Archive for July, 2010

Ginger Snaps

Thursday, July 29th, 2010

First, I want to let you know it’s not easy finding a nutrition book in Heathrow Airport!   The closest I came was a book by David Kessler, “The End of Overeating.”  I was drawn to this book because, as a lymphedema therapist and garment manufacturer, I all too often see lymphedema patients whose underlying problem is obesity.  In my search for finding answers for these patients I have discovered several factors that affect their weight issues. It’s not always their inability to push themselves away from the table.  I’ve gotten very interested in the effects of inflammation, food allergies and hormonal imbalances as they relate to lymphedema management, but for now I want to give you some insights into Mr. Kessler’s research.  As Michael Pollan, author of “Ominivore’s Dilemma” and “In Defense of Food” stated on the back cover of  Kessler’s book, this is “A fascinating account of the science of human appetite, as well as its exploitation by the food industry.”

Anyone who finds themselves powerless to stop eating certain foods will find this book not only helpful but fascinating.  If we understand what the “hooks” are in these highly addictive foods as well as our own subconscious stimulus-response habits, we are better able to stop the progression of the over-eating syndrome. Perhaps we will stop kicking ourselves when we realize that the food industry spends billions of dollars designing hyperpalatable combinations of sugar, fat and salt with the ultimate goal of rewiring our brains, driving us to seek out more and more of their products.

As a cancer survivor, I know better than to eat sugar, yet I seem to be addicted to Trader Joe’s Triple Ginger Snaps. I used to tell myself I was buying them for my employees, but by the time I got home from the store the box was half gone.  Did the rest of them ever get to the office? . . . . .rarely.  I even found it was  difficult driving by Trader Joe’s without having a “snap attack.”  Halfway through Kessler’s book, I began  asking myself, “What has Joe done to these cookies?”  Why is it I can’t say no, or just eat one? I don’t even like ginger! I read further about neural pathways and the power of “reward learning.” I began to wonder if there was a connection to one of the ingredients, but I needed to go back to Trader Joe’s and read the label.  So yesterday, I took a chance.  I went into Trader Joe’s and with strong heart and new-found determination headed for the cookie aisle.  No Ginger Snaps!  How could this be?  Maybe they have been outlawed!  So I passed through again and obviously there are others who have this same addiction.  At the back of the very top shelf I found only two boxes left. I grabbed a box and eagerly checked out the ingredients. Sure enough . . . .there was the culprit. . . . . molasses!   

As a little girl there was a grandmother figure in my life named Hoytie.  If I was a really good girl, she would make molasses popcorn balls for me which I still dream about..  . . . So there was my answer . . . reward learning.  Did I buy the second to the last box of Trader Joe’s Triple Ginger Snaps?  You betcha.  Did they make it to my office?  Amazingly, yes and they are currently on the employee lunch table.  Did I try one?  Not on your life, for now I know better and I understand why I can’t eat just one.  I’m thinking the book really helped me, plus it was a fun read.  If you feel that what you are eating is controlling you, I’m confident this book will change the way you eat and the way you think about food.

Cherry Pits

Wednesday, July 7th, 2010

Since we are currently in the peak of cherry season it seems an appropriate time to talk about the pits.  This last weekend  at a 4th of July party I had an opportunity to talk with a business owner and long-time family friend who cans 100 tons of cherries a year.  I just had to ask him what he does with the pits and was surprised to learn he uses them to surface the roads throughout his orchards.  Well I have to tell you he was quite surprised to learn we are using cherry pits in our JoViPak garments.

I know this sounds a little crazy, but when fibrosis gets to the “woody” stage, foam chips just don’t do the job.  We can thank Karen Ashforth, OTR/L,  CLT-LANA, from Dominican Hospital in Santa Cruz, CA for this idea.  We first tried buckwheat hulls which ended up in my garden.  They are a great mulch, but I was not happy with the way they splintered inside our garments, plus they will not hold up with repeated laundering.  Karen is not someone who gives up easily and wanted us to try cherry pits. She even found a company who sells cherry pits to hobbyists for microwaveable neck pillows.  Once she discovered how well these pits worked on her patients with long-standing fibrosis, she offered to do a clinical trial.  (You can access this information by going to our website, www.jovipak.com and clicking on the “What’s New” page.)

The first patient I tried one of these new JoViPitPaks® on was someone I had treated in my clinic 17 years ago.  Over the years she had maintained fairly well with daytime compression garments, but over time had developed  fibrosis at the base of her toes.  I took her  to the Northwest Lymphedema Center, where Lynn Fass, RN, CLT, does her consultations, and put the patient on the treatment table.  As we caught up on old times, I held one of the small crescent-shaped JoViPitPaks firmly over the problem area.  In about twenty minutes we checked and to both of our amazements the fibrosis was soft and pliable.  I gave her the pad and will always remember her parting words as she backed out the front door holding up her JoViPitPak,  “I just love this thing!”

JoViPitPak Axilla Pad

JoViPitPak Axilla Pad

So we have all come to love JoViPitPaks, and just so you have an idea of what we are excited about, we are including a photo of the new axilla pad.  We are adamant, however, that anyone interested in using these products understand they are very aggressive, to be used under compression for very short periods of time under the supervision of a lymphedema therapist. This is not a product one would send their patient home with for overnight use.

Karen regularly sends us drawings for custom-made JoViPitPaks® and as we develop new products that we feel would be helpful for a wide range of patients, we will add them to our inventory.  It is clear this project will continue to evolve and we will do our best to keep you informed either by our blogs or  our website.