Who Are These Old People?

Who Are These Old People?

I was sitting in my cardiologist’s waiting room and looked around. My immediate thought was, “Wow, there are a lot of older people here”. And then I smiled, because I am of course one of those “older people”. Older is a relative word, but if the shoe fits…

When I was younger, one of the phrases I never thought I would utter was “my cardiologist”. That all changed after I was bitten by a copperhead* and developed AFIB in the summer of 2012. I’ve been in continual AFIB since then, although, honestly, I don’t usually notice it and have continued all of my normal activities.

Yes, I Really was Bitten by a Copperhead.

It did add to the number of drugs I take. For decades, I didn’t need any pills. Oh sure, I took the occasional aspirin or later, ibuprofen, and in the springtime took an allergy pill, but that was about it. Over time, things changed.

First, my allergy pill went from only spring to about three quarters of the year after moving to the farm.

Next came a statin. I spent a couple of years trying to control my cholesterol with diet alone, and while it dropped some, it wasn’t enough. I was tracking my meals at the time and even after I went three months with 90% vegetarian meals it didn’t drop significantly. So, Atorvastatin was added to my mix of drugs and it dropped like a rock. And because atorvastatin can affect CoQ10 levels in the body, it was suggested I take a CoQ10 supplement. It turns out your cells — especially your mitochondria — need CoQ10 to make energy. Decreased CoQ10 levels in the body could mean your muscles have less energy, leading to muscle aches and pains. Pill number three was added.

LDL Cholesterol – Pre and Post Statin – Just Take the Drug!

My doctor and I spent quite a bit of time talking about health in general. In addition to meat, I reduced the amount of dairy in my diet as many people do. Cheese was practically a food group for me for decades, and I cut it back quite a bit. We also talked about sun exposure and increased chances of skin cancer. I started wearing hats more and didn’t spend as much time in the sun.

Perhaps it was no surprise at my next annual physical I showed a Vitamin D deficiency. My doctor suggested I add a vitamin D supplement to my regime. I countered, “We didn’t have this problem before cutting back on dairy and staying out of the sun. Perhaps I should eat more cheese, while working on my tan.” She smiled but I’m not quite sure she enjoyed my sense of humor. I dutifully added pill number 4, a chewable Vitamin D tablet.

After AFIB started, I went from a baby aspirin to a whole aspirin to, eventually, the blood thinner Eliquis. There’s a stroke history on my dad’s side of the family. He, along with an uncle and two of my cousins suffered strokes. When my younger sister, Tanya, had one a few years back, I told my cardiologist, who immediately said it was time to go on a blood thinner.

With the addition of Eliquis, I upped my morning intake to five different pills. I bought one of those neat little weekly pill box containers to dole out my daily stash. I chuckled a bit at that as well. Years ago on visits home, I remember rolling my eyes as mom dutifully filled her and dad’s pill boxes for the week.

Up to Five Pills Every Morning

Cardiologists and pill containers – yep, I am getting a wee bit older. As RiffRaff sings in Rocky Horror, “It’s astounding, time is fleeting…”.**

Maybe it’s not so much astounding as inevitable and we all know it. Still, you have to enjoy the trip and occasionally chuckle at the absurdity of it all. Otherwise, what’s the point?

Addendum:

Life and the Ritual of Risotto

Life and the Ritual of Risotto

I made Risotto last week. Due to some changes in diet, it was the first time in over a year and it was wonderful. Risotto isn’t hard to make, and it doesn’t take long, but it does require patience and attention. You can’t rush risotto, and to me, that is why making it is both relaxing and a bit zen like.

I’ve been making risotto for years, and have several different recipes. It was a staple part of our dinner rotation. And then about a year ago, I had a couple of blood tests that caused some concern. After engaging in bilateral discussions with my doctor* (… 😉 … ) , I made significant diet changes, and drastically reduced dairy and carbs. Some things were easy, like changing from regular milk to oat milk. Unfortunately, cheese was practically it’s own food group for me, so that required a fair amount of mental adjustment. Pasta, potatoes, white rice, and bread? All eliminated, or severely reduced. I went cold turkey, and just did it. The good news was that after three months, the test results were back to normal, and six months later, they remained normal. As a side benefit, I lost about fifteen pounds.

Over the past six months, we’ve reintroduced small amounts of dairy and carbs into our diet. They’ve become “special” as opposed to every day, and it’s worked out fine. It turns out, sometimes, you can teach an old dog new tricks.

Last Thursday I had a series of follow-up fasting blood tests. I wouldn’t receive the results for a day or two, but decided to celebrate early and chose to make risotto for dinner that night. On the way home, I picked up some cream for the sauce, along with fresh bread from a local bakery. I mean what the hell, in for a penny, in for a pound. While I have several risotto recipes, there was no doubt in my mind about which one I would make – Ben’s Cognac Risotto – a favorite of ours, with mushrooms, shallots, cream, butter, and plenty of Parmesan cheese.

From start to finish, Ben’s Cognac Risotto takes about forty five minutes to an hour to make. As with most risottos, it’s not complicated, however, once you start cooking, you can’t walk away from the stove. You need to be present, both mentally and physically.

That evening , I started heating up the required chicken broth, chopped up the needed shallots and mushrooms, separately measured out the cognac and cream for the sauce, and then grated the Parmesan cheese necessary for the finish.

Shallots and Mushrooms – the Key to Ben’s Cognac Risotto…

The next step is an optional one, but I find it adds to the relaxing nature of making risotto. I walked over to the bar and made myself a martini. In what may be a strange coincidence, I’ve learned that the time it takes to drink a martini, is almost exactly the same length of time it takes to make risotto. Not a martini fan? A Manhattan or Negroni will do, or even a glass of the red wine you opened to serve later with the risotto. Trust me on this. It works.

I made the mushroom sauce first and the kitchen filled with that heavenly smell only sautéed mushrooms can bring. After 5 minutes or so, I added the cognac and reduced it, and then added the cream and slowly reduced it some more. I set the sauce aside, and then started to work on the risotto itself. I also let Cathy know dinner would be ready in about twenty minutes, so she could finish setting the table, and pour some wine in our glasses.

Mushrooms, Cognac and Cream – What’s not to like?

After sautéing the shallots, I added the rice to the pan and stirred a bit. I started adding the broth, about a half a cup at a time, to the rice. Next? The ritual – Keep stirring the rice every few seconds; take a sip of martini; let the rice sit a little, then stir, and add the next portion of broth. And, repeat – Stir the broth into the rice, take a sip of martini, let the rice sit a bit, then stir, and add more broth. And repeat. And repeat. And repeat. A bit of zen zone settles in, or at least it does for me. It’s just me, the spoon, and the rice.

In the Zen Zone – Just me, the Spoon, and the Rice…

As I neared the last of the broth, I tasted the rice, checking for chewiness. You still have the mushroom sauce to add, so a little chewiness is OK. I know that if there’s a bit of broth left, it’s not a big deal.

Finally, It was time. I stirred the mushroom sauce into the rice, and let it thicken a bit. I then added the Parmesan and stirred some more. Cathy brought our bowls over, and I put some risotto into each of them, with another dusting of Parmesan on top of each. I took the last sip of my martini, grabbed the bread warming in the oven and crossed to the table. We clinked glasses and then settled into the wonderfulness that is Ben’s Cognac Risotto.

The Wonderfulness that is Ben’s Cognac Risotto…

Cathy asked me if we were maybe celebrating too early, since I hadn’t yet received my test results. I answered I felt good about the tests and wasn’t worried. Besides, it’s a good thing to occasionally celebrate life.

Late the next afternoon, although I hadn’t received a call from the doctor, I logged into my account at her office. The four test results were there – I quickly opened and scanned each of them. Everything was fine, and in fact a couple of tests showed further improvement from last June. The low dairy, low carb diet was working. It also appeared the occasional piece of cheese, serving of roasted potatoes, or bowl of risotto wasn’t having an overly adverse effect on me. I could live with this.

Live is the key word. I’ve reached the age where something is always breaking down, or going a bit haywire in my body. There is always some new thing I need to be aware of for my future health. While healthy over all, Cath and I both have issues that crop up. And of course we have friends who are dealing with greater issues – cancer, loss of eyesight, early onset dementia… getting older isn’t for the faint of heart. But you also have to live, and enjoy life in all of the ways you can. For me, the ritual of risotto is one of those ways, and I’m not ready to give up on it yet. We may not have it as often, but trust me, it’s still going to appear on the menu.

Otherwise, what’s the point?

Addendum:

– * As a side note, I love my doctor, Doctor Emman Hussny, and have been with her for a long time – around twenty years. When she left one practice to start her own, I moved with her. She has a great bedside manner, and encourages leading a healthier lifestyle, without being draconian about it. During checkups, we certainly have discussions about my health, but also discuss other topics of the day. I feel like she genuinely cares about me, and I’m not just another patient flowing through her office.

– Here’s the recipe for Ben’s Cognac Risotto – enjoy! If you want to tone it down a bit, you can substitute milk, or even 2% milk for the cream.