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Gene was referred to me because he wanted to learn to cook vegetables.

I wish I could say that my first conversation with Gene was a smooth one.  After I introduced myself he yelled at me “Are you calling me from one of those cell phones?  Well hang up and call me from a REAL phone!”  Okay, I will call you back from a land line.  “Listen, I don’t even know who you are so suit yourself – you may call me back if you want to, it’s up to you.”  I later learned that “Are you calling me from cell phone?” was to be a standard opening line for all of our phone calls.

I called him back and we spent well over 45 minutes talking.  I learned that he is an 83 years old Italian American.  The conversation meandered away from cooking and eating many times.  Gene is disturbed by the budget crisis.  Indeed, he felt that government officials “local, state and federal mind you” are responsible for this mess should be lined up and shot.  “Everyone of them lined up and shot!” he repeated the comment for emphasis.

He went out to eat a lot.  In fact he had been enjoying a wonderful garlic soup from a new tapas place that had opened around the corner.  He offered to take me there but then quickly asked if I was married.  When I said yes, he retracted stating he didn’t want to get in the middle of anything, that he was old fashioned that way.

Gene is also disturbed by “your generation.”  Explaining to me that we have been headed down the wrong path for some 50 years and that he prayed and meditated for us (which was refreshing after the shoot em up comment).  Then in a very sad sincere voice he said he hated living in this time period.  I thought of how awkward it must feel to be left behind and be so unfamiliar with our technological world.

He used a calendar to mark the days and after checking confirmed that I could see him the following week.

I rang the doorbell and the door opened to reveal a tall thin man without a shirt framed by a protective screen door.  He stated he was humiliated but he had the shingles and could not wear a shirt without being in pain.  He said I could come back and he would understand.  I assured him it was okay as I worked in a hospital which he seemed relieved about.

The apartment was dark, the carpets hadn’t been cleaned in a long time.  The chairs were well worn.  A rather large television from the 1960’s sat in the corner.  He never watched it preferring to read and offered it to me, it had been his mothers.  No, no, I didn’t want it, but thank you.  Gene is an avid reader.  In fact, he was reading a book about eating for your blood type and he assured me that this was the “way of the future.”  He was disappointed that I did not know my blood type.  He had meticulously copied a list of the things that he could not eat according to the book.  He asked me to take it home for reference and we would try this for 1-2 months.  Then if it didn’t work, “the heck with it.”  I liked that attitude.  Gene mentioned several times that his mother was a great cook, people always asking for her recipes which she obliged them with.  He knew that eating out was not the best thing for him and he wanted to focus on vegetables.  I asked him to show me his kitchen and cookware.  Gene has exactly 2 frying pans and one brand new cuisinart steamer, a gift, that has never been used.  He has a stove with masking tape marking the numbers which are too small for him to see otherwise.  “If you use the oven, you will be the first one.”

So, Gene is hard of hearing, doesn’t see well (but still drives short distances), has had shingles for 17 months, has no family.  His 4 siblings died in the flu of 1918, part of a “tragic life story” which he would tell me more about later.

Gene had cleaned several bunches of spinach which sat with water droplets clinging to the leaves in a colander on the counter.  ”Before you leave can you show me what to do with this?”  I rolled up my sleeves and we began with lesson one:  how to cook spinach.  His mind wandered a few times and I had to remind him to “focus, Gene, focus.”  When I left he handed me a cash payment.  No, no, this was a get acquainted session-no charge.  He then insisted that I take a carton of Mendicino Blue blueberries home.  After a few attempts I could see that refusing was not acceptable so we agreed on the blueberries.  Best blueberries I’ve ever had.

Seniors are in need of a Meal-Time Makeover. Many of our elderly have been reduced to microwaving TV dinners as a mainstay of their diets.

When it comes to something as instinctual as eating, most of us can’t even fathom it becoming a problem. Yet for many seniors, eating is riddled with obstacles: difficulty chewing, lack of appetite, and constipation. These are in turn common causes of poor nutrition, and may ultimately lead to such problems as slow wound healing and a poor immune response.

Perhaps the most obvious challenge to eating is the lack of teeth or poorly fitting dentures, which make chewing difficult and eating frustrating. While most of us take eating for granted, statistics show that 27% of the seniors over age 65 have no remaining teeth. A second, less obvious appetite obstacle is an older person’s diminishing sense of taste and smell. Then the doctor puts them on a no salt, no fat diet and heck that is an appetite depressant if ever there was one.

Poor appetite is also a side effect of many medications, and the average senior takes 5 prescription drugs a day (and some take many more than that). These medications contribute to constipation and dry mouth, and can even interfere with nutrient absorption, making it especially important for the elderly to make wise food choices. Yet according to Lipski, author of Digestive Wellness, “Elderly people often eat low-fiber foods, rely on packaged and prepared foods, take medications that interfere with normal bowel function, and have decreased mobility.” Is the answer more drugs? Constipation is a common complaint– one that seniors are shamelessly obsessed with and have no qualms talking about. Theirs was the generation of cod liver oil which has mostly been replaced now by faithful dedication to Milk of Magnesia. At least one study shows that pharmaceuticals are unnecessary: Constipation in nursing home residents was alleviated simply by adding two slices of whole-wheat bread and two teaspoons of bran to their daily diet.

Constipation isn’t the only health problem facing the elderly. Because cooking presents a challenge to many seniors, they resort to microwaving frozen foods. The results are dull, unappealing dishes, unevenly heated and dreary to eat, that lack the aroma that accompanies traditional cooking. It’s that aroma that makes a person salivate in anticipation, thereby increasing the appetite that seniors often lack. These monotonous diets lack adequate ratios of nutrients to calories, and are low in energy, protein, and fiber. Nutritional deficiencies may in turn lead to weight loss, decreasing muscle mass, and fatigue.

Seniors with caregivers may have their own unique challenges. For example, the caregivers may cook ethnic foods that the senior is not familiar with and does not like. One wife of a patient stated that they lived at an Assisted Living where the chef only cooked Filipino food. She said her husband hated it and she liked it but “not everyday!” She said the residents’ council finally complained enough and that “it’s gotten better.”

Caregivers may not always practice safe food handling procedures and unfortunately many of the elderly already have compromised immune systems. One grandson told me that his grandparents’ caregiver often left food, like cans of opened soup, on the counter all day long. Unsafe food handling can lead to salmonella or other bacterial infections. Children, senior citizens, people with chronic illnesses and those with weak immune systems tend to be at highest risk for complications due to salmonella, according to the National Institutes of Health.

Perhaps the caregivers themselves are not really very good at cooking. One caregiver was reported to have tried to feed an elderly gentleman a boiled egg with BBQ sauce on it to which he stated, “I can’t eat this!” After working with seniors for more than a decade, I am not aware of any caregiver agencies that provide its caregivers with safe food practices or instructions on how to cook for seniors, never mind how to cook for a senior who has a special dietary need such as a diabetic diet. I am not advocating that caregivers spend all of their time in the kitchen, they have many other important matters to attend to, but someone should consider what a senior is eating and how they will receive their daily nutrition.

If all of that isn’t discouraging enough, there are emotional components to eating that should be considered. Perhaps someone is newly single and does not know how to cook or as one woman told me, “It’s just me, so why bother?” Loneliness, depression, and social isolation lead to loss of interest in food. If you have spent all your life eating in the company of others suddenly finding yourself alone at the table can be devastating.

Clearly, the elderly have been forgotten in all this talk about eating local, organic, quality foods. Seniors may have some challenges around meal time but they are challenges that we as their concerned family, friends, neighbors, caretakers, and a community can help them meet.

5 Tips for a Meal Time Makeover

1. Appetite & Flavor Enhancers: Who can’t relate to the smell of garlic and onions cooking on the stove, or a chicken baking in the oven? Smell and anticipation (waiting-what we used to do before microwaves) gets us ready to eat. It may be helpful for seniors to invest in one of the newer crockpots with an automatic turn off. Not only will crockpots make the house smell good all day long, the food cooked inside will be very tender and easy to chew. Also remember to include fresh herbs and spices in ones diet. If someone’s sense of taste or smell has changed, keep these things handy to brighten up their food: a lemon and a lime, some cider vinegar, some pure maple syrup and a stick of real butter to dab onto foods. Additionally worth noting is that zinc improves taste acuity.

2. Biggest meal should be lunch. Many of us are used to dinner being the big meal. If a senior can make the change to lunch being the big meal there will be plenty of time to digest before bed, which is especially important if you are prone to heartburn. Eating earlier when one has a higher energy level makes meal preparation less of a strain. Seniors should also be willing to try new foods since they may taste differently than they remember. Adding variety to ones diet allows one to get different vitamins and minerals throughout the week.

3. Hydrate. Since dehydration can lead to imbalances in the system let’s tackle this issue. For those of you who are trying to force seniors to drink a big pitcher of water every day, forget it. It’s intimidating and uninspiring. So, use a small glass or cup and fill it through out the day with any combination of the following: water, water with lemon, bubbly water with natural flavorings or plain, teas–iced or hot, juices mixed with bubbly or plain water, warm broth, and smoothies made with yogurt and fresh or frozen fruit. As a nutritional chef I love the idea of having soups as not only a nutrient-dense food but also to help with hydration. There are also many vegetables and fruits, such as zucchini and melons, that have high water content.

4. Fiber. Most of us do not get enough fiber in our diets and the elderly are no exception. Try adding beans to ones diet for a high fiber power food. Start slowly to help your body get used to increase in fiber and to minimize gas and bloating. Beans should be soaked the night before, drained and put in the crockpot with fresh water, garlic, some onion and sage. Beans are very inexpensive and there are so many varieties it’s hard to get bored. One of my favorite meals for seniors is minestrone with white beans and lots of mixed vegetables. Lentils are also a favorite as they cook quickly are very flavorful, and are full of nutritional value.

5. Loneliness. If someone is eating alone, I recommend that they go on an outing. First order of business is to splurge for a nice placemat. Next, purchase an inspiring plate–art deco, whimsical china, or Italian—your local thrift store is a great way to get one of a kind items and recycle at the same time! Chefs know that the way you plate a meal, that is presentation, makes a difference in how your feel about your eating experience. Seniors often need something exciting and different to remind them that their food choices do matter! Seating should take place at a nicely prepared table, in front of Jeopardy where one can readily yell out the answers, with a Word Find book close at hand or on a tray in the easy chair may be the way to go. If possible, I encourage single seniors to visit their local senior center for one meal a week and socialize; .Or have a few friends come by for dinner and have them each bring a little something; Or accept your friends invitations instead of staying home.

Remember the goals are to choose a variety of colorful nutrient dense foods and maintain fluid balance. Well nourished older people spend less time in the hospital, have a better resistance to illness, higher energy levels, faster recuperation times, and a more robust immune system.

End

veg tianAdmit it, you steal recipes from magazines you find in waiting rooms. I know I’m not the only one because I’ve seen the half torn pages in the food section while I’m passing time in the doctor’s office, the dentist’s office, waiting for my car to be serviced… I feel a little guilty when I do it but something comes over me and I just HAVE to have this recipe AND the picture that goes with it. I try to be subtle, to make sure no one is looking directly at me, to crease the page well before tearing it and then quickly shoving it into my pocket. What I really find annoying is that after I’ve been waiting in the lobby for 30 minutes and finally decided that YES I DO want, no need, that recipe and just as I am about to make my move the nurse calls out my name. Rats! Or when the recipe begins on page 51 and is continued on page 123 so I have to tear out multiple pages. This can only be done by experienced recipe bandits.

So here then is a recipe, yes shamefully taken from a magazine. And sin upon sin it’s Martha Stewart.
This is a recipe for Vegetable tian and it’s one we make we make again and again finding

something comforting in the flavors. We serve it with a rice pilaf and a glass of chardonnay. It’s soft but not mushy. The use of a food processor (or mandolin I suppose) makes the vegie prep quick. Allow an hour for baking.

Vegetable Tian

original recipe martha’s, adaptations by drake and dylan

Makes one 9 inch tian, serves 4
6 tablespoons extra-virgin olive oil

2 leaks, white and pale green parts only, halved, fanned and rinsed well and cut into thin slices

2 garlic cloves, minced

Sea salt and freshly ground pepper to taste

1 medium or 2 small zucchini, unpeeled, very thinly sliced

1 medium or 2 small yellow squash, unpeeled, very thinly sliced

2 plum tomatoes, very thinly sliced

1 small Italian eggplant, unpeeled, very thinly sliced

6-8 crimini mushrooms, cleaned, thinly sliced (can substitute shitake or use a mixture)

1/4 cup dry white wine (I use a nice Chardonnay, you know, some for me, some for the recipe)

1 tablespoon chopped fresh oregano (can substitute 1/2 tbsp organic dried oregano)
Grated Parmesan, for serving
1. Preheat oven to 375 degrees F. Heat 3 tbsp oil in large skillet over med heat. Add leek and garlic, season with some salt and pepper, and cook until soft, about 4 minutes. Spread in a 9 inch gratin or round baking dish (a glass pie pan works nicely).
2. Arrange vegies on top of leek mixture in slightly overlapping circles, alternating them as you go.
3. Top with wine, 1 tbsp of oil, oregano, s and p. Bake 30 minutes. Drizzle with remaining oil. Bake until vegies are tender, 30 minutes more. Serve with Parmesan.

When you become a couple you inherit your partner’s friends. In my case, I gained Patty and Todd. Todd is a Professor at the University of San Antonio. He does a lot of research and tried to explain it to me once but it was a hopeless endeavor. It has something to do with birds and the sounds they make.
Patty is a Labor and Delivery nurse, a dog lover, an avid reader, fluent in Spanish and a darn good cook. One year she gave Dylan a small homemade cookbook which, lucky for me, I inherited along with the friendship. The recipe that follows is one that is in her book (albeit with a few of our own modifications) and one that we love and I think you will enjoy too.

The marinade and sauce work wonderfully together. Though January is not grilling season I find that I can fire up the gas grill on days when the weather is sunny or cook the vegetables stove top on a cast iron grill. You know the type of pan where one side is a griddle for pancakes and the other side is grooved for grilling? It does tend to make a mess of the stove, so be prepared to wipe it down after the vegetables cook.

Patty’s Grilled Vegetables over Soba Noodles

Step 1-Make the Marinade

1/3 cup orange juice
2 1/2 tbsp molasses
1 tbsp water
1/4 cup olive oil
1 1/2 tsp dijon mustard
2-3 cloves garlic, minced

Step 2-Make the Sauce

1/3 cup green onions, thinly sliced on the diagonal
1 1/2 tbsp soy
1 tbsp sherry vinegar
2 tbsp toasted sesame oil
2 tbsp brown sugar
1 tbsp fresh ginger, grated

Step 3-Gather and Prepare your Vegetables

These are the vegetables we enjoy but we mix it up, depending on what we have on hand. Feel free to use veggies you enjoy.

1 large or 2 small yams, peeled, cut into 1/2 inch slices
1 eggplant, cut into 1/2 inch slices
1 red bell pepper, seeded, cut into 1/2 slices
2 baby bok choy, bottom trimmed and cut in 1/2 lengthwise
1 large portabello mushroom, or a handful of shitakes, cleaned, cut into thick slices
1 yellow onion, cut into thick rings
olive oil for cooking, about 1/3 cup in a small dish

Now that you have your vegetables ready, put them in the marinade and toss to coat. As Patty says, “Let the vegetables marinate until you feel like cooking.”

Step 4- The Noodles

You will need 1 package soba noodles. The ones I use are organic noodles made from buckwheat, they cook fast, in 4-6 minutes, be careful not to overcook or they will be mushy.

ProcedurePut medium pot of water with a steamer bucket on the stove to boil. Steam the yam slices until almost done. Be careful that they are still firm and not too soft or they will be difficult to grill. 5 minutes should be sufficient. Keep the water as you will use that to cook the soba noodles in later.

 

Take vegetables out of the marinade and place on indoor or outdoor grill. Brush with oil, turn, brush again with oil and some of the leftover marinade. Continue to cook, turning half way through until they have nice grill marks and are somewhat soft. When cooked, vegetables can be put in a dish and kept in a low oven until the noodles are ready.

Bring water to boil. Add soba noodles. When done add the 1/2 of the sauce to the noodles and toss to coat.

To assemble, place a pile of noodles on a plate or bowl. Top with grilled vegies and drizzle some of the extra sauce over them.

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