Senin, 31 Januari 2011

OVARIAN AND PRIMARY PERITONEAL CANCER STAGING

  • Stage I - limited to one or both ovaries
    • IA - involves one ovary; capsule intact; no tumor on ovarian surface; no malignant cells in ascites or peritoneal washings
    • IB - involves both ovaries; capsule intact; no tumor on ovarian surface; negative washings
    • IC - tumor limited to ovaries with any of the following: capsule ruptured, tumor on ovarian surface, positive washings
  • Stage II - pelvic extension or implants
    • IIA - extension or implants onto uterus or fallopian tube; negative washings
    • IIB - extension or implants onto other pelvic structures; negative washings
    • IIC - pelvic extension or implants with positive peritoneal washings
  • Stage III - microscopic peritoneal implants outside of the pelvis; or limited to the pelvis with extension to the small bowel or omentum
    • IIIA - microscopic peritoneal metastases beyond pelvis
    • IIIB - macroscopic peritoneal metastases beyond pelvis less than 2 cm in size
    • IIIC - peritoneal metastases beyond pelvis > 2 cm or lymph node metastases (retroperitoneal or inguinal)
  • Stage IV - distant metastases to the liver or outside the peritoneal cavity
  • Note: Liver capsule metastasis T3/Stage III; liver parenchymal metastasis M1/Stage IV.
    Pleural effusion must have positive cytology for M1/Stage IV.

Apple Cinnamon Breakfast Strata PLUS Whole Wheat Breadcrumbs

Today on Serious Eats: Cider-Poached Pears with Yogurt and Toasted Almonds. Elegant, light, fruity!

(Note to self: When trying to psyche self up to blog, do not listen to Radiohead's OK Computer right before beginning to write. It's a bit like watching the first ten minutes of Up before playing in the Super Bowl.)

(And yes, blogging is just like playing in the Super Bowl. Think of the carbs!)

Hey you guys! So, we're trying something new here at CHG, in which we de-emphasize calorie counts a little (as they're not the decisive measure of a food's healthiness) so as to better focus on the overall nutritional value of any given recipe.

(Did I just make that up just now, so this post would fit into our stated thematic parameters? Yes.)

(Does it have some merit to it? Yes.)

(Did I have a large glass of red wine before beginning this post? I think you know the answer to that.)

Anyway, you'll see that today's dish, Apple-Cinnamon Whole Grain Breakfast Strata from The Kitchn via Opera Girl Cooks, is a little higher in calories than our usual recipes. This is okay, though. Because A) it's warm and appley and delicious – like non-cloying French toast, B) the fiber and protein counts are super-high, and C) all the ingredients are dang wholesome. Combined, all that makes for a healthy breakfast.

(What also makes for a healthy breakfast: grapefruit, oatmeal, not Lucky Charms, not skipping breakfast, escaping a pack of roaming ninjas to successfully get to work on time.)

I changed very little from OCG/The Kitchn’s original recipe, and the alterations made were mostly for economic reasons. A regular supermarket loaf of bread substituted for a fancier loaf. Dark brown sugar was chosen over organic cane sugar. Honey went in for agave syrup.

(That last one's not just financially motivated. It's just - agave syrup tastes like really thick tequila to me. And if the words "really thick tequila" don't automatically make you a little nauseous, then you may never have had a tequila-induced hangover. In which case, I salute and envy you.)

There's a bonus to the strata, as well. Step #2 requires you to saw off all the crusts of a loaf of bread. At first, this seems wasteful. BUT WAIT! By toasting said crusts for a few minutes, then crushing them in your mighty grasp, you come up with 1 1/2 cups handy, dandy whole-wheat breadcrumbs! Imagine what you can do with those!

(Coat chicken!)

(Top casseroles!)

(Sprinkle on macaroni and cheese!)

(Use as confetti at a mouse's birthday party!)

And that's it.

(Really!)

~~~

If this looks good, you might also quite enjoy:
~~~

Apple & Cinnamon Whole Grain Breakfast Strata
Serves 6 to 8.
Adapted from The Kitchn.


For the strata:
1 (24-ounce) loaf good supermarket whole wheat or whole grain bread
3 medium baking apples, peeled, cored, and sliced into 1/4-inch wedges
8 large eggs
2 cups 1% milk
1/3 cup lightly packed dark brown sugar
2 teaspoons vanilla extract
1 1/2 teaspoons cinnamon
1/2 teaspoon nutmeg

For the glaze:
3 ounces cream cheese
2 tablespoons honey
2 tablespoons 1% milk
1/2 teaspoon vanilla

1) Grease a 9x13 glass baking dish ever-so-lightly with butter

2) Unpack bread. Place ends aside. Cut crusts off each piece. Set crusts aside.

2.5) IF MAKING BREADCRUMBS : Preheat oven to 375 degrees. Spread crusts out on baking sheet. Bake 10-15 minutes, until bread is completely toasty. Remove from oven and let cool. When totally cool, run through a food processor or beat senseless with rolling pin. Store crumbs in an airtight container. Should make 1 1/2 to 2 cups breadcrumbs.

3) Line bottom of baking dish with half the crustless bread. Layer apple slices on top of bread. Layer apples with remaining bread.

4) In a medium bowl, mix eggs, milk, brown sugar, cinnamon, and nutmeg. Whisk thoroughly. Pour over bread. Cover and refrigerate a few hours, or overnight.

5) Preheat oven to 350 degrees.

6) Cover strata with tin foil. Bake for 35 minutes (45 minutes if coming straight from the fridge). Uncover. Bake for additional 15 minutes.

7) Mix cream cheese, honey, milk, and vanilla in a small pot. Heat over medium heat until cheese is melted and glaze is formed, stirring constantly. Pour over warmed strata. Spread glaze with back of a wooden spoon until pretty evenly distributed.

8) Let sit 10 minutes. Serve, with syrup if preferred.


Approximate Calories, Fat, Fiber, Protein, and Price Per Serving
Seven servings: 392 calories, 13.8 g fat, 10 g fiber, 16.9 g protein, $0.99

NOTE: Calculations are for Arnold 100% Whole Wheat Triple Health (I don’t know what that means, either) bread, which is what I used. Since there’s no real way to calculate nutrition for crustless bread, I subtracted 30% of the totals. It’s not scientific per se, but that’s why we write “approximate.”

Calculations
1 (24-ounce) supermarket loaf whole wheat or whole grain bread: 1050 calories, 21 g fat, 63 g fiber, 42 g protein, $2.50
3 medium baking apples, peeled, cored, sliced into 1/4-inch wedges: 184 calories, 0.4 g fat, 5 g fiber, 1 g protein, $1.36
8 large eggs: 588 calories, 39.6 g fat, 0 g fiber, 50.3 g protein, $1.00
2 cups + 2 tablespoons 1% milk: 224 calories, 5.2 g fat, 0 g fiber, 18.1 g protein, $0.66
1/3 cup lightly packed dark brown sugar: 229 calories, 0 g fat, 0 g fiber, 0 g protein, $0.22
2 1/2 teaspoons vanilla extract: 30 calories, 0 g fat, 0 g fiber, 0 g protein, $0.20
1 1/2 teaspoons cinnamon: 9 calories, 0.1 g fat, 1.9 g fiber, 0.1 g protein, $0.06
1/2 teaspoon nutmeg: 6 calories, 0.4 g fat, 0.2 g fiber, 0.1 g protein, $0.03
3 ounces cream cheese: 297 calories, 29.7 g fat, 0 g fiber, 6.4 g protein, $0.56
2 tablespoons honey: 128 calories, 0 g fat, 0.1 g fiber, 0.1 g protein, $0.32
TOTAL: 2745 calories, 96.4 g fat, 70.2 g fiber, 118.1 g protein, $6.91
PER SERVING (TOTAL/7): 392 calories, 13.8 g fat, 10 g fiber, 16.9 g protein, $0.99

Apple Cinnamon Breakfast Strata PLUS Whole Wheat Breadcrumbs

Today on Serious Eats: Cider-Poached Pears with Yogurt and Toasted Almonds. Elegant, light, fruity!

(Note to self: When trying to psyche self up to blog, do not listen to Radiohead's OK Computer right before beginning to write. It's a bit like watching the first ten minutes of Up before playing in the Super Bowl.)

(And yes, blogging is just like playing in the Super Bowl. Think of the carbs!)

Hey you guys! So, we're trying something new here at CHG, in which we de-emphasize calorie counts a little (as they're not the decisive measure of a food's healthiness) so as to better focus on the overall nutritional value of any given recipe.

(Did I just make that up just now, so this post would fit into our stated thematic parameters? Yes.)

(Does it have some merit to it? Yes.)

(Did I have a large glass of red wine before beginning this post? I think you know the answer to that.)

Anyway, you'll see that today's dish, Apple-Cinnamon Whole Grain Breakfast Strata from The Kitchn via Opera Girl Cooks, is a little higher in calories than our usual recipes. This is okay, though. Because A) it's warm and appley and delicious – like non-cloying French toast, B) the fiber and protein counts are super-high, and C) all the ingredients are dang wholesome. Combined, all that makes for a healthy breakfast.

(What also makes for a healthy breakfast: grapefruit, oatmeal, not Lucky Charms, not skipping breakfast, escaping a pack of roaming ninjas to successfully get to work on time.)

I changed very little from OCG/The Kitchn’s original recipe, and the alterations made were mostly for economic reasons. A regular supermarket loaf of bread substituted for a fancier loaf. Dark brown sugar was chosen over organic cane sugar. Honey went in for agave syrup.

(That last one's not just financially motivated. It's just - agave syrup tastes like really thick tequila to me. And if the words "really thick tequila" don't automatically make you a little nauseous, then you may never have had a tequila-induced hangover. In which case, I salute and envy you.)

There's a bonus to the strata, as well. Step #2 requires you to saw off all the crusts of a loaf of bread. At first, this seems wasteful. BUT WAIT! By toasting said crusts for a few minutes, then crushing them in your mighty grasp, you come up with 1 1/2 cups handy, dandy whole-wheat breadcrumbs! Imagine what you can do with those!

(Coat chicken!)

(Top casseroles!)

(Sprinkle on macaroni and cheese!)

(Use as confetti at a mouse's birthday party!)

And that's it.

(Really!)

~~~

If this looks good, you might also quite enjoy:
~~~

Apple & Cinnamon Whole Grain Breakfast Strata
Serves 6 to 8.
Adapted from The Kitchn.


For the strata:
1 (24-ounce) loaf good supermarket whole wheat or whole grain bread
3 medium baking apples, peeled, cored, and sliced into 1/4-inch wedges
8 large eggs
2 cups 1% milk
1/3 cup lightly packed dark brown sugar
2 teaspoons vanilla extract
1 1/2 teaspoons cinnamon
1/2 teaspoon nutmeg

For the glaze:
3 ounces cream cheese
2 tablespoons honey
2 tablespoons 1% milk
1/2 teaspoon vanilla

1) Grease a 9x13 glass baking dish ever-so-lightly with butter

2) Unpack bread. Place ends aside. Cut crusts off each piece. Set crusts aside.

2.5) IF MAKING BREADCRUMBS : Preheat oven to 375 degrees. Spread crusts out on baking sheet. Bake 10-15 minutes, until bread is completely toasty. Remove from oven and let cool. When totally cool, run through a food processor or beat senseless with rolling pin. Store crumbs in an airtight container. Should make 1 1/2 to 2 cups breadcrumbs.

3) Line bottom of baking dish with half the crustless bread. Layer apple slices on top of bread. Layer apples with remaining bread.

4) In a medium bowl, mix eggs, milk, brown sugar, cinnamon, and nutmeg. Whisk thoroughly. Pour over bread. Cover and refrigerate a few hours, or overnight.

5) Preheat oven to 350 degrees.

6) Cover strata with tin foil. Bake for 35 minutes (45 minutes if coming straight from the fridge). Uncover. Bake for additional 15 minutes.

7) Mix cream cheese, honey, milk, and vanilla in a small pot. Heat over medium heat until cheese is melted and glaze is formed, stirring constantly. Pour over warmed strata. Spread glaze with back of a wooden spoon until pretty evenly distributed.

8) Let sit 10 minutes. Serve, with syrup if preferred.


Approximate Calories, Fat, Fiber, Protein, and Price Per Serving
Seven servings: 392 calories, 13.8 g fat, 10 g fiber, 16.9 g protein, $0.99

NOTE: Calculations are for Arnold 100% Whole Wheat Triple Health (I don’t know what that means, either) bread, which is what I used. Since there’s no real way to calculate nutrition for crustless bread, I subtracted 30% of the totals. It’s not scientific per se, but that’s why we write “approximate.”

Calculations
1 (24-ounce) supermarket loaf whole wheat or whole grain bread: 1050 calories, 21 g fat, 63 g fiber, 42 g protein, $2.50
3 medium baking apples, peeled, cored, sliced into 1/4-inch wedges: 184 calories, 0.4 g fat, 5 g fiber, 1 g protein, $1.36
8 large eggs: 588 calories, 39.6 g fat, 0 g fiber, 50.3 g protein, $1.00
2 cups + 2 tablespoons 1% milk: 224 calories, 5.2 g fat, 0 g fiber, 18.1 g protein, $0.66
1/3 cup lightly packed dark brown sugar: 229 calories, 0 g fat, 0 g fiber, 0 g protein, $0.22
2 1/2 teaspoons vanilla extract: 30 calories, 0 g fat, 0 g fiber, 0 g protein, $0.20
1 1/2 teaspoons cinnamon: 9 calories, 0.1 g fat, 1.9 g fiber, 0.1 g protein, $0.06
1/2 teaspoon nutmeg: 6 calories, 0.4 g fat, 0.2 g fiber, 0.1 g protein, $0.03
3 ounces cream cheese: 297 calories, 29.7 g fat, 0 g fiber, 6.4 g protein, $0.56
2 tablespoons honey: 128 calories, 0 g fat, 0.1 g fiber, 0.1 g protein, $0.32
TOTAL: 2745 calories, 96.4 g fat, 70.2 g fiber, 118.1 g protein, $6.91
PER SERVING (TOTAL/7): 392 calories, 13.8 g fat, 10 g fiber, 16.9 g protein, $0.99

Minggu, 30 Januari 2011

TESTICULAR CANCER THERAPY INCREASES RISK FOR CARDIOVASULAR DISEASE

Testicular cancer survivors who were treated with chemotherapy, radiotherapy or both have increased long-term risks for cardiovascular disease, a new study found.

Because such cancers are usually diagnosed before age 40, survivors can live several decades after treatment and doctors should watch for complications, the researchers note in their paper published online September 20th in the Journal of Clinical Oncology.

The lifelong follow-up for these men should focus on their cardiovascular risk profile and lifestyle interventions to prevent cardiovascular disease, lead author Dr. Hege Haugnes, of the University of Tromso, Norway, told Reuters Health in an email.

Dr. Haugnes' team studied 990 men treated for unilateral testicular cancer, following them for a median of 19 years. They stratified the men into four groups according to their treatment: 206 who had surgery only, 386 who had radiotherapy, 364 who had chemotherapy, and 34 who had both radiation and chemotherapy.

Compared to the surgery group, there was a higher risk for diabetes in men treated with radiotherapy alone (odds ratio: 2.3) or the combination of radiotherapy and chemotherapy (OR: 3.9).

The authors also found that 74 men (8%) developed atherosclerotic disease during follow up. Cox regression analysis showed increased hazard ratios for atherosclerosis after all cytotoxic treatments compared with surgery only (radiotherapy, HR 2.3; chemotherapy, HR: 2.6; both, HR 4.8).

Most chemotherapy was cisplatin-based, combined with bleomycin and either etoposide or vinblastine. When the researchers analyzed the men according to their treatments, etoposide was linked with a 5.7-fold higher risk for coronary artery disease and a 4.7-fold higher risk for atherosclerotic disease compared to surgery.

Compared to a separate group of matched controls, patients who received etoposide had a significantly higher risk of myocardial infarction (HR, 3.1) as did those in the combination therapy group (HR, 4.8).

Except for the etoposide results, previous studies had shown similar patterns, Dr. Haugnes said. She called the etoposide findings the most surprising in the study.

"A possible bias here is the inclusion of living men only, and thus only cardiovascular disease morbidity and not mortality has been reported," she said.

BREAST IMPLANTS INCREASE RISK OF A RARE LYMPHOMA FORM

Patients with either saline- or silicone gel–filled breast implants may have a very small but significant risk for a rare cancer called anaplastic large-cell lymphoma (ALCL) adjacent to the implant, the US Food and Drug Administration (FDA) announced today.
While the agency continues to investigate the possible association between ALCL and breast implants, it is advising clinicians to consider the possibility of the cancer in patients with breast implants with late onset of fluid build-up called persistent peri-implant seroma. Clinicians also should report any confirmed cases of ALCL in women with breast implants to the FDA.
The agency is advising women with breast implants not to change their routine medical care and follow-up. Because the risk for ALCL appears to be very small, the agency believes the weight of evidence "supports a reasonable assurance that FDA-approved breast implants are safe and effective when used as labeled."
A rare cancer of the immune system that can occur anywhere in the body, ALCL is diagnosed in 1 of every 500,000 women per year in the United States. ALCL in the breast is rarer still, diagnosed annually in roughly 3 of every 100 million women without implants. In women with breast implants, it is usually inside the fibrous scar tissue — called a capsule — surrounding the implant. It is not a cancer of the breast per se.
Treatment options for ALCL are chemotherapy, radiation, and surgery, said William Maisel, MD, MPH, chief scientist and deputy director for science in the FDA's Center for Devices and Radiological Health, at a press conference today. The evidence suggests that the kind of ALCL found in conjunction with breast implants is less aggressive and is sometimes treatable by simply removing the implant, the capsule, and collected fluid, according to Dr. Maisel.
An FDA review of scientific literature published from January 1997 through May 2010 uncovered 34 unique cases of ALCL in women with breast implants throughout the world. The agency is aware of 60 cases in all, some of them identified through other channels. The FDA does not know how many of the 60 may be duplicates of cases found in the literature. An estimated 5 million to 10 million women worldwide have received breast implants, according to the FDA.
Of the 31 published cases of ALCL, 24 involved silicone implants, and 7 saline implants. The median time from implant to ALCL diagnosis was 8 years. For most of the women, the cancer was diagnosed when they sought treatment for implant-related symptoms, such as pain, lumps, swelling, or asymmetry, after their surgical sites had healed. These symptoms result from persistent peri-implant seroma, hardening of the breast area around the implant, or masses surrounding the implant.
Plastic Surgeons and FDA Will Develop Patient Registry
The vast majority of data suggesting a link between ALCL and breast implants emerged only after the FDA approved silicone gel breast implants made by Allergan and Mentor in 2006, said Dr. Maisel. From 1992 to 2006, such silicone gel implants were available only on an investigational basis.
Dr. Maisel noted that silicone from ruptured and even intact implants has been found in nearby breast tissue. According to one theory about the origins of ALCL, this silicone chronically stimulates immune system T cells and induces lymphoma.
"Please understand that is speculative, and a hypothesis," said Dr. Maisel.
To get to firmer scientific ground, the FDA will collaborate with the American Society of Plastic Surgeons and other groups to develop a registry to collect more information that would better characterize ALCL in women with breast implants. The agency also is asking implant manufacturers to report ALCL cases. And for the sake of patient and clinician education, the FDA will work with these manufacturers to update product labeling materials.
More information about today's announcement is available on the FDA Web site. The FDA's preliminary findings and analyses are available here.

Kamis, 27 Januari 2011

Veggie Might: French-Style Lentil Soup with Spinach

Written by the fabulous Leigh, Veggie Might is a weekly Thursday column about all things Vegetarian.

A common misconception about vegetarians and vegans is that we only eat bland, boring lentil dishes that taste like paste/cardboard. Oh contraire! Lentils are freakin’ awesome, and you need not employ fancy tricks to make them delicious.

How apropos that, this week, I turn to Mark Bittman to illustrate this fact. (Mr. B, I’m going to miss The Minimalist ever so.)

Generally, my favorite way to eat lentils is all dal-ed up, Indian-style. But I’ll take them any way really: in a loaf, a patty, or in a soup with just a few simple flavors, like onions, salt, and pepper.

The thing is, as comfortable as I am around beans and lentils, wildly tossing together legumes with vegetables, grains, and spices, I’m fairly stymied by soup. I just can’t get a handle on the proportions and almost always turn to recipes. Sure enough, darling Mark Bittman and his stalwart How to Cook Everything Vegetarian saw into my heart and knew what it wanted before I did: the French variation of his Classic Lentil Soup.

It provided a use for the deep greenish-grey-colored French lentils (also known as lentils du Puy if they actually come from France) I’ve been hoarding, as well as a template for soup in general.

Even with the dicing, during which I relished using my newly sharpened knife, the soup came together in under an hour. Once the carrot and celery are diced, almost everything goes in the pot to start cooking; then the onion and garlic get their turn at the blade—a huge time saver. Plus, if you use frozen spinach, like I did, you save yourself additional washing and washing and chopping steps.

Because the recipe uses everyday ingredients—green or brown lentils can be easily subbed for Frenchies—it’s beyond cheap. At less than $3.50 for the whole pot, you get several meals for the cost of a cafe au lait—and it’s just as warm and comforting on a cold winter afternoon. The lentils, carrots, and celery stick to your ribs, while a hint of lemon juice gives a refreshing zing.

MB suggests spinach and lemon juice if sorrel is unavailable, which is the case here in the depths of Northeastern winter. Sorrel, if you’ve never tried it, is a delicate leafy green with a pungent, lemony flavor. Come spring, I’ll be giving that version a try for sure.

Now, let us lift high our spoons in praise of the lovely lentil and Mark Bittman’s deliciously simple soup. À votre santé!

~~~~

If you dig this recipe, point your [snow] shovel toward:
~~~

French-Style Lentil Soup with Spinach
Serves 4 to 6
Adapted from How to Cook Everything Vegetarian by Mark Bittman


1 cup French lentils
1 medium carrot, 1/2” dice
1 rib celery, 1/2” dice
1 bay leaf
6 cups vegetable stock
salt and pepper to taste
2 teaspoons nonhydrogenated vegan butter
1 medium onion, chopped
1 clove garlic , minced
1 1/2 cups spinach, frozen (or 1/4 pound spinach, fresh)
1 lemon, juiced

1) Combine lentils, bay leaf, carrot, celery, stock, and salt and pepper in a large sauce pan or medium stock pot. Bring to a boil, then reduce heat and simmer for 30 minutes or until lentils are tender.

2) Chop onions and garlic. In a medium skillet, cook onions in vegan butter for 5 minutes or until soft. Add garlic and cook 1 minute more. If using fresh spinach, stir into onion and garlic mixture until wilted. Add to soup. If using frozen spinach, skip wilting step and add spinach to soup separately from onion and garlic mixture.

3) Remove soup from heat when lentils are tender and squeeze in lemon juice.

4) Serve with crusty bread and a green salad or a baked sweet potato for a light lunch. So simple, so delicious, so je ne sai pas...perfectly lentil.

Approximate Calories, Fat, Fiber, Protein, and Price per Serving
Four servings: 249.6 calories, 3g fat, 18.5g fiber, 10g protein, $.86
Six servings: 166.4 calories, 2g fat, 12.3g fiber, 15g protein, $.57

Calculations
1 cup French lentils: 678 calories, 2g fat, 59g fiber, 50g protein, $0.70
1 medium carrot: 25 calories, 0g fat, 2g fiber, 1g protein, $0.16
1 rib celery: 6 calories, 0g fat, 1g fiber, 0g protein, $0.08
1 bay leaf: negligible calories, fat, fiber, protein, $0.02
6 cups vegetable stock: 120 calories, 0.6g fat, 0g fiber, 0g protein, $1.14
salt: negligible calories, fat, fiber, protein, $0.02
pepper: negligible calories, fat, fiber, protein, $0.02
2 teaspoons nonhydrogenated vegan butter: 66 calories, 7.3g fat, 0g fiber, 0g protein, $0.08
1 onion: 20 calories, 0g fat, 0g fiber, 0g protein, $0.25
1 clove garlic: 4 calories, 0g fat, 0g fiber, 0g protein, $0.01
1 1/2 cups spinach, frozen: 67.5 calories, 1.5g fat, 7.5g fiber, 9g protein, $0.75
1 lemon, juiced: 12 calories, 0g fat, 0g fiber, 0g protein, $0.20
TOTALS: 998.5 calories, 11.4g fat, 74g fiber, 60g protein, $3.43
PER SERVING (TOTALS/4): 249.6 calories, 3g fat, 18.5g fiber, 10g protein, $.86
PER SERVING (TOTALS/6): 166.4 calories, 2g fat, 12.3g fiber, 15g protein, $.57

Veggie Might: French-Style Lentil Soup with Spinach

Written by the fabulous Leigh, Veggie Might is a weekly Thursday column about all things Vegetarian.

A common misconception about vegetarians and vegans is that we only eat bland, boring lentil dishes that taste like paste/cardboard. Oh contraire! Lentils are freakin’ awesome, and you need not employ fancy tricks to make them delicious.

How apropos that, this week, I turn to Mark Bittman to illustrate this fact. (Mr. B, I’m going to miss The Minimalist ever so.)

Generally, my favorite way to eat lentils is all dal-ed up, Indian-style. But I’ll take them any way really: in a loaf, a patty, or in a soup with just a few simple flavors, like onions, salt, and pepper.

The thing is, as comfortable as I am around beans and lentils, wildly tossing together legumes with vegetables, grains, and spices, I’m fairly stymied by soup. I just can’t get a handle on the proportions and almost always turn to recipes. Sure enough, darling Mark Bittman and his stalwart How to Cook Everything Vegetarian saw into my heart and knew what it wanted before I did: the French variation of his Classic Lentil Soup.

It provided a use for the deep greenish-grey-colored French lentils (also known as lentils du Puy if they actually come from France) I’ve been hoarding, as well as a template for soup in general.

Even with the dicing, during which I relished using my newly sharpened knife, the soup came together in under an hour. Once the carrot and celery are diced, almost everything goes in the pot to start cooking; then the onion and garlic get their turn at the blade—a huge time saver. Plus, if you use frozen spinach, like I did, you save yourself additional washing and washing and chopping steps.

Because the recipe uses everyday ingredients—green or brown lentils can be easily subbed for Frenchies—it’s beyond cheap. At less than $3.50 for the whole pot, you get several meals for the cost of a cafe au lait—and it’s just as warm and comforting on a cold winter afternoon. The lentils, carrots, and celery stick to your ribs, while a hint of lemon juice gives a refreshing zing.

MB suggests spinach and lemon juice if sorrel is unavailable, which is the case here in the depths of Northeastern winter. Sorrel, if you’ve never tried it, is a delicate leafy green with a pungent, lemony flavor. Come spring, I’ll be giving that version a try for sure.

Now, let us lift high our spoons in praise of the lovely lentil and Mark Bittman’s deliciously simple soup. À votre santé!

~~~~

If you dig this recipe, point your [snow] shovel toward:
~~~

French-Style Lentil Soup with Spinach
Serves 4 to 6
Adapted from How to Cook Everything Vegetarian by Mark Bittman


1 cup French lentils
1 medium carrot, 1/2” dice
1 rib celery, 1/2” dice
1 bay leaf
6 cups vegetable stock
salt and pepper to taste
2 teaspoons nonhydrogenated vegan butter
1 medium onion, chopped
1 clove garlic , minced
1 1/2 cups spinach, frozen (or 1/4 pound spinach, fresh)
1 lemon, juiced

1) Combine lentils, bay leaf, carrot, celery, stock, and salt and pepper in a large sauce pan or medium stock pot. Bring to a boil, then reduce heat and simmer for 30 minutes or until lentils are tender.

2) Chop onions and garlic. In a medium skillet, cook onions in vegan butter for 5 minutes or until soft. Add garlic and cook 1 minute more. If using fresh spinach, stir into onion and garlic mixture until wilted. Add to soup. If using frozen spinach, skip wilting step and add spinach to soup separately from onion and garlic mixture.

3) Remove soup from heat when lentils are tender and squeeze in lemon juice.

4) Serve with crusty bread and a green salad or a baked sweet potato for a light lunch. So simple, so delicious, so je ne sai pas...perfectly lentil.

Approximate Calories, Fat, Fiber, Protein, and Price per Serving
Four servings: 249.6 calories, 3g fat, 18.5g fiber, 10g protein, $.86
Six servings: 166.4 calories, 2g fat, 12.3g fiber, 15g protein, $.57

Calculations
1 cup French lentils: 678 calories, 2g fat, 59g fiber, 50g protein, $0.70
1 medium carrot: 25 calories, 0g fat, 2g fiber, 1g protein, $0.16
1 rib celery: 6 calories, 0g fat, 1g fiber, 0g protein, $0.08
1 bay leaf: negligible calories, fat, fiber, protein, $0.02
6 cups vegetable stock: 120 calories, 0.6g fat, 0g fiber, 0g protein, $1.14
salt: negligible calories, fat, fiber, protein, $0.02
pepper: negligible calories, fat, fiber, protein, $0.02
2 teaspoons nonhydrogenated vegan butter: 66 calories, 7.3g fat, 0g fiber, 0g protein, $0.08
1 onion: 20 calories, 0g fat, 0g fiber, 0g protein, $0.25
1 clove garlic: 4 calories, 0g fat, 0g fiber, 0g protein, $0.01
1 1/2 cups spinach, frozen: 67.5 calories, 1.5g fat, 7.5g fiber, 9g protein, $0.75
1 lemon, juiced: 12 calories, 0g fat, 0g fiber, 0g protein, $0.20
TOTALS: 998.5 calories, 11.4g fat, 74g fiber, 60g protein, $3.43
PER SERVING (TOTALS/4): 249.6 calories, 3g fat, 18.5g fiber, 10g protein, $.86
PER SERVING (TOTALS/6): 166.4 calories, 2g fat, 12.3g fiber, 15g protein, $.57

Guest Post: Cranberry Pumpkin Muffins

Today's guest post comes from Ali, who lives in Vancou... you'll see.

Hi everyone.

My name is Ali, and I live in Vancouver, Canada with my boyfriend J. We are both graduate students, so we eat on the cheap, and we're both pretty active - I'm training up for a half marathon - so we're a couple of hungry buggers. The recipe below is a great way to use up pumpkin, if you've got it, and cranberries.

This muffin is one of our faves: It's cheap and healthy and good (what a coincidence!), and also portable, freezable, and toastable. CHGPFT! Also, let's compare this nutritional info with the info for a "Lowfat raspberry muffin" from a large international coffee chain that shall remain nameless. Their muffin (according to their online nutrition info): 340 calories, 6g fat, 2g fibre, 7g protein. This is their healthy muffin, people. And let's not even talk about the price...I'm not sure what they are charging for their muffins, but it sure as heck isn't $0.53. Yikes. So, save your money! Save your calories! Give the muffins below a try....you won't regret it. Promise.

A couple of notes:

1) The inspiration for this recipe comes from a fantastic cook book called Re:Bar, but we've made loads of adaptations to it so I'm not sure you could call it the same recipe. Nevertheless, the idea of putting millet and pumpkin together in muffin form comes from those guys and their yummy restaurant.

2) Did you know that there is as much protein is 1/2 cup millet as there is in 2 eggs (11g)? I didn't. And the millet is a third the price. So there's that.

3) For the pumpkin: we bought a huge (10 pound) pumpkin from a farmers' market, cooked the sucker, mashed up its insides, and froze the resulting mush in 2-cup ziplock bags. I admit I do not remember the exact price of the pumpkin, but it was cheap. So what you have here is my best guess for price. I'm guessing that the pumpkin cost about $10, and we got about 7 frozen cups of mush from it, plus a cup or two of pumpkin seeds.

~~~

If this looks good, you'll surely love:
~~~

Cranberry Pumpkin Muffins


1/2 cup millet (uncooked)
2 eggs
1/2 cup sugar
1 tsp vanilla
1/2 cup plain yogurt
1/8 cup vegetable oil
1.25 cups pumpkin puree (fresh or canned)
1 cup flour (all white, or 1/2 white 1/2 whole wheat)
1 teaspoon baking soda
1 teaspoon cinnamon
2 teaspoon fresh grated ginger
2 cups fresh or frozen cranberries

1) Preheat oven to 375 degress. Grease a muffin tray, or line with muffin papers.

2) Toast millet in a hot dry skillet until it's lightly browned and starts to smell toasty. Set aside.

3) Beat together eggs, sugar, and vanilla until well mixed. Then add in yogurt pumpkin, and vegetable oil. Mix.

4) In a different bowl, combine flour, baking soda, cinnamon, and millet.

5) Combine wet and dry, and stir in cranberries. Don't overmix, or muffins will be tough - use minimal stirrage.

6) Bake at 375 for 20-25 mins or until a knife comes out clean.

Approximate Calories, Fat, Fibre, Protein, and Price Per Serving
155 calories, 3.8g fat, 3.1g fibre, 4g protein, $0.53

NOTE: Calculations are in Canadian dollars. Just add about 10% to convert to USD.

Calculations
1/2 cup millet: 378 calories, 4.2g fat, 8.5 g fibre, 11g protein, $0.50
2 eggs (we used happy-organic-free-range-type, hence the price): 126 calories, 8.7g fat, 0g fibre, 11.1 g protein, $1.75
1/2 cup sugar: 387 calories, 0g fat, 0g fibre, 0g protein, $0.25
1 teaspoon vanilla: 12 calories, 0g fat, 0g fibre, 0g protein, $0.10
1/2 cup plain low-fat yogurt: 77 calories, 1.9g fat, 0g fibre, 6.4 g protein, $0.64
1/8 cup vegetable oil (we used grapeseed): 241 calories, 27 g fat, 0g fibre, 0g, protein, $0.20
1 1/4 cups pumpkin puree: 104 calories, 1g fat, 9g fibre, 3.4g protein, $0.75*
1/2 cup whole wheat flour: 203 calories, 1.1g fat, 7.3g fibre, 8.2g protein, $.0.18
1/2 cup white flour: 228 calories, .5 g fat, 1.7g fibre, 6.5g protein, $0.15
1 teaspoon baking soda: 0g everything, $0.05
1 teaspoon cinnamon: 6 calories, 0g fat, 1.2g fibre, 0g protein, $0.10
2 teaspoons fresh ginger: 12 calories, 0g fat, .5g fibre, .3g protein, $0.35
2 cups cranberries: 87 calories, 0g fat, 8.7g fibre, 0.7g protein, $1.35
TOTALS: 1862 calories, 45.5g fat, 36.6g fibre, 47.5g protein, $6.37
PER SERVING (Totals/12): 155 calories, 3.8g fat, 3.1g fibre, 4g protein, $0.53

Guest Post: Cranberry Pumpkin Muffins

Today's guest post comes from Ali, who lives in Vancou... you'll see.

Hi everyone.

My name is Ali, and I live in Vancouver, Canada with my boyfriend J. We are both graduate students, so we eat on the cheap, and we're both pretty active - I'm training up for a half marathon - so we're a couple of hungry buggers. The recipe below is a great way to use up pumpkin, if you've got it, and cranberries.

This muffin is one of our faves: It's cheap and healthy and good (what a coincidence!), and also portable, freezable, and toastable. CHGPFT! Also, let's compare this nutritional info with the info for a "Lowfat raspberry muffin" from a large international coffee chain that shall remain nameless. Their muffin (according to their online nutrition info): 340 calories, 6g fat, 2g fibre, 7g protein. This is their healthy muffin, people. And let's not even talk about the price...I'm not sure what they are charging for their muffins, but it sure as heck isn't $0.53. Yikes. So, save your money! Save your calories! Give the muffins below a try....you won't regret it. Promise.

A couple of notes:

1) The inspiration for this recipe comes from a fantastic cook book called Re:Bar, but we've made loads of adaptations to it so I'm not sure you could call it the same recipe. Nevertheless, the idea of putting millet and pumpkin together in muffin form comes from those guys and their yummy restaurant.

2) Did you know that there is as much protein is 1/2 cup millet as there is in 2 eggs (11g)? I didn't. And the millet is a third the price. So there's that.

3) For the pumpkin: we bought a huge (10 pound) pumpkin from a farmers' market, cooked the sucker, mashed up its insides, and froze the resulting mush in 2-cup ziplock bags. I admit I do not remember the exact price of the pumpkin, but it was cheap. So what you have here is my best guess for price. I'm guessing that the pumpkin cost about $10, and we got about 7 frozen cups of mush from it, plus a cup or two of pumpkin seeds.

~~~

If this looks good, you'll surely love:
~~~

Cranberry Pumpkin Muffins


1/2 cup millet (uncooked)
2 eggs
1/2 cup sugar
1 tsp vanilla
1/2 cup plain yogurt
1/8 cup vegetable oil
1.25 cups pumpkin puree (fresh or canned)
1 cup flour (all white, or 1/2 white 1/2 whole wheat)
1 teaspoon baking soda
1 teaspoon cinnamon
2 teaspoon fresh grated ginger
2 cups fresh or frozen cranberries

1) Preheat oven to 375 degress. Grease a muffin tray, or line with muffin papers.

2) Toast millet in a hot dry skillet until it's lightly browned and starts to smell toasty. Set aside.

3) Beat together eggs, sugar, and vanilla until well mixed. Then add in yogurt pumpkin, and vegetable oil. Mix.

4) In a different bowl, combine flour, baking soda, cinnamon, and millet.

5) Combine wet and dry, and stir in cranberries. Don't overmix, or muffins will be tough - use minimal stirrage.

6) Bake at 375 for 20-25 mins or until a knife comes out clean.

Approximate Calories, Fat, Fibre, Protein, and Price Per Serving
155 calories, 3.8g fat, 3.1g fibre, 4g protein, $0.53

NOTE: Calculations are in Canadian dollars. Just add about 10% to convert to USD.

Calculations
1/2 cup millet: 378 calories, 4.2g fat, 8.5 g fibre, 11g protein, $0.50
2 eggs (we used happy-organic-free-range-type, hence the price): 126 calories, 8.7g fat, 0g fibre, 11.1 g protein, $1.75
1/2 cup sugar: 387 calories, 0g fat, 0g fibre, 0g protein, $0.25
1 teaspoon vanilla: 12 calories, 0g fat, 0g fibre, 0g protein, $0.10
1/2 cup plain low-fat yogurt: 77 calories, 1.9g fat, 0g fibre, 6.4 g protein, $0.64
1/8 cup vegetable oil (we used grapeseed): 241 calories, 27 g fat, 0g fibre, 0g, protein, $0.20
1 1/4 cups pumpkin puree: 104 calories, 1g fat, 9g fibre, 3.4g protein, $0.75*
1/2 cup whole wheat flour: 203 calories, 1.1g fat, 7.3g fibre, 8.2g protein, $.0.18
1/2 cup white flour: 228 calories, .5 g fat, 1.7g fibre, 6.5g protein, $0.15
1 teaspoon baking soda: 0g everything, $0.05
1 teaspoon cinnamon: 6 calories, 0g fat, 1.2g fibre, 0g protein, $0.10
2 teaspoons fresh ginger: 12 calories, 0g fat, .5g fibre, .3g protein, $0.35
2 cups cranberries: 87 calories, 0g fat, 8.7g fibre, 0.7g protein, $1.35
TOTALS: 1862 calories, 45.5g fat, 36.6g fibre, 47.5g protein, $6.37
PER SERVING (Totals/12): 155 calories, 3.8g fat, 3.1g fibre, 4g protein, $0.53

Rabu, 26 Januari 2011

Know Ulcer Pain Symptoms

Know Ulcer Pain Symptoms - Maag in scientific language is called Gastritis Gastro derived from the word which means the stomach and Itis means inflammation. Gastritis or ulcer itself that we often think of as ordinary disease is proved to be a disease that tends to be dangerous if not handled properly. Even this can lead to death.

If inflammation of the stomach is left, will lead to ulcers (ulcers) in the stomach which can increase the risk of gastric cancer.

Ulcer disease itself can be caused by many factors, such as unhealthy lifestyle by consuming alcohol, irregular eating patterns, smoking, stress, bacterial or viral infection, certain drugs consumed in excess, excessive stomach acid content, and so on .

The symptoms that arise from this disease also vary depending on how severe ulcer suffered. The pain in the gut early symptomatic ulcer patients. Symptoms of ulcer disease that is commonly perceived pain, soreness, nausea, abdominal bloating, early satiety, and even vomiting.

In general, the ulcer patients undergoing treatment with consuming drugs on the market. Types of drugs that are circulating in the market today that is kind of Antacids. Antacids itself has a function as a neutralizing stomach acid to relieve the pain in ulcer patients.

However, not all ulcer patients fit with this type of drug. This depends on the type of illness. Other types of drugs, other than antacids, the kind of anti-acid drugs or drugs to improve the movement of the stomach.

For more effective treatment, it is suggested that the patients know what kind of ulcer is felt with a check to the doctor to be treated according to the type of ulcer in the suffering. Examination alone can by using endoscopy (stomach binoculars) to find out the real state of the stomach, or by using other medical devices that have been highly developed at this time.

It is important for the treatment of gastric disease are lifestyle changes into a healthy lifestyle. Regular meals and exercise is recommended to keep the body awake fitness.

In addition, note also the use of drugs consumed. Instead, drugs are not consumed in excess. Excessive consumption will enable the emergence of other diseases, such as damage to kidney function.

Green Kitchen: Roasted Leek and Mushroom Salad

Green Kitchen is a bi-weekly column about nutritious, inexpensive, and ethical food and cooking. It's penned by the lovely Jaime Green.

In the three-and-a-half months my kitchen has been without gas, I’ve gotten creative. I’ve learned the moods of an electric cooktop. I’ve almost set my toaster oven on fire with parchment paper. I’ve microwaved a lot of tea. It’s been an adventure but I can’t say it’s been good, or easy, or fun.

So when my boyfriend, working from home on Friday to let the utility guys into the apartment (and make sure the cat ever came out from under the bed), texted me that we had gas, I was EXCITED! All-caps EXCITED, here. Cookies! Cake! Roasted broccoli! I did not pass many waking hours this weekend without the oven running. (As the temperature’s been hovering around six degrees farenheit today, I don’t feel very bad about that.)

I’ve resigned myself to a nonlocal winter, weighing good Whole Foods produce against its price, against the kinda dodgy broccoli I can get from the supermarket near me. (After nearly four months without roasted broccoli, I’m a little obsessed right now.) But even though it’s, did I mention, six degrees farenheit out, my farmers market is year-round, and not entirely produce-free!

In a month or two it will really be just jam, bison jerky, and onions, but a last few vegetables are still hanging around. The leeks I brought home were maybe a little soft, but once they’re roasted and carmelized and golden, are you drooling yet?

This meal came together by a bit of kismet, and a bit of what-I-had-around. When I was in Whole Foods with my friend J, I think it was as I was bagging these mushrooms that I complained about winter meal planning – in the summer I buy whatever’s cheap and pretty and in-season and build my meals around that. The rest of the year, when seasonal eating shuts down and I hit the supermarket produce aisles, it’s almost like there’s too much choice – everything’s there, everything’s an option. I bought the greenmarket leeks because they’ll probably be gone soon; I bought supermarket mushrooms because, I dunno, because it’s cold? Whatever, it worked out.

I decided to roast the leeks and mushrooms together, and the oniony and rich carmelized flavors do go well together, but it was all a bit savory and heavy. I looked around my fridge and kitchen, brightened things up with some tangy goat cheese and a crisp apple, and voila! It all felt fancy and chic, despite the fact that I ate it from a chipped bowl, in pajamas, on the couch, in front of the TV.

~~~

If this looks tasty, you'll love:
~~~

Roasted Leek and Mushroom Salad
Serves 3-4


1 bunch leeks (5-6 large, 8-10 small)
1 package crimini/baby bella mushrooms
1 Tbs olive oil
salt and pepper to taste
2 oz goat cheese (herbed or plain)
1 medium apple (I like Gala or Empire, nothing mushy or too tart)

1) Pre-heat oven to 400 degrees.

2) Trim ends and dark green bits from leeks. Cut into about 6” pieces, and then in half lengthwise. Soak in a bowl of cool water to remove any grit or sand. Pat dry.

3) Rinse mushrooms and trim ends. Cut any big ones in half.

4) Spread leeks and mushrooms on baking sheet (covered with aluminum foil, perhaps) in a single layer. Drizzle with olive oil, sprinkle with salt (about ¼ tsp) and pepper (a few grinds or shakes). Toss to evenly coat, then make sure leeks are all cut side down.

5) Bake leeks and mushrooms for 20-30 minutes, until mushrooms are done and leeks are tender and caramelized. Toss once halfway through.

6) Core and quarter the apple, then cut into very thin slices. Use a mandoline if you like.

7) Plate leeks and mushrooms. Add crumbled goat cheese, then arrange apple slices on top. Pretend this is Iron Chef: Battle Leeks.

Approximate Calories, Fat, Fiber, Protein, and Price Per Serving
3 Servings: 278 calories, 11g fat, 5.1g fiber, 10.6g protein, $2.48
4 Servings: 208.3 calories, 8.3g fat, 3.9g fiber, 8g protein, $1.86

Calculations
1 bunch leeks: 271 calories, 1.3g fat, 8g fiber, 6.7g protein, $3.00
1 package crimini mushrooms: 135 calories, 0.5g fat, 3g fiber, 12.5g protein, $2.50
1 Tbs olive oil: 126 calories, 14g fat, 0g fiber, 0g protein, $0.12
¼ tsp salt: 0 calories, 0g fat, 0g fiber, 0g protein, $0.01
¼ tsp pepper: 0 calories, 0g fat, 0g fiber, 0g protein, $0.01
2 oz goat cheese: 206 calories, 16.9g fat, 0g fiber, 12.2g protein, $1.50
1 apple: 95 calories, 0.3g fat, 4.4g fiber, 0.5g protein, $0.30
TOTALS: 833 calories, 33.1g fat, 15.4g fiber, 31.9g protein, $7.44
PER SERVING (TOTALS/3): 278 calories, 11g fat, 5.1g fiber, 10.6g protein, $2.48
PER (smaller) SERVING (TOTALS/4): 208.3 calories, 8.3g fat, 3.9g fiber, 8g protein, $1.86

Green Kitchen: Roasted Leek and Mushroom Salad

Green Kitchen is a bi-weekly column about nutritious, inexpensive, and ethical food and cooking. It's penned by the lovely Jaime Green.

In the three-and-a-half months my kitchen has been without gas, I’ve gotten creative. I’ve learned the moods of an electric cooktop. I’ve almost set my toaster oven on fire with parchment paper. I’ve microwaved a lot of tea. It’s been an adventure but I can’t say it’s been good, or easy, or fun.

So when my boyfriend, working from home on Friday to let the utility guys into the apartment (and make sure the cat ever came out from under the bed), texted me that we had gas, I was EXCITED! All-caps EXCITED, here. Cookies! Cake! Roasted broccoli! I did not pass many waking hours this weekend without the oven running. (As the temperature’s been hovering around six degrees farenheit today, I don’t feel very bad about that.)

I’ve resigned myself to a nonlocal winter, weighing good Whole Foods produce against its price, against the kinda dodgy broccoli I can get from the supermarket near me. (After nearly four months without roasted broccoli, I’m a little obsessed right now.) But even though it’s, did I mention, six degrees farenheit out, my farmers market is year-round, and not entirely produce-free!

In a month or two it will really be just jam, bison jerky, and onions, but a last few vegetables are still hanging around. The leeks I brought home were maybe a little soft, but once they’re roasted and carmelized and golden, are you drooling yet?

This meal came together by a bit of kismet, and a bit of what-I-had-around. When I was in Whole Foods with my friend J, I think it was as I was bagging these mushrooms that I complained about winter meal planning – in the summer I buy whatever’s cheap and pretty and in-season and build my meals around that. The rest of the year, when seasonal eating shuts down and I hit the supermarket produce aisles, it’s almost like there’s too much choice – everything’s there, everything’s an option. I bought the greenmarket leeks because they’ll probably be gone soon; I bought supermarket mushrooms because, I dunno, because it’s cold? Whatever, it worked out.

I decided to roast the leeks and mushrooms together, and the oniony and rich carmelized flavors do go well together, but it was all a bit savory and heavy. I looked around my fridge and kitchen, brightened things up with some tangy goat cheese and a crisp apple, and voila! It all felt fancy and chic, despite the fact that I ate it from a chipped bowl, in pajamas, on the couch, in front of the TV.

~~~

If this looks tasty, you'll love:
~~~

Roasted Leek and Mushroom Salad
Serves 3-4


1 bunch leeks (5-6 large, 8-10 small)
1 package crimini/baby bella mushrooms
1 Tbs olive oil
salt and pepper to taste
2 oz goat cheese (herbed or plain)
1 medium apple (I like Gala or Empire, nothing mushy or too tart)

1) Pre-heat oven to 400 degrees.

2) Trim ends and dark green bits from leeks. Cut into about 6” pieces, and then in half lengthwise. Soak in a bowl of cool water to remove any grit or sand. Pat dry.

3) Rinse mushrooms and trim ends. Cut any big ones in half.

4) Spread leeks and mushrooms on baking sheet (covered with aluminum foil, perhaps) in a single layer. Drizzle with olive oil, sprinkle with salt (about ¼ tsp) and pepper (a few grinds or shakes). Toss to evenly coat, then make sure leeks are all cut side down.

5) Bake leeks and mushrooms for 20-30 minutes, until mushrooms are done and leeks are tender and caramelized. Toss once halfway through.

6) Core and quarter the apple, then cut into very thin slices. Use a mandoline if you like.

7) Plate leeks and mushrooms. Add crumbled goat cheese, then arrange apple slices on top. Pretend this is Iron Chef: Battle Leeks.

Approximate Calories, Fat, Fiber, Protein, and Price Per Serving
3 Servings: 278 calories, 11g fat, 5.1g fiber, 10.6g protein, $2.48
4 Servings: 208.3 calories, 8.3g fat, 3.9g fiber, 8g protein, $1.86

Calculations
1 bunch leeks: 271 calories, 1.3g fat, 8g fiber, 6.7g protein, $3.00
1 package crimini mushrooms: 135 calories, 0.5g fat, 3g fiber, 12.5g protein, $2.50
1 Tbs olive oil: 126 calories, 14g fat, 0g fiber, 0g protein, $0.12
¼ tsp salt: 0 calories, 0g fat, 0g fiber, 0g protein, $0.01
¼ tsp pepper: 0 calories, 0g fat, 0g fiber, 0g protein, $0.01
2 oz goat cheese: 206 calories, 16.9g fat, 0g fiber, 12.2g protein, $1.50
1 apple: 95 calories, 0.3g fat, 4.4g fiber, 0.5g protein, $0.30
TOTALS: 833 calories, 33.1g fat, 15.4g fiber, 31.9g protein, $7.44
PER SERVING (TOTALS/3): 278 calories, 11g fat, 5.1g fiber, 10.6g protein, $2.48
PER (smaller) SERVING (TOTALS/4): 208.3 calories, 8.3g fat, 3.9g fiber, 8g protein, $1.86

PROSTATE CANCER STAGING

TUMOR

TX: The primary tumor cannot be evaluated.
T0: There is no evidence of a tumor in the prostate.
T1: The tumor cannot be felt during the DRE and is not seen during imaging (any test that produces pictures of the inside of the body, such as a CT scan). It may be found when surgery is done for another reason, usually for BPH, or abnormal growth of benign prostate cells.
T1a: The tumor is in 5% or less of the prostate tissue removed through surgery.
T1b: The tumor is in more than 5% of the prostate tissue removed through surgery.
T1c: The tumor is found during a needle biopsy, usually because the patient has an elevated PSA level.
T2: The tumor is found only within the prostate, not other areas of the body. It is large enough to be felt during the DRE.
T2a: The tumor has invaded one-half of one lobe (part or side) of the prostate.
T2b: The tumor has spread to more than one-half of one lobe of the prostate, but not to both lobes.
T2c: The tumor has invaded both lobes of the prostate.
T3: The tumor has grown through the prostate capsule (into the tissue just outside the prostate on one side).
T3a: The tumor has grown through the prostate capsule either on one side or on both sides of the prostate or has spread to the neck of the bladder.
T3b: The tumor has invaded the seminal vesicle(s), the tube(s) that carry semen.
T4: The tumor is fixed, or it is invading nearby structures besides the seminal vesicles, such as the external sphincter (part of the muscle layer that helps to control urination), the rectum, levator muscles, and/or the pelvic wall.

NODES

NX: The regional lymph nodes cannot be evaluated.
N0: The cancer has not spread to the regional lymph nodes.
N1: The cancer has spread to the regional lymph node(s).

DISTANT METASTASIS

MX: Distant metastasis cannot be evaluated.
M0: The disease has not metastasized.
M1: There is distant metastasis.
M1a: The cancer has invaded nonregional, or distant, lymph node(s).
M1b: The cancer has invaded bone(s) in the body.
M1c: The cancer has spread to another part of the body, with or without spread to the bone.


PROGNOSTIC FACTORS
PSA-GLEASON SCORE-STAGE

GLEASON SCORE

Gleason X: The Gleason score cannot be determined.
Gleason 6 or lower: The cells are well-differentiated.
Gleason 7: The cells are moderately differentiated.
Gleason 8, 9, or 10: The cells are poorly differentiated or undifferentiated .


STAGE GROUPING

Stage
T
N
M
I
T1a, T1b, or T1c
N0
M0
T2a
N0
M0
Any T1 or T2a
N0
M0
IIA
T1a, T1b, or T1c
N0
M0
T1a, T1b, or T1c
N0
M0

T2a
N0
M0

T2b
N0
M0

T2b
N0
M0
IIB
T2c
N0
M0

Any T1 or T2
N0
M0

Any T1 or T2
N0
M0
III
T3a or T3b
N0
M0
IV
T4
N0
M0
Any T
N1
M0

Any T
Any N
M1

Senin, 24 Januari 2011

Pasta e Fagioli, or: I Succesfully Rehydrate Dried Beans For the First Time, Ever

Up until last night, I've always used canned beans in recipes. I wish I could say it’s because they taste better. Or they’re cheaper. Or they come in prettier colors and sing me neat Pink Floyd songs as I go to sleep at night.

Alas, that ain’t the truth. The truth is more like this: I have never been able to rehydrate dried beans. Ever. Like, in recorded history. Even before I was born, I couldn’t do it. No matter how long I soaked, no matter how many hours I boiled, my dried legumes always stayed dried. Like tiny, grainy BB gun pellets.

Then, I stumbled over The Kitchn's One-Pot Pasta e Fagioli, which uses caramelized onions and a smattering of bacon to flavor a rich broth, in which dried cannellini beans, pasta, and spinach are then cooked to a soft, hearty stew. (Wow, that was a long sentence. Also, A Smattering of Bacon is potentially great title for your next novel about Existentialism.)

And just like that, I have been joined the ranks of the People Who Are Capable of Rehyrdating Beans, or PWACORB. Really, it's kind of a revelation, and not just because dried cannellinis are much creamier than canned. They're also way, way less expensive, use significantly less packaging, and are a comparative breeze to carry. Which? Is important when you're training for the Olympics. (Note: I am not training for the Olympics.)

Back to that recipe, though: I liked it, and it's a wonderful way to incorporate bacon into your diet in a healthy way. However, it did turn kind of mushy. Not unacceptably so. Just more than I would have liked. To remedy this, next time I will:

1) Try using a thicker pasta. I added elbow macaroni, and it softened pretty quickly. A whole-wheat pasta or sturdier mezze penne or orrechiette would have probably held up better.

2) Try adding the pasta last. That way, it won't have so much time to absorb extra water.

Besides that minor issue, we ate it, and have more than enough to last for a week o' office lunches. Not to mention, now I will rehydrate beans with impunity. IMPUNITY, I SAY!

~~~

If this looks tasty, you’ll surely enjoy:
~~~

One-Pot Pasta e Fagioli
Serves 8 to 10
Adapted from The Kitchn.


1 pound dried cannellini beans
5 strips bacon, chopped
2 medium yellow onions, sliced thin
3 medium celery stalks, diced
4 garlic cloves, minced
1 (15-ounce) can chicken broth
1 bay leaf
1/2 pound small pasta (whole-wheat for extra healthiness)
5 thyme sprigs
3 teaspoons salt
10 ounces frozen spinach (fresh would also work)
Kosher salt and freshly ground black pepper
Parmesan cheese, for serving (optional)

1) In a large mixing bowl, add beans and enough water to cover by an inch or two. Let sit overnight.

2) In a large pot or Dutch oven, cook bacon over medium heat until a little crispy. Remove bacon with a slotted spoon or a spider. Set aside. Get rid of all bacon fat in pot, except for one tablespoon. Add onions and 1/2 teaspoon salt. Cook, stirring occasionally, until caramelized. (This will take anywhere from 20 to 45 minutes, depending on how large you slice the onions and a few other factors.)

3) Preheat oven to 325 °F.

4) Add celery to onion mixture. Sauté 3 minutes. Add garlic. Sauté until fragrant, about 30 seconds. Scoop half of onion mixture into a bowl and set aside with bacon.

5) Deglaze pot with 1 cup chicken broth, making sure you scrape up all the tasty onion bits stuck to the bottom.

6) Drain beans. Add to pot along with bay leaf, remaining chicken broth, and “enough water to cover the beans and onions by 1 inch.” Cover. Stick in oven and braise for 1 hour. If the beans aren’t soft after 1 hour, cook an additional 15 to 20 minutes.

7) Remove pot from oven. Place on burner and turn it up to medium-high heat. Add reserved bacon, reserved onion mixture, thyme, remaining salt, and pasta. Cook until pasta is almost done. Stir occasionally, and don’t be afraid to add more water if things are getting a little dry.

8) Add block of frozen spinach. Cook, stirring often, until spinach is totally defrosted and spread out in stew. Salt and pepper to taste. Serve topped with parmesan cheese.

OTHER SERVING SUGGESTIONS: Try using a thicker, smaller pasta, or perhaps a whole-wheat pasta. If you’d like it to have more of a chew, add it in with the spinach and cook until al dente. The pasta will soften significantly and absorb water as the stew sits, so don't fear adding more H2O as time goes on.

Approximate Calories, Fat, Fiber, Protein, and Price Per Serving
Nine servings: 312 calories, 3.6 g fat, 6.3 g fiber, 17.8 g protein, $0.68

NOTE: Calculations are for Goya cannellini beans, also known as white kidney beans or alubias.

Calculations
1 pound dried cannellini beans: 1500 calories, 10 g fat, 40 g fiber, 100 g protein, $1.59
5 strips bacon, chopped: 230 calories, 17.8 g fat, 0 g fiber, 15.7 g protein, $0.83
2 medium yellow onions, sliced thin: 92 calories, 0.2 g fat, 3.1 g fiber, 2 g protein, $0.50
3 medium celery stalks, diced: 17 calories, 0.2 g fat, 1.9 g fiber, 0.8 g protein, $0.30
4 garlic cloves, minced: 17 calories, 0.1 g fat, 0.2 g fiber, 0.7 g protein, $0.32
1 (15-ounce) can chicken broth: 30 calories, 0 g fat, 0 g fiber, 5.8 g fiber, $0.66
1 bay leaf: negligible calories, fat, fiber, and protein, $0.02
1/2 pound small pasta: 840 calories, 4 g fat, 8 g fiber, 28 g protein, $0.33
5 thyme sprigs: negligible calories, fat, fiber, and protein, $0.50
3 teaspoons salt: negligible calories, fat, fiber, and protein, $0.02
10 ounces frozen spinach: 103 calories, 0 g fat, 3.4 g fiber, 6.8 g protein, $1.00
Kosher salt and freshly ground black pepper: negligible calories, fat, fiber, and protein, $0.02
TOTAL: 2812 calories, 32.3 g fat, 56.6 g fiber, 159.8 g protein, $6.09
PER SERVING (TOTAL/9): 312 calories, 3.6 g fat, 6.3 g fiber, 17.8 g protein, $0.68

Pasta e Fagioli, or: I Succesfully Rehydrate Dried Beans For the First Time, Ever

Up until last night, I've always used canned beans in recipes. I wish I could say it’s because they taste better. Or they’re cheaper. Or they come in prettier colors and sing me neat Pink Floyd songs as I go to sleep at night.

Alas, that ain’t the truth. The truth is more like this: I have never been able to rehydrate dried beans. Ever. Like, in recorded history. Even before I was born, I couldn’t do it. No matter how long I soaked, no matter how many hours I boiled, my dried legumes always stayed dried. Like tiny, grainy BB gun pellets.

Then, I stumbled over The Kitchn's One-Pot Pasta e Fagioli, which uses caramelized onions and a smattering of bacon to flavor a rich broth, in which dried cannellini beans, pasta, and spinach are then cooked to a soft, hearty stew. (Wow, that was a long sentence. Also, A Smattering of Bacon is potentially great title for your next novel about Existentialism.)

And just like that, I have been joined the ranks of the People Who Are Capable of Rehyrdating Beans, or PWACORB. Really, it's kind of a revelation, and not just because dried cannellinis are much creamier than canned. They're also way, way less expensive, use significantly less packaging, and are a comparative breeze to carry. Which? Is important when you're training for the Olympics. (Note: I am not training for the Olympics.)

Back to that recipe, though: I liked it, and it's a wonderful way to incorporate bacon into your diet in a healthy way. However, it did turn kind of mushy. Not unacceptably so. Just more than I would have liked. To remedy this, next time I will:

1) Try using a thicker pasta. I added elbow macaroni, and it softened pretty quickly. A whole-wheat pasta or sturdier mezze penne or orrechiette would have probably held up better.

2) Try adding the pasta last. That way, it won't have so much time to absorb extra water.

Besides that minor issue, we ate it, and have more than enough to last for a week o' office lunches. Not to mention, now I will rehydrate beans with impunity. IMPUNITY, I SAY!

~~~

If this looks tasty, you’ll surely enjoy:
~~~

One-Pot Pasta e Fagioli
Serves 8 to 10
Adapted from The Kitchn.


1 pound dried cannellini beans
5 strips bacon, chopped
2 medium yellow onions, sliced thin
3 medium celery stalks, diced
4 garlic cloves, minced
1 (15-ounce) can chicken broth
1 bay leaf
1/2 pound small pasta (whole-wheat for extra healthiness)
5 thyme sprigs
3 teaspoons salt
10 ounces frozen spinach (fresh would also work)
Kosher salt and freshly ground black pepper
Parmesan cheese, for serving (optional)

1) In a large mixing bowl, add beans and enough water to cover by an inch or two. Let sit overnight.

2) In a large pot or Dutch oven, cook bacon over medium heat until a little crispy. Remove bacon with a slotted spoon or a spider. Set aside. Get rid of all bacon fat in pot, except for one tablespoon. Add onions and 1/2 teaspoon salt. Cook, stirring occasionally, until caramelized. (This will take anywhere from 20 to 45 minutes, depending on how large you slice the onions and a few other factors.)

3) Preheat oven to 325 °F.

4) Add celery to onion mixture. Sauté 3 minutes. Add garlic. Sauté until fragrant, about 30 seconds. Scoop half of onion mixture into a bowl and set aside with bacon.

5) Deglaze pot with 1 cup chicken broth, making sure you scrape up all the tasty onion bits stuck to the bottom.

6) Drain beans. Add to pot along with bay leaf, remaining chicken broth, and “enough water to cover the beans and onions by 1 inch.” Cover. Stick in oven and braise for 1 hour. If the beans aren’t soft after 1 hour, cook an additional 15 to 20 minutes.

7) Remove pot from oven. Place on burner and turn it up to medium-high heat. Add reserved bacon, reserved onion mixture, thyme, remaining salt, and pasta. Cook until pasta is almost done. Stir occasionally, and don’t be afraid to add more water if things are getting a little dry.

8) Add block of frozen spinach. Cook, stirring often, until spinach is totally defrosted and spread out in stew. Salt and pepper to taste. Serve topped with parmesan cheese.

OTHER SERVING SUGGESTIONS: Try using a thicker, smaller pasta, or perhaps a whole-wheat pasta. If you’d like it to have more of a chew, add it in with the spinach and cook until al dente. The pasta will soften significantly and absorb water as the stew sits, so don't fear adding more H2O as time goes on.

Approximate Calories, Fat, Fiber, Protein, and Price Per Serving
Nine servings: 312 calories, 3.6 g fat, 6.3 g fiber, 17.8 g protein, $0.68

NOTE: Calculations are for Goya cannellini beans, also known as white kidney beans or alubias.

Calculations
1 pound dried cannellini beans: 1500 calories, 10 g fat, 40 g fiber, 100 g protein, $1.59
5 strips bacon, chopped: 230 calories, 17.8 g fat, 0 g fiber, 15.7 g protein, $0.83
2 medium yellow onions, sliced thin: 92 calories, 0.2 g fat, 3.1 g fiber, 2 g protein, $0.50
3 medium celery stalks, diced: 17 calories, 0.2 g fat, 1.9 g fiber, 0.8 g protein, $0.30
4 garlic cloves, minced: 17 calories, 0.1 g fat, 0.2 g fiber, 0.7 g protein, $0.32
1 (15-ounce) can chicken broth: 30 calories, 0 g fat, 0 g fiber, 5.8 g fiber, $0.66
1 bay leaf: negligible calories, fat, fiber, and protein, $0.02
1/2 pound small pasta: 840 calories, 4 g fat, 8 g fiber, 28 g protein, $0.33
5 thyme sprigs: negligible calories, fat, fiber, and protein, $0.50
3 teaspoons salt: negligible calories, fat, fiber, and protein, $0.02
10 ounces frozen spinach: 103 calories, 0 g fat, 3.4 g fiber, 6.8 g protein, $1.00
Kosher salt and freshly ground black pepper: negligible calories, fat, fiber, and protein, $0.02
TOTAL: 2812 calories, 32.3 g fat, 56.6 g fiber, 159.8 g protein, $6.09
PER SERVING (TOTAL/9): 312 calories, 3.6 g fat, 6.3 g fiber, 17.8 g protein, $0.68