogurt or soy milk.

Avoid extra fat found in gravies and sauces.  Squeeze a little lemon or sprinkle low-fat parmesan cheese over broccoli instead of topping with a cheese sauce.

Take your time and eat slowly.  Savor your food and be mindful of when you have had enough.

Use a smaller plate to help with portion control.

Take control of your food by eating at home more often, choosing healthier options when you eat out, and eating baked instead of fried foods.

Try new foods and recipes that keep things interesting and satisfying.

Satisfy your sweet tooth in a healthy way by serving a fresh fruit cocktail, a fruit parfait made with yogurt, or a baked apple sprinkled with cinnamon.

 

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From one of our local members – much THANKS, Conrad.

 

Thought for the Day

 

This really does work.

I’ve tried it several times and it worked every time – even tried it again this morning….

 

If you feel like doing some work, sit down and wait…

 

The feeling does go away!!!

 

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Looking forward to seeing everyone at our meeting – should be a very interesting and

informative one.

                                                                                                Barbara

 

*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*~*

FLORIDA EAST COAST POST-POLIO SUPPORT GROUP

12 Eclipse Trail / Ormond BeachFL  32174

386-676-2435 / e-mail address:  bgold@iag.net

 

DATE:            Sunday, September 18th, 2011

TIME:                 1:00 – 4:00 PM

PLACE:              Red Lobster Restaurant

                            International Speedway Boulevard

                            Right off I-95 – Exit 261– Daytona Beach, FL

                            (head EAST for about 1/4 mile)

  

 

SPEAKER:           September 18th, 2011 – Mark S. Rubin, M.D., F.A.C.S.,

a local ophthalmologist, who has been practicing in Daytona

Beach since 1988 will go over whatever you want to know

about your eyes. 

            

 

Cost of the Luncheon is $13.00 all inclusive.   As usual we will have a choice of

several different menu items.

 

Please send in your reservation tear sheet and check

no later than September 15th, 2011

 

Any questions call Barbara at 386-676-2435.

                          

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R E S E R V A T I O N   F O R M

September 18th, 2011 Luncheon Meeting

  

 

Name: _______________________________ Phone No.: _________________

 

Number of People Coming: _________ Number in Wheelchair(s):  ___________

 

Amount of Check Enclosed:  ________________ @ $13.00 per person

 

 

Make check payable to and mail same to:

 

FLORIDA EAST COAST POST-POLIO SUPPORT GROUP

12 Eclipse Trail -- Ormond Beach, FL  32174

09/2011

 

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DUES FOR 2011-  Please take a look at your mailing label  -  on it you’ll see the month and year we received your 2010 dues, i.e., 01/2010 means it was received in January 2010, so your 2011 dues is due in January 2011.  If your mailing label has the year first and then the month, i.e., 2010/01 it means that you indicated to us in January 2010 that you wanted to receive the newsletter but paid no dues.  That’s OK as we still believe that anyone who wants information should receive it – but we do need you to return the tear sheet with either the “Dues” box checked or the “Keep me on the Mailing List” box checked.

            Your dues covers the supplies we need to send out the information packets to all inquiring about Post-Polio Syndrome, any other correspondence we do, and postage for publicity and for the out-of-country (25) newsletters that we send out.  We’re fortunate in that the “Free Matter for the Blind and Physically Handicapped” status takes care of the postage for the over 400 newsletters sent out within the United States.  We network with approximately 60 other support groups throughout the United States, Canada, Australia and New Zealand – some 40 of these reciprocate by sending us their newsletters.  We receive as many dues checks from our out-of-state members as we do from our Florida members.  So, please check your mailing label and return the tear sheet if your date is due.  We really need your support now more than ever.  Just to keep you advised, in addition to the previously mentioned countries, our newsletter goes to England, France, Germany, Israel, Panama, Portugal, Lebanon, South Africa, Sweden, Taiwan and Wales.

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WHEN YOU MOVEPLEASE be sure to send us your new address.  Sometimes the post-office will return the newsletter to us with a “forwarding period expired” notice on the front with your new address but most of the time they are just returned to us with “address unknown” on it.  SO, if you want to continue receiving the newsletter it is UP TO YOU to make sure we have your new address.

 

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2011 DUES/MAILING LIST

 

____ Dues Enclosed                                   ____ Keep me on mailing list

 

If sending dues, please make Check ($5.00) Payable to and Mail to:-

 

FLORIDA EAST COAST POST-POLIO SUPPORT GROUP

12 Eclipse Trail, Ormond Beach, FL  32174-4936

 

NAME:-__________________________________________________________

 

ADDRESS:-_______________________________________________________

 

E-MAIL ADDRESS:-__________________________ FAX #:- _______________

 

TELEPHONE NO:-Home _______________________ Office ________________

 

Date of Birth:-_________________   Wedding Anniversary:-________________

 

Name and Date of Birth of Spouse:-_____________________________________

 

Support Group I belong to:-____________________________________________

09/2011