Slept All Day Yesterday

I overdid it. We have been going more and more to fresh foods, mostly raw, for lunch. Our salads have been getting larger, while the amount of cooked vegetables has been decreasing. We've also had a few smoothies, including one the other day that was a total disaster. I made myself drink about 6 oz of it, because I just couldn't stand the thought of wasting all that food. Well, if I ever make one again that tastes yucky - it will make great compost!!

I was bloated on Wednesday morning, and I didn't feel like exercising at all. I did a little moving around, but quit about half way through the video. But I felt OK as the day went on. I should have paid attention to my body and gone back on my strict safe diet and the bowel retraining regimen I have used in the past. But I didn't listen.

By that night, I was nauseated and so uncomfortable that I used a Phynergan suppository and went to sleep early. I woke up about midnight coughing uncontrollably from acid reflux, so I started sipping on liquid Gaviscon to calm down my esophagus.

I slept until my medicine alarm went off at 5:00AM, was so groggy that I took the Zelepar and went right back to sleep. I kept on waking up for meds and going back to sleep most of the day. I went back to using the glycerin suppositories, too. I cut back on medicines to only those I thought were essential, and only had a couple of lightly buttered English muffins to eat all day. I managed some chicken soup for supper, and then slept all night again.

Surprisingly, I felt OK this morning. But I will be extra careful with my meals for the next few days, and will be using the glycerin suppositories again for awhile. My Gastroenterologist explained to me that I feel like that when I am constipated. The fact that I am still going to the bathroom doesn't matter, if I am not eliminating enough to keep my colon working properly.

I went for my Physical Therapy this morning, as usual, and we even did a little traveling for our Date Day. There aren't very many Estate Sales this time of year, so we ended up going to just two. Neither one of them was very interesting, but we did find some old toys that will pay for our day out, anyway.

I feel fine as I write this, but I had become complacent, I guess, since it had been so long since my tummy has bothered me. I learned my lesson this week.

I've Been Busy, Busy, Busy!!!

I've been so busy I hadn't even realized how long it had been since I posted here. This is our busy time of year for selling on eBay, so I've been spending a lot of time taking pictures, writing descriptions, and packing items to ship. Hubby helps a lot with the packing, and he goes to the PO with them, but the photography and anything computer related is up to me.

I also have been very busy on the Plush Memories blog, because so many people have written wanting help finding their child's lost lovey. It feels so good to actually help someone, and I have had some successes lately. But right now, I have something like 70 or so requests that I haven't posted yet. Every time I open my email, there are a few more requests. It's almost like being Santa, getting all the letters. But I'm not magic, and there are only so many hours in the day that I can give to it.

I am still sleeping a good 7 to 8 hours a night now. My alarm watch is waking me up at 5:00AM most mornings now. That's made a huge difference in how much energy I have, and I'm not even dropping off to sleep in the car like I had been. I haven't had the nerve to drive again, though. I have mentioned it to hubby, but he just doesn't answer me. Not so sure he thinks it's a good idea.

The elimination problems have improved slowly, and the Bentyl, prune juice, extra Metamucil, and the Glycolax are working. I bought a couple of books about IBS, and I'm trying to change some more of my eating habits, too. I had already made some huge changes over the last few years, thanks to the GERD. But now, my diet is even more restricted than ever. I eat the forbidden foods from time to time, like pizza, but I do it knowing that I can expect to have consequences. And I give in to the chocolate craving every once in awhile, as it's the best cure for being upset that I have ever found. Yes, I am addicted to chocolate!!

Wearing the Skechers shoes helped last Sunday, and I was not anywhere near as unstable in them as I have been in my regular Sunday shoes. They're not the kind of shoes anyone would normally wear with dress up clothes, but they are unobtrusive.

I'm to have a stand up MRI soon for my neck, as the pain and stiffness have not gone away at all. I'm waiting right now for my insurance to approve the test. The muscle relaxer and anti-inflammatory have not made a dent in my neck situation. The X-rays show the degenerated disks, and my Orthopedist knows about the problem I had with the Celestone. He said I may have to go off the Zelepar long enough to have the epidural in my cervical vertebrae. He said I would need to talk to the Anesthetist and work that out with him. Sounds fine to me!!!! If the epidural doesn't work, the only thing left would be some form of surgery, and that I will avoid as long as possible.

Hubby's sciatic nerve problem has flared up again, so he doesn't feel like going to the track to walk. So I've been getting most of my exercise by working in the yard. The Lasagna Compost is still growing, one pile of wood chips, fertilizer, kitchen scraps, and dirt at a time. It sure is tempting to turn the pile to see if it's working, but I have resisted the urge so far. I work in the yard several days a week for over an hour, so that's good.

So, I think I have more positives going on than negatives, and that means today is a good day!!!!

Tummy in Rebellion

Warning: This post is not for the weak stomached!

Today did not go well at all. I followed my list of med times, trying to spread out all the doses as much as possible. I was careful to take the ones that needed to be with food, and the one that needed to be without food at appropriate times.

Before I could finish sipping my hot tea this morning after breakfast, I moved to get up from the sofa to go to the bathroom, and all the liquids I had taken in over the last hour - juice, water, and tea - all came up explosively all over me and the sofa, propelled by all this gas I have. It's as if my stomach is stopped up at the bottom and couldn't hold it all. That is called Gastroparesis, which means slowing of the emptying of the stomach, and is quite likely part of my problem. Really, every part of my digestive tract shows signs of weakening, so I shouldn't be surprised when something like this happens. That didn't make it any less upsetting, though, as DH had to quickly do a wash before all that acid ruined my clothes, while I took a bath, and we had to try to get our sofa cleaned up, too. And, I've stayed nauseated most of the day, just as I did when I tried to take Sinemet last year.

From what I've read from other PWP, many people get over the nausea fairly quickly when they start Sinemet, so I sure hope I will be able to tolerate it this time. I was much sicker with the GERD last year when I tried to take it than I am now, so there is reason to be optimistic, which is what I choose to be.

I see my Gastroenterologist tomorrow, and I have an appointment with my Neurologist next Friday, so maybe I will know what needs to be done soon to get the benefit, and not the side effects, of my meds.

Decided Against It

I do appreciate the feedback you gave me on the decision about joining the St. Vincent's facility, but we finally decided not to do it at this time. Time was, after all, the deciding factor. It was going to eat up about 3 hours each day I went, and to get any good out of it, I would have to have gone at least 2 days a week, if not 3. I think I can accomplish just about as much with home exercise equipment and our time at the walking track, which is about 5 minutes from home. Of course, in this day and time, we have to take gas prices into account too, and we do live a long way from any of these kinds of sports facilities, with some really bad traffic to contend with both ways.

I continue to accomplish more and more when I exercise in the mornings, but I'm paying for it each night with a lot of sore muscles. DH fusses at me for over doing it, but it doesn't ever seem like I am at the time. It's only later in the day that I realize I've over taxed my muscles. I think some of this pain I experience is coming from the Peripheral Neuropathy, particularly since I went off the Cymbalta. My Neurologist wasn't the least concerned about me taking it in conjunction with the Zelepar, even though the Pharmacist had warned me about the combination. So, I may yet go back on it. But for now, I'm still adjusting to adding the Requip back to my meds, so I don't want to add 2 new drugs at the same time.

The Requip is beginning to upset my stomach, just the way it did last time. I'm having lots of heartburn and belching a lot. Nothing else has changed, so it has to be the culprit. I'll put up with it if it doesn't get much worse than this, but I'm still planning to ask for the Neupro patch when I go back to Dr. S in June.

Just to document where I stand physically:

I can now sit down and stand up from a straight chair without using my arms, at least in the morning. I can't by the evening, though. Sofas and soft chairs I haven't mastered yet. I can walk over 3000 steps a day on the pedometer most days. I've put the handicap toilet seat away for now, as I can deal with the standard one, as long as I have the sink cabinet to hold onto. I'm still using the cane when we go to yard sales and such, where the terrain is unknown, and I still don't go up and down flights of stairs if I can avoid it. Crouching down to get things in and out of my kitchen cabinets is difficult, so I usually depend on DH to do that for me. I lose my balance too easily, particularly with something in my hands. My core muscles, those of the trunk, are definitely getting stronger as I continue to exercise, as I can now lift my behind when I do what's called the Bridge. It's a simple exercise, really. All you do is lie on your back, feet on the floor, with your knees raised, and try to lift your bottom. Until recently, I couldn't lift more than a half inch or so, but now I'm coming completely off the floor.

I'm doing the Tai Chi short form almost every day now, and I'm getting pretty good at it again. My balance continues to improve.

The biggest problem I am having right now, I suppose, is the insomnia. As soon as I started back on the Requip, it started back again. I haven't been able to sleep past 3:00 AM for some time now. I get a lot done on the computer, but I really need the sleep! I've tried napping later in the day, but that doesn't work unless I'm in the car. Then I can doze off almost instantly ;).

So, I am progressing, but I have lots of room for improvement. Eating healthy foods and exercising are just as much medicines for me as anything that comes in a bottle!

Insomnia Is on the Prowl AGAIN

Looks like the Requip has my bout with insomnia going full force again. I didn't get to sleep until after 11 last night, but I've been wide awake since 2:30 this morning. It's been pretty much like this now ever since I started back on this particular medicine. I do have some sleeping pills, but I've resisted taking them, hoping my system would adjust. But tonight, I will definitely be taking one.

I do get a lot done when I'm in one of these moods, though! ROTFL I'm just about ready to change the listings on all our current eBay items to reflect all the changes the Post Office is making in Rate Classifications and prices. Just a word of warning to all of you .... don't be surprised if it costs considerably more to get something mailed to you from now on. The PO has really raised their prices tremendously, for some package situations as much as 700%!!!!

We bought a pedometer for me the other day, but I'm not convinced that it is counting every step I take. If it is, I'm not moving nearly enough in a day. DH isn't having any trouble at all going over 10,000 steps a day, and I barely went over 1,000!

My exercise program is coming along nicely, though, and my legs continue to gain in strength. I've been trying to understand exactly how to improve my posture and gait, based on the Chi Walking book I mentioned several posts ago. I wish I had someone who could just show me how, instead of trying to figure it out from pictures and words. I really don't have a very good kinesthetic sense .. in other words, it's hard for me to really tell where my body is. But that's nothing new .... I've always been that way, even as a child. I remember struggling to try to learn how to do a summersalt, and giving up finally. The Tai Chi routine does help me to be aware of where my body position is, and I've started doing that when we go to the track. DH walks 2+ miles in the time it takes me to do all my exercises, walk a quarter mile, and do my Tai Chi, with maybe a little time left over to clean out the car of all the junk it seems to accumulate so quickly, or to read a little. It's a great way to start the day off, with a feeling of accomplishment right off the bat.

So far, the only obsessive behavior I've noticed is that my craving for chocolate has gotten out of hand again. I did without any for such a long time, but when Daddy died I went back to eating it every day. I'm not supposed to eat it at all, because of the GERD I have. I'm really very good about avoiding everything else the Gastroenterologist has put on my banned list, but when I'm stressed for depressed, I have to have my chocolate. Nothing else will satisfy that craving. And I've always been that way. I can remember getting into trouble as a child on more than one occasion, because Mama would go to bake a cake, and I had eaten the bitter dark chocolate in the refrigerator. So when I read things about how chocolate contains chemicals that relieve stress, I believe it!

Parkinson's and Constipation

I feel like I ought to warn you that this post made me uncomfortable to write it, and it may make you uncomfortable to read it. It's not considered "polite" to discuss bathroom problems, and I understand that. So just skip this one, if you like. I'll certainly understand. But if you have Parkinson's, or know someone with Parkinson's, you might want to keep reading.

My Gastroenterologist has added Miralax to my Zelnorm prescription. He's recently started me on a regimen of daily glycerin suppository use, too, in what's called Bowel Retraining. I've already been on Metamucil capsules for several months now, and also eating a high fiber bran cereal every morning. The Parkinson's, or a combination of the PD and my meds, has left me with very little muscle power in my digestive system, plus diminished nerve awareness as well. He says that's where the bloating, nausea, and gas are coming from.

I am not allowed to have coffee, any caffeine drinks, carbonated drinks, chocolate, any dairy products - including cheese, any citrus fruits or tomato based foods, peanuts, drink liquids with meals, or eat anything within two hours of bedtime. And I'm sure I'm leaving something off the list! It seems like every time I go see him he adds something else to the list, anyway. Some things on the list are for my GERD, and some are for the IBS (Irritable Bowel Syndrome) symptoms he's treating.

Constipation is one of the most universal symptoms that people with Parkinson's Disease deal with, but, let's face it, it's not something anybody likes to talk about. But I want this blog to be useful to other PWP, so I don't want to leave out this information, even though I really don't like coming right out and admitting that I'm constipated. I really didn't realize I was, as everything seemed OK to me. But it's obvious to me now, after taking all these high powered medicines he's had me on lately, that I am, and have been for some time now.

Again, in the interest of being helpful to other folks with PD, I found this really well done site about constipation at MedicineNet.com.

Well, this was not an easy post for me to write, but I hope it turns out to be helpful to someone else with Parkinson's who's suffering some of the same symptoms I have been for so long. This is not a battle I have won, by any means. In fact, judging by the lack of success my doctor has had so far in dealing with my problem, I'm probably going to be dealing with this off and on the rest of my life. That's probably the case with most PWP, as well. If any one chooses to comment, I'd appreciate hearing what you have to say about how you've dealt with this problem.

Is My Tummy Ever Going to Be Normal Again?

I started this blog to keep track of everything that was going on with what turned out to be a diagnosis of Peripheral Neuropathy and Parkinson's Disease. Once the PD diagnosis was made, the Neurologist seemed to basically ignore the PN diagnosis. Since I can't really tell that I'm not feeling things as well on my right side, that's OK with me, as long as I can walk normally. And I can say, that as long as I'm faithful to take my PD meds, I am walking normally enough to appear to be symptom free to the uneducated eye.

So, what's the problem? It has been, and continues to be, my digestive system. As I sit here writing this, my stomach feels like I have some kind of heavy weight in it, and there's the feeling of a lump all the way up to my throat. I've had good days, usually several in a row, but I've had more bad days than good since I started taking the PD meds. Since I do have good days, I keep trying to find a pattern, something I'm doing right, or wrong, that will give me some clues as to how to avoid this bloated uncomfortable feeling. But I can't find a pattern at all. It's very frustrating to go to the doctor, and they start asking all of their neat little questions, and you can't give them any neat little answers!

OK, I've whined long enough. This is turning into a major problem for me, as I'm losing weight rather rapidly, simply because I don't feel like eating. I have a Gastroenterologist appointment on the 20th, and hopefully by then I'll have something to tell him besides it feels like a weight and a lump!

Feeling Better and Optimistic

The Zelnorm seems to be helping, plus I've made a few minor changes in the way I take some of my other medicines. I'm taking my first Protonix when I first wake up, and then I'm not drinking any water after that for a half hour. I can usually drink at least 8 oz of water, sometimes more, before it's time for my PD medicines, an hour before breakfast. Then, a half an hour before I eat, I take the Zelnorm.

I spread it out again in the evening, taking the other Zelnorm a half hour before a very light supper. The other Protonix is about 8:00 PM, and that's the last water I get for the day. I make every effort to get at least six 8 oz servings of water every day.

The Gastroenterologist doctors have taken me off of all milk products, sodas, chocolate, and gum, plus I can't drink out of a straw or drink anything with my meals. I've finally adjusted to not drinking anything with my meals. I had already stopped the rest on my own back in September, when the GERD acted up, except for cottage cheese. Now I can't have that, either.

The belching is still there, but the yucky feeling is gone, and so are the cramps and bloating. I'm eating cautiously, but much more normally and better quality, too, so my strength is returning.

Tomorrow I see the Neurologist to get the prescription for whatever dose of Requip he thinks will be appropriate for me. And it's also my last day to take the Sinemet, I hope! So it's a day to look forward to!!

Today My Balance Worked

I could tell when I got up this morning that my balance was back to "normal." This fluctuation in what I can do is something I'm just going to have to get used to, I guess. I did manage to get several descriptions done for eBay, but I didn't get them on last night, because DH had a called Deacon's meeting that didn't get over until about 9:00, so we were late getting home. I don't like to post items after 8:00, so they'll go on tonight.

All the Deacon's wives stayed in the Fellowship Hall, where we had been for Wednesday night Prayer Meeting and Worship, and visited with each other. It's been a long time since I stayed for one of those informal gatherings, and I really enjoyed it.

It was also the first time I let them see me walk any without the cane. This on and off way it effects me is hard to explain to people, so I've been avoiding having to explain by using the cane at church all the time, whether I thought I needed it or not. Now that the med doses are higher, and I'm exercising more, my balance and leg strength are better more days than not. I still need the cane for certain situations, so I carry it everywhere, but I don't always use it.

My main difficulty continues to be my digestive system. I'm just trying to wait out another week, as that's when I'm completely off the Sinemet. If all the nausea, gas, cramping, and just generally feeling lousy don't stop then, I'll have to change my Gastroenterologist appointment to a sooner date. I'm just telling myself to be patient for now, over and over and over.

Tai Chi Form Was Good Today - Tummy Wasn't

I've increased the dosage of the Requip, but I haven't yet cut the amount of Sinemet, other than going to the half tablets four times a day. It really showed today when I went for my second Tai Chi lesson. I could tell the difference immediately, as I walked around the mat to warm up. Just walking was much easier. Doing the form was much easier, too, and I only had to stop once for a walking break. I was very pleased with my progress.

I've not been pleased with my stomach, though. Just drinking some water after we left the gym set my abdomen to cramping. After lunch, which was a particularly bland one, the gas got so bad that I had to take some Gas-X. I was really in a lot of pain way up in my chest. After I took my 4:30 meds, my stomach was very tender.

I'll be cutting the Sinemet down to just twice a day on Friday, so hopefully my tummy will begin to get better then. If it doesn't, I'll have to call the Gastroenterologist again.

Results of Endoscopy and Ultrasound

Yesterday I had the Endoscopy and Ultrasound to try to determine why I'm having such a terrible time with the acid reflux. I've been diagnosed with GERD now for several years, so I generally know what I can and cannot eat. I really thought it was the Sinemet that set off the reflux, but my Gastroenterologist wanted to be sure it wasn't a lingering infection from the severe colitis I had been plagued with for so long.

Anyway, the tests showed nothing but irritation, not infection, and no sign of gall stones or anything like that, so it was the medicine after all. My own doctor had been called away, and one of his associates, who is not familiar with my case, did the endoscopy. His orders were to take the Parkinson's meds with meals, which, of course, I'm not supposed to do. He also prescribed Carafate and a week's worth of probiotics, and to continue the twice a day on Protonix. All this is designed to settle down my tummy and soothe my esophagus.

As for taking the PD meds with meals, I'm not going to do that, but I do eat crackers with them each time, to try to protect my stomach. Hopefully, by the time I'm weaned off the Sinemet and fully titrated onto the Requip, I won't have the conflict with the meds, anyway.

If I still have problems then, I'll have to try to get the Neurologist and the Gastroenterologist to talk to each other and decide what's best for me. I don't like being the go-between for doctors. They need to discuss this with each other!

I had read that Parkinson's meds and Parkinson's itself could cause a person to react differently to anesthesia. Well, there may be some truth to that. I slept until 6:30 PM yesterday evening after we got home from the endoscopy, and then I went back to sleep about 10:00 and slept all night until around 6:30 this morning!! I just about lost yesterday!! I'm fine today, with no ill effects at all.

Busy Busy Day

I walked to Daddy's this morning .... the first time I've done that in about six months or so. He lives about a block or two away, I guess, but we don't have blocks. DH came and got me, so I wouldn't tire out too much.

We had a full day today, making our usual round of the Estate Sales, looking for the really good bargains. We did find a few goodies, too, and I got a lot of walking in. By lunch time I was pretty well worn out, but it was fun. After lunch we went to the thrift store and did some more bargain hunting and then headed to the other side of town for my Gastroenterologist appointment.

Dr. B doesn't seem to think that the acid reflux I'm experiencing is due to the Parkinson's medicines, so he's scheduled an endoscopy and an ultrasound for next week, and I gave more blood today for a liver function test.

As caregivers, we always kept a spiral notebook log of everything that happened concerning our loved one, such as when we gave medicine, any behavior changes, any digestion problems, etc., and we always took it to the doctors. So today, for the first time, we used the new notebook we bought yesterday for the start of my log, writing down Dr. B's directions for me to take my Protonix twice a day and not drink any liquids with my meals. We'll continue to note anything out of the ordinary in the notebook from now on.

My Arms Were Swinging This Morning!

Such a little thing, that we take for granted, and don't even notice ... when you walk normally, your arms swing quite naturally at your sides, without any thought on your part. Well, that's not the case for someone with Parkinson's, and it hasn't been that way for me, either. In fact, I have tried to consciously do it, and I couldn't remember how to coordinate it at all.

Daddy has a long hall at his house, and I noticed for the first time this morning when I walked down it that my arms were swinging again, quite naturally. This is quite an accomplishment, and is sure evidence that the Sinemet is working.

I go to the Neurologist tomorrow, and I'm very excited about seeing him. I'm hoping for a definite diagnosis this time, so I can get down to the business of dealing with handling the meds and my GERD. I'm still having a lot of trouble with that, but I have the Gastroenterologist appointment Friday. It seems to all be coming together.

I'm praying for some definite answers. I realize that Parkinson's is not something anyone would want to have, but knowing is better than not knowing, any day, IMVHO!

Acid Reflux Still, Plus Procrastination????

The last few days have been relatively uneventful, so I haven't been posting. We enjoyed our Date Day, and the cane certainly made things easier to navigate than the walker did. My muscles had a good workout for the day, and I could tell it Saturday, but that's OK. The exercise is good for me, and getting out of the house is even better.

I'm still fighting the acid reflux, though. I can't seem to get it stopped, and my throat is definitely irritated. I've played around with the timing of my meds, eating some crackers when I take the pills, and I think that's going to be the right thing to do. I've also upped my water intake, as that is good for my throat. I've been experimenting with when to eat supper, too, in relation to taking that last Sinemet. Yesterday, I took the third one at 4:30PM and ate supper at 5:30. That seemed to work pretty well, as it gives me time to empty my stomach before I get sleepy at 8:00PM. Sometimes I can manage to stay awake later, but not always. But then I'm wide awake at 4:00 or 5:00AM in the morning. I've always been an early to bed, early to rise sort of person, so this is nothing new.

What is new, that I'm just now coming to terms with, is that I'm procrastinating on paying bills, and I really don't know why. I've been doing it for months now, even letting some credit cards get late charges. DH gets very upset with me, and I have no defense, because he's right. I have plenty of time to get it done, and spend way too much time on the computer. It just seems like every time I think about doing certain things, I talk myself out of it. I'm wondering if this isn't a sign of depression, as this is just not like me at all. Or maybe it's a PD symptom? Or maybe I've just gotten lazy!!

Sinemet Is Working Again

My legs are almost back to normal again, thank goodness. My GERD is still acting up, though. The nausea is gone, but now that my tummy has been jangled, it just doesn't want to behave itself. My throat is staying sore from the acid backwash, and I'm still getting some acid in my mouth. I'm still on the super blando diet, trying to calm everything down, but no luck so far.

Otherwise, I had a very good day yesterday, and I'm getting off to a pretty good start today. I've been so inactive around the house for the last six months, depending on DH to do just about everything, that I need to get busy and help clean up around here. He's had his hands full taking care of me and the house, and it's been the house that's suffered. We've reached that clutter point where it's hard to clean up, because it's so overwhelming, know what I mean? I hope to have the dining room table all cleared off before he gets back from grocery shopping this morning. That will be a start, anyway.

Nutrition Suggestions for GERD plus Sinemet

After spending this weekend nauseated, it is obvious that I'm going to have to be very careful not only with when I take my medicine, but also with what I eat. After doing a lot of research on my own, and getting a general idea of what I need to have, I was at a loss as to how I was going to decide on a diet, taking my GERD into account.

So I wrote to Jackie, a fellow BLOG VILLAGER at The Vegan Diet, who was kind enough to put together some information for me. She's done such a wonderful job of pulling together just what I needed that I thought it might help someone else, so here are her suggestions.

I see with GERD you must steer away from :

* fatty or fried foods * peppermint and spearmint * whole milk
* oils *onions * chocolate *high sugar content * creamed foods or soups
* most fast foods * citrus fruits and juices (grapefruit, orange, pineapple, tomato)
* coffee (regular and decaffeinated) * caffeinated soft drinks * tea
* other caffeinated beverages *Spicy or acidic foods


You can have :

apples, berries, melons, bananas, peaches, pears
chicken (no skin), fish, turkey (no skin)
fat-free milk and yogurt
milk free breads
a miniscule amount of fat or butter

Basically my advice is lots of small meals a day, not three meals a day. I eat 5 meals a day, like many people do now for many medical conditions and to keep weight average (not under or overweight), as it keeps my IBS and my sugar levels on track. A few ideas below, not totally vegan, plus useful links at the bottom.


Breakfast

Fruit is good. Papaya is the best I find when I am acidic. Herbal tea (not mint)

Mid morning

Fruit Apples, melon, bananas and nuts like almonds and walnuts (most nutritious).
or Bean dip (chick peas or beans blended with a tiny amount of oil just to make it cream cheese consistency and a fresh herb like cilantro) on a slice of white or brown bread (not seed bread or wholewheat)

Lunch

Tofu dip (no oil with it) with raw vegetables like carrot sticks or
Veggie Soup with tofu cubes

or this Fish Dish recommended by a GERD sufferer:

This recipe is for one serving. Increase the ingredients for additional servings as needed.

One 4oz filet of white fish (orange roughly, sole, turbot, flounder, etc)
One med. Potato. Steamed green vegetable such as broccoli, spinach, peas or asparagus
Parsley or chives for garnish. ¼ tbsp unsalted butter, olive oil or Pam

We will start with the potatoes, because they take the longest to cook, and they tend to retain their heat the longest. The fish and vegetable take only minutes to cook.
Peel and cube potato. Place in cold water to cover. Bring to the boil, and then simmer until fork tender. Drain, leaving just enough cooking liquid for mashing or whipping. You may also use the vegetable broth (recipe below) instead. Add salt to taste. Hold in a warm place. Season fish with salt and pepper to taste. Place non-stick sauté pan over med high heat. Add butter, oil or spray with Pam. When not quite smoking, add fish. Cook two minutes, turn and cook other side for two minutes, or until the filet is light brown and cooked through. If the filet is very thin, one minute on each side may be enough. (You can broil or bake the fish if desired). Serve fish on top of mashed potatoes, surrounded by the steamed vegetables. Garnish with chopped parsley or chives.

or Savory Lentils with Texmati Brown Rice

1/2 lb of organic green lentils (2 ½ cups), rinsed 4 cups water or stock
1/2 onion, chopped 1 cloves of garlic, chopped 2 carrots, sliced
2 stalks celery, chopped 1 bay leaf 2 sprigs of thyme, or ½ tsp dried
Organic Texmati brown rice (follow instructions on package)

To a large pot bring water and lentils to a boil. Add other ingredients. Reduce to the simmer, partially covered. Cook until tender (about 20 to 30 minutes), stirring occasionally and adding more liquid as needed.. Remove the bay leaf and thyme sprigs. Season with salt and freshly ground black pepper to taste. Serve over organic Texmati brown rice. Garnish with chopped parsley. Serve with a light green salad, dressed with the lemon chive dressing above.

Mid Afternoon

Herbal tea (not mint) or glass of strawberry soy milk or flavored fat-free yogurt

Early evening (best for supper)

Grilled or dry stirfried turkey or chicken without skin and steamed or stir fried veggies and mashed potatoes/baked potato or pasta

or Broiled Burgers with Mushrooms and Rice

1 lb lean (10% or less fat) ground beef
1/4 cup seasoned bread crumbs
1/2 tsp dried rosemary (crushed)
2 tsp dried parsley, divided
1 egg white
Nonstick vegetable cooking spray
1 tbsp olive oil
2 cups mushrooms
1 cup fat free skim milk
1 tbsp flour
1 1/2 tbsp Worcestershire sauce
1/4 tsp salt
1 cup long-grain brown rice, cooked according to directions

In a bowl combine ground beef, bread crumbs, rosemary, 1 tsp parsley, and egg white.
Mix well and make into four 3/4" thick patties. Spray a broiler pan rack with nonstick vegetable cooking spray. Place patties on rack and broil 3 to 4 inches from heat for 5 to 6 minutes on each side or until desired doneness. Put olive oil and mushrooms in a skillet sprayed with nonstick vegetable cooking spray over medium-high heat. Cook 3 to 4 minutes until mushrooms are soft. Combine milk and flour together in a bowl. Add mixture to skillet. Add Worcestershire sauce, the remaining 1 tsp parsley, and salt. Stirring constantly with wire whisk, cook sauce 3 to 4 minutes until thickened. Serve mushroom sauce over broiled burgers with hot cooked brown rice. Makes 4 servings.

3 hours before bed

Another snack like a banana or a cup of clear soup

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Gerd friendly recipes - Vegan and meat eaters (index in right column)

Fat Free Vegan and Vegetarian Recipes

Non Vegetarian Dairy-Free (lots of ideas and substitutes)

VegWeb Fat-Free Recipes plus tons of other recipes that should be suitable

Free Vegan Cookbooks (fabulous ideas) to download

Physicians Committee for Responsible Medicine:
Parkinson articles

I had asked Jackie to help me find foods that would be suitable for a GERD diet and take into account the fact that Sinemet cannot be taken with large amounts of protein. I'd say she went out of her way to be helpful, wouldn't you? But I shouldn't be surprised. Every post she has on her blogs is just this thorough.

I can't thank her enough for all this information, but I can ask you to visit her blog, so please stop by

Having My First Bout of Med Side Effects

The nausea started yesterday evening, and it's continued today. I wasn't having any until I changed the Sinemet dose from after meals to before meals. But the more I read, the more it seemed that the way to get maximum benefit from the dose is to take it 30 min to 1 hr before meals. That gives the medicine a chance to get out of the stomach before the food hits it. I am eating a few crackers with it, though, out of necessity. Crackers don't have any protein in them worth counting, so they won't cause absorption problems for the Sinemet in the small intestines.

I really think I just ate too many grapes the last few days, trying to increase my intake of antioxidant foods. Since I have GERD, too, it's hard for my system to handle any citrus fruit. Plus, I've been drinking Powerades to keep my fluid intake high and boost my vitamin K. I'm on a diuretic to keep my feet and ankles from swelling, so I need the fluids and the K, too. I had gotten tired of bananas when I had colitis so long, but I guess they're back in my diet, along with plain water.

I'm eating macaroni and cheese for lunch, and I'll stay on the "white diet," I call it, until my tummy calms down.