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By Cristina L. Morales, MPH, RDN, LD 19 Mar, 2024
March is National Nutrition Month , and this year the Academy of Nutrition and Dietetics is focused on helping you Think Beyond the Table! When it comes to eating healthy you might already be on track with increasing your intake of fiber rich foods and selecting lean proteins. Or perhaps are learning how to prepare heart healthy meals with your Registered Dietitian. In whatever phase you’re currently in, let’s explore other steps we can take to continue building healthy habits. Food shoppers rely on local supermarkets to supply their homes with baked goods, produce, and more. And supermarkets rely on farmers to provide them with an assortment of goods. However, did you know that produce and meats are usually marked up in price to consumer at the grocery store. What If you could obtain fresh produce and other goods straight from the farmer? Obtaining goods from your local farmer can provide you and your family with healthy options. Additionally, this can help keep your pocketbook full while giving back to the community. When we buy direct from our local farmer, the middleman or the grocer is left out of the equation. This means there are no markup prices. Therefore, sellers can avoid increasing the cost of goods that are typically absorbed by consumers at the grocery store. And community members can access high quality meats, fruits, and vegetables at affordable prices. Thinking Beyond the Table can involve seeking opportunities that can enhance your diet and support local farmers. Small business farmers work hard to provide the community with organically grown foods. Farmers who raise cattle and other livestock provide community members with farm-raised and grass-fed beef, chicken, and eggs to name a few. And, in my opinion, grass fed meats taste better, are leaner, and generally less expensive than supermarket prices. Other desirable items sold by small farm businesses include specialty baked goods, desserts, and naturally produced dog treats. Some farmers use the milk from their goats and make naturally flavored popsicles and hand soaps. Other farm favorite items commonly sought out at farmers markets include local honey, fruit preserves, pickled veggies, spicy sauces, and fresh herbs. Due to the supply and demand for organic goods by community members, farm-to-table groups have sprouted in neighborhoods in recent years. Farm-to-table groups are typically organized and offered by community members that utilize social media platforms to reach consumers. Therefore, local farmers have been able to expand their reach of consumers and have been able to maintain long-standing customers. Community groups work together to streamline the processing of small orders by offering specific drop off and pickup sites. These groups can make the distribution and reordering of locally grown foods a snap to obtain. While large farm owners typically sell grains and other goods in bulk to local supermarkets. Buying locally can benefit not only your health, but also small business owners, and the environment. In addition, community programs that support local farmers often have recycling systems which are great for the environment. Farmers are therefore able to reuse egg cartons, canning jars, plastic containers and other storage and transport containers. This ultimately helps to cut down on manufacturing cost for the farmer and reduces the cost of fresh foods for the consumer. Another benefit is that local farmers provide organically grown foods that are usually harvested within days of making it to your table. Therefore, foods are fresher, healthier, and taste delicious. Supermarket produce that is not in season is usually transported in from surrounding states or countries. As a result, fruits and vegetables tend be less ripe and often lack the natural sweetness that fresh, in season produce offers. It is common practice for manufacturers to apply wax coatings and other preservatives to fruits and vegetables to help keep them as fresh as possible during transport to the supermarket. Overall, making the choice to buy local is a healthy choice. Eating healthy involves not just reading the food label, but also the support of small business farmers. Help support your local farmer by getting involved with farm-to-table groups and shop farmers markets for those special goodies that you just can’t get at a supermarket. Your efforts can help make community markets sustainable. Moreover, these weekly habits can trickle down to your family and loved ones and to future generations. Think Beyond the Table. Till next time, stay healthy and be well!
26 Jan, 2024
We congratulate SHH's very own Dr. Isaiah L. Harris Jr. on his retirement! Thank you for your authenticity, dedication and passion for providing the best dental care for our patients throughout the years. Thank you for coming along the journey we us here at St. Hope Healthcare. Happy Retirement!!!
By Cristina L. Morales, MPH RDN LD 01 Nov, 2023
Fall time is here, and signs of it are everywhere. On a recent trip to the grocery store, I noticed a line of pumpkins stacked along the inside and outside of the stores’ entryway. It was pumpkins galore and was immediately taken back to childhood memories and Fall traditions. One of my favorite Fall memories was carving a pumpkin and baking the seeds which are also known as pepitas. The meat of the pumpkin was used as filling for empanadas. When I was much older, I learned about the health benefits of pumpkins and the versatility they offer in the kitchen. Pumpkins are a type of squash and there are more than 20 different species to choose from. Pumpkins come in various colors, shapes, and sizes and some are round with smooth skin, while others are pear shaped with bumpy skins. Large pumpkins are commonly used for carving Jack-o’-lanterns, and edible too! Smaller pumpkins are much sweeter and are perfect for soups, as a side, or a filling. Pumpkins are naturally low in calories and rich in vitamins and nutrients. Pumpkins contain a load of beta carotene which is responsible for providing the body with vitamin A. They are also rich in vitamin K, vitamin E, vitamin B2, vitamin B6, and vitamin C. In addition, pumpkins contain minerals such as copper, Iron, magnesium, and potassium. All together, these nutrients help to support healthy skin, eye health, immune function, and your heart! When it comes to the holidays, you may find it difficult to resist some store-bought pumpkin pies or cookies, after all, they can be quite tasty. However, for a health-conscious appetite, consider home-made pumpkin dishes this season. Although pumpkin contains naturally occurring sugar and healthful components, store bought pastries and some canned goods are highly processed with generous amounts of added sugars, unhealthy fats, which are linked with increasing inflammation in the body. Consume pastries and sweets in moderation. Instead dive into a savory Pumpkin Soup first, before hitting the dessert table. You can also consider replacing 1-2 servings of rice or pasta with one cup of cooked pumpkin and reap the benefits of this superfood. For example, one cup of canned pumpkin puree has about 20 grams of total carbohydrate, 6 grams of dietary fiber, and has no added sugar. In comparison, one cup of cooked white rice has about 45 grams of carbohydrate, and less than 2 grams fiber. Furthermore, canned pumpkin puree is usually 100% pumpkin as it has no added sugar or fat. Whereas pumpkin pie filling can have up to 18 grams of added sugar. Furthermore, you might be surprised to know that popular Fall-favorite beverages do not actually contain pumpkin, but rather made to taste like pumpkin with artificial colors, flavorings, and sweeteners. Read the Nutrition Facts Label to know what’s really in your beverage. Look for key words such as pumpkin-flavored Chi Tea, or pumpkin-flavored coffee creamer, as these wordings may sound healthy, however, do not support a healthy diet. Stay cautious. The Nutrition Facts Label offers vital information and can help ensure you select the healthiest ingredients for your pumpkin-made dishes this season. To learn more about healthy eating this Fall, visit with one of our registered dietitians today! Till next time, stay healthy and be well. Check out the recipes below for a low fat, low carbohydrate dish. https://afullliving.com/cauliflower-and-pumpkin-soup/ Cauliflower and Pumpkin Soup This Pumpkin Cauliflower Soup is a hearty, healthy cool weather recipe. It's easy to make with minimal prep time. This velvety smooth soup will be a staple for those chillier days. With plenty of herbs and spices, you will love this warming comfort food. Prep Time: 15minutes mins Cook Time: 35minutes mins Total Time: 50minutes mins Course: Soup Cuisine: American Servings: 10 servings Calories: 182kcal Author: Briana Ingredients 4 tablespoons unsalted butter 4 medium shallots, roughly chopped 2 teaspoons kosher salt, divided 6 cloves garlic, minced 2 tablespoons fresh ginger, rough chopped 2 tablespoons minced fresh herbs (rosemary, thyme and sage) 1 teaspoon black pepper ⅛ teaspoon nutmeg, grated (optional) 1 head cauliflower 30 ounces pumpkin puree (2 cans) 4 cups broth or stock of choice (chicken broth) 1 cup heavy cream Instructions Heat a dutch oven or large pot, over medium heat. Add the butter, followed by the shallots with a pinch of salt. Cook until softened, about 3-5 minutes. Add in the aromatics, like the minced herbs, ginger, garlic, pepper and nutmeg. Cook until garlic and ginger are fragrant, about 30 seconds. Add in the cauliflower, mixing to coat. Season heavily with salt and pepper. Add in the pumpkin puree, and chicken stock. Bring to a boil, then reduce to heat to medium simmer, until the cauliflower has softened enough to stick a fork in it. This should take about 20 minutes. Stir in the heavy cream to warm. Puree the soup contents by using a blender, food processor or immersion blender. Garnish with more herbs, freshly cracked black pepper, pepitas (aka, pumpkin seeds!), and a drizzle of cream. Enjoy! Store in an airtight container in the fridge for up to 5 days. Notes To make this soup dairy free: swap out the butter and cream for your favorite dairy free substitutes. To make this soup vegan: Swap out dairy products and use vegetable broth or stock. To freeze, make sure to allow the soup to cool completely so it won't get freezer burnt. It will keep for up to 6 months in the freezer. Thaw frozen soup in the fridge, or under warm running water until you can slide the soup out into a saucepan. Simmer on low until soup is completely heated through. All seasonings are to your personal preference and taste, and can be altered or substituted for. Fresh garlic and ginger could use ground instead. Substitute onions for shallots. Nutrition Calories: 182kcal | Carbohydrates: 13g | Protein: 3g | Fat: 14g | Saturated Fat: 9g | Polyunsaturated Fat: 1g | Monounsaturated Fat: 4g | Trans Fat: 1g | Cholesterol: 45mg | Sodium: 842mg | Potassium: 491mg | Fiber: 4g | Sugar: 5g | Vitamin A: 13729IU | Vitamin C: 39mg | Calcium: 66mg | Iron: 2mg  https://www.theseasonedmom.com/easy-pumpkin-soup/ A simple puree of canned pumpkin, coconut milk, and warm spices comes together in this Healthy and Easy Pumpkin Soup. It’s a nutritious vegan dinner or an easy make-ahead lunch that is full of fall flavor! Clearly, I’m on a soup kick. Whether it’s a Mexican-inspired meal in my Instant Pot , a simple 30-minute vegetarian option , or a big bowl of this creamy pumpkin soup recipe, I can’t think of a better comfort food at this time of year! How do you make Healthy and Easy Pumpkin Soup? We eat soup or chili at least once a week when the weather is cooler because I can make it ahead of time, if necessary, and just store it in the refrigerator or freezer to be reheated at my convenience. I also appreciate that I can serve it with just about anything that my family loves…making everyone happy! This vegan pumpkin soup is creamy yet healthy, thanks to the addition of coconut milk (but if you prefer a soup without coconut milk, there’s an alternative below). From the canned pumpkin to the cauliflower and onion, it’s full of nourishing vegetables and warm spices like garlic and ginger — with just a touch of sweetness from maple syrup. First, heat olive oil in a large pot and sauté the onion until it’s soft and translucent (about 5-10 minutes). Add the garlic and ginger, then the cauliflower, broth, and pumpkin. Bring to a boil, cover, and reduce heat to low. Simmer, covered, for about 25-30 minutes (or until the cauliflower florets are tender). Isn’t that easy?! Use an immersion blender to puree the soup (or transfer the soup to a regular blender to puree). Next, stir in the coconut milk (or heavy cream, if you prefer a non-vegan option). Any chunks of fat in the coconut milk will instantly melt right into the soup for a perfectly smooth and creamy consistency! Cook’s Tips: I recommend using full-fat canned coconut milk (rather than lite coconut milk) because it will give the soup a rich, creamy texture. You can substitute with lite coconut milk if you prefer, however. Shake the can of coconut milk before you open it! This will make sure that the fat mixes with the coconut water. You want to make sure that you get the creamy fat in your soup — not just the thin coconut water. The pumpkin soup will keep in the refrigerator for up to 3 days. This soup freezes well. Just allow the soup to cool to room temperature before sealing in an airtight container and freezing for up to 3 months. To reheat the soup, thaw (if frozen) in the refrigerator overnight. Warm the soup in a saucepan over low heat, just until it reaches the desired temperature. Possible Variations: Use chicken broth or chicken stock instead of vegetable broth if you don’t need a vegan soup. Use heavy cream instead of coconut milk if you don’t need a vegan soup. While this recipe calls for the convenience of canned pumpkin, you can substitute with about 1.75 cups of your own roasted pumpkin puree. Add a dash of cayenne pepper or a dash of cinnamon for a spicy kick. Substitute brown sugar for the maple syrup. For a slightly sweeter pumpkin soup, use 2 tablespoons of maple syrup or brown sugar instead of just 1. Garnish with sliced green onions or chives, sour cream (non-vegan), croutons, or an extra swirl of coconut milk Soup is nutritious and affordable comfort food that can be served as-is, or doctored up with toppings and sides to please everyone in the house. You can’t lose with this one! Healthy and Easy Pumpkin Soup 5 from 6 votes PREP: 10minutes minutes COOK: 45minutes minutes TOTAL: 55minutes minutes SERVINGS CALORIES: 105 kcal A simple puree of canned pumpkin, coconut milk, and warm spices comes together in this Healthy and Easy Pumpkin Soup! Rate Recipe Pin Recipe Print Recipe Ingredients 1x2x3x ½ Tbsp. olive oil 1 sweet onion, diced 1 tablespoon minced garlic 1 teaspoon ground ginger 1 head cauliflower, florets diced (about 5 cups of florets total) 4 cups vegetable broth or chicken broth 1 (15 ounce) can unsweetened pumpkin puree (about 1.75 cups total) 1 tablespoon maple syrup (or brown sugar) (or for a slightly sweeter soup, use 2 tablespoons of maple syrup or brown sugar) 1 tsp. salt, to taste 1/2 cup full-fat canned coconut milk (or substitute with heavy cream) Optional garnish: sliced green onions, chives, or sour cream Instructions Heat oil in a large pot over medium heat. Add onion and sauté until soft and translucent (about 5-10 minutes). Add garlic and ginger and cook for about 1 more minute, stirring. Add cauliflower, broth, and pumpkin. Turn heat to high, bring to a boil; cover. Reduce heat to low and simmer (covered) for about 20-30 minutes or until cauliflower is tender. Stir in maple syrup, salt and coconut milk. Remove from heat and use an immersion blender to puree the soup until smooth. If you don’t have an immersion blender, just transfer the soup to a large blender and puree until smooth. Be careful with the hot soup! Cooking Tips: I recommend using full-fat canned coconut milk (rather than lite coconut milk) because it will give the soup a rich, creamy texture. You can substitute with lite coconut milk if you prefer, however. Shake the can of coconut milk before you open it! This will make sure that the fat mixes with the coconut water. You want to make sure that you get the creamy fat in your soup -- not just the thin coconut water. This soup freezes well. Just allow the soup to cool to room temperature before sealing in an airtight container and freezing for up to 3 months. Possible Variations: Use chicken broth or chicken stock instead of vegetable broth if you don't need a vegan soup. Use heavy cream instead of coconut milk if you don't need a vegan soup. While this recipe calls for the convenience of canned pumpkin, you can substitute with about 1.75 cups of your own roasted pumpkin puree. Add a dash of cayenne pepper or a dash of cinnamon for a spicy kick. Substitute brown sugar for the maple syrup. Garnish with sliced green onions or chives, sour cream (non-vegan), croutons, or an extra swirl of coconut milk Nutrition Serving: 1cup | Calories: 105kcal | Carbohydrates: 15g | Protein: 2g | Fat: 4g | Saturated Fat: 3g | Sodium: 737mg | Potassium: 403mg | Fiber: 3g | Sugar: 8g | Vitamin A: 8525IU | Vitamin C: 37.2mg | Calcium: 44mg | Iron: 1.4mg
By Cristina Morales, MPH RDN LD 07 Jun, 2023
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COVID-19 Long-Haul Symptoms

Yong Lee • Mar 19, 2021
COVID-19 Long-Haul Symptoms

One of the frightening aspects of COVID-19 are its long-haul symptoms – those that linger for months or potentially even years after a person has mostly recovered and is no longer contagious. Shortness of breath when exercising or working, a lost or altered sense of taste or smell and fatigue are all reported long-haul symptoms of COVID-19.


Some estimates suggest as many as 33 percent of COVID-19 survivors are experiencing some long-haul symptoms.


Developing Treatments for Long-Haul Coronavirus Treatments Is a Work in Progress

Humans have been dealing with certain diseases and illnesses, like the flu or pneumonia, for hundreds and in some cases thousands of years. The treatment and management of those ailments are supported by thoroughly documented case studies, anecdotal evidence and definitive science.


It wasn’t until early 2020 that the World Health Organization identified SARS-CoV-2 as a new strain of coronavirus. Treatment protocols and symptom management strategies have only been around for a year, at the most.


There’s a lot of trial and error in medicine, and some of the initial treatment assumptions turned out to be misguided or ended up resulting in significant side effects.


The early emphasis on ventilators is an apt example of how the perceived efficacy of treatment options changes over time.


There’s No Simple Answer to the Ventilator Question

Evidence and data have clearly shown that many patients who go on ventilators either die or face long roads to recovery with significant long-haul symptoms. However, there are still some COVID-19 patients who require ventilators to survive.


Many countries grasping for effective ways to treat COVID-19 put in place dramatic measures to increase the supply of ventilators, only to discover mere months later that the need was overstated.


The longer patients are on ventilators the more likely they are to experience complications caused by ventilator-assisted breathing. Current prevailing medical wisdom is to delay ventilator use until it is the option of last resort. Experience and evidence show a patient who can survive oxygen deficiency without a ventilator will likely suffer fewer long-haul symptoms.


It’s important to recognize the reality of the often panic-inducing ventilator statistics. When people read that 80 percent of COVID-19 patients who go on ventilators die, or that 40 to 50 percent of all patients (including those without COVID-19) die after going on ventilation, they might assume it’s the ventilators that are dangerous.


Context matters in medical reporting. Patients who are suffering severe enough hypoxia (oxygen deficiency) to warrant placement on a ventilator are suffering extremely precarious medical emergencies.

In many cases, patients with those types of illnesses who don’t go on a ventilator will inevitably suffer fatal oxygen deficiency. It would be more honest to report that 40 to 50 percent of patients who would otherwise die from oxygen deficiency survive thanks to ventilators.


People who go on ventilators due to COVID-19 are more likely to experience long-haul symptoms such as:

  • Shortness of breath even after mild exertion (walking up a flight of stairs)
  • Weakened diaphragm since the ventilator is doing the work of muscles that usually draw breath
  • In some cases, acute lung injuries related to ventilator use (doctors must be precisely accurate when calculating how much air to push into a patient’s lungs)
  • Increased infection risk
  • As many as a quarter of patients develop post-traumatic stress disorder, and as many as half might develop depression


Long-Term Loss of Taste and Smell

A June 2020 study comprised of self-reported data from just under 8,500 COVID-19 patients found that 41 percent experienced a loss of their ability to smell. Another smaller-scale study in August 2020 found that 96 percent of tested patients exhibited at least some diminishment of olfactory senses, with 18 percent experiencing a total loss of smell.


Many of these patients reported a sudden loss rather than a gradual loss of smell. This led some doctors to use the loss of smell as a key COVID-19 diagnostic indicator. A July study found that 72 percent of COVID-19 patients regained their sense of smell and 84 percent regained their sense of taste within a month.


Millions of COVID-19 survivors worldwide still haven’t fully recovered their senses of taste and smell.

Some estimates suggest between five and 10 percent of COVID-19 patients may have these symptoms for six months or more.


More Serious Health Consequences

Medical understanding of COVID-19 is far from complete. Many doctors suspect some patients will have a long-term increased risk for life-threatening medical emergencies such as heart attacks, strokes and pulmonary embolisms.


Many people who have recovered from COVID-19 are still experiencing joint pain, headaches, fatigue and “brain fog” – essentially feeling not-all-there cognitively.


Listen to Your Doctors

COVID-19 patients experiencing long-haul symptoms should openly discuss their struggles with their doctors. Listen to what they advise. If your doctor recommends easing back into exercising, then you probably shouldn’t immediately resume your pre-COVID-19 workout regimen. If you’re still tired after getting more than enough sleep your doctor may recommend adopting better sleep hygiene.


Receiving compassionate care and faithfully following a recovery plan will likely be the most reliable way to fully recover from COVID-19. If you or a loved one are seeking friendly, compassionate physicians for COVID-19 help in the Houston area, schedule an appointment at a St. Hope Foundation office.



Call us at (713) 778-1300 to learn more. 

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