Thursday, March 6, 2008
Real Food I: Soup Stock
The simplest way to make stock is to keep a "stock bag" in the freezer. Keep two plastic freezer bags (or whatever container you prefer) in the freezer, ready to accept food scraps whenever you have them. One is for vegetable scraps such as carrot peels, onion skins (not the brown part!), radish tops, etc. The other is for animal scraps such as bones, fish heads/tails, gristle, etc.
These are examples of vegetable scraps that are appropriate for stock:
Vegetable peels
Carrot ends
Onion scraps
Wilted greens
Asparagus stems
These are examples of animal products that are good for stock:
Bones
Gristle
Fish heads/tails
Chicken feet
Parmesan rinds (thanks Debs!)
These should not be used for stock:
Brown onion skins
Anything covered in dirt
Anything rotten or unpleasant-smelling
Celery greens, carrot greens and other bitter greens
Vegetable stock is the easiest. Take a generous amount of vegetable scraps out of your stock bag and put them in a pot full of water. Boil for one hour, then strain.
In my opinion, the best stock is made with animal bones. It's rich in minerals and gelatin, and has a full, meaty flavor. Break the bones to expose the marrow, put them in a pot full of water or a crockpot, add 2 tablespoons vinegar, and simmer for 1-20 hours. Add vegetable scraps for the last hour, then strain. Large bones from beef or lamb require long cooking to draw out their full flavor, while thinner chicken bones and fish parts require less. The vinegar helps draw the minerals out of the bones into solution.
Fish heads also make a delicious, nutritious stock. They're full of minerals (including iodine), omega-3 fats and vitamin A from the eyes. You can often get them dirt-cheap at the fish counter. Boil them for one hour with vegetable scraps and two tablespoons of vinegar, strain, pick off the meat and add it to your soup.
Monday, March 3, 2008
Genetics and Disease
There is a lot of confusion surrounding the role of genetics in health. It seems like every day the media have a new story about gene X or Y 'causing' obesity, diabetes or heart disease. There are some diseases that are strongly and clearly linked to a gene, such as the disease I study: spinocerebellar ataxia type 7. I do not believe that genetics are the cause of more than a slim minority of health problems however. Part of this is a semantic issue. How do you define the word 'cause'? It's a difficult question, but I'll give you an example of my reasoning and then we'll come back to it.
A classic and thoroughly studied example of genetic factors in disease can be found in the Pima indians of Arizona. Currently, this population eats a version of the American diet, high in refined and processed foods. It also has the highest prevalence of type II diabetes of any population on earth (much higher than the US average), and a very high rate of obesity. One viewpoint is that these people are genetically susceptible to obesity and diabetes, and thus their genes are the cause of their health problems.
However, if you walk across the national border to Mexico, you'll find another group of Pima indians. This population is genetically very similar to the Arizona Pima except they have low rates of obesity and diabetes. They eat a healthier, whole-foods, agriculture-based diet. Furthermore, 200 years ago, the Arizona Pima were healthy as well. So what's the cause of disease here? Strictly speaking, it's both genetics and lifestyle. Both of these factors are necessary for the health problems of the Arizona Pima. However, I think it's more helpful to think of lifestyle as the cause of disease, since that's the factor that changed.
The Pima are a useful analogy for the world in general. They are an extreme example of what has happened to many if not all modern societies. Thus, when we talk about the 'obesity gene' or the 'heart disease gene', it's misleading. It's only the 'obesity gene' in the context of a lifestyle to which we are not genetically adapted.
I do not believe that over half of paleolithic humans were overweight, or that 20% had serious blood glucose imbalances. In fact, studies of remaining populations living naturally and traditionally have shown that they are typically much healthier than industrialized humans. Yet here we are in the US, carrying the very same genes as our ancestors, sick as dogs. That's not all though: we're actually getting sicker. Obesity, diabetes, allergies and many other problems are on the rise, despite the fact that our genes haven't changed.
I conclude that genetics are only rarely the cause of disease, and that the vast majority of health problems in the US are lifestyle-related. Studies into the genetic factors that predispose us to common health problems are interesting, but they're a distraction from the real problems and the real solutions that are staring us in the face. These solutions are to promote a healthy diet, exercise, and effective stress management.
Welcome
This blog will be a collection of my thoughts on health, food, the environment, science, wholesome living and whatever else captures my interest.
Maybe this will help me stop clogging up other blogs' comment pages.
C 2008
Friday, February 8, 2008
Our recovery continues

By Rik Ganderton
President and CEO
Rouge Valley Health System
Rouge Valley’s recovery process continues to be developed. As discussed at our Town Hall meetings with you in January, our senior administration has been analyzing and developing a recovery implementation plan.
This is all part of the Peer Review process initiated by the Central East Local Health Integration Network (CE LHIN) with Rouge Valley’s full support.
Here’s an outline of how that process will work.
• Currently senior administration is developing the plan. Phase One of this plan will be to live within our means and balance our budget. We have massive debt to deal with, as I said in our Town Halls.
• Our implementation plan will be reviewed by the RVHS Board of Directors.
• The Board will then forward the approved implementation plan to the CE LHIN Board before the end of March for its approval.
During 2008 our recovery plan will go into place, providing a platform for the hospital to establish itself as the best at what we do – providing excellent, quality-focused community hospital care.
Please know that RVHS will be maintaining its 24/7/365 Emergency Departments and access to core services at both of its hospital campuses, as part of its community hospital identity.
The significant redevelopment of RVAP continues as planned. As you know, we are adding 140,000 square feet of new and renovated space to greatly enhance our emergency and related services, including cardiac diagnostics, diagnostic imaging and lab services—to name a few. Our two smaller, but important projects, at RVC also continue: the Birthing and Newborn Centre; and Mental Health Supportive Housing.
We will continue to communicate regularly. I welcome your comments and questions.
As always, thank you for your continued commitment to Rouge Valley and our patients.