Oh dear. I’ve had a very mild, tickly cough for about a month and yesterday it escalated into a full-blown, nasty choking, phlegmy cough. During the night I developed a painful sore throat and woke up this morning having largely lost my voice, so I am now on the antibiotics. So much for having a super-sonic immune system with 39.7-level white blood cells! Pah!
So, the nutritional therapist. I had a 1 1/2-hour consultation on Friday with Liz Butler, founder of Body Soul Nutrition, with a view to getting some advice on what I should be doing to keep my cancer away, and finding out whether any of my eating or lifestyle habits could have developed a better environment for the cancer to grow in the first place. One of the things she said was that many people have their cancer treatment and then go back to living their lives exactly as they did before – continuing to eat the same things, maintaining the same stress levels and doing the same amount of exercise, thus preserving the same body conditions in which the cancer initially thrived. It’s vital, according to Liz, to make drastic changes, both emotionally and nutritionally, to keep the cancer cells from growing again.
Her main recommendations were that I cut out dairy altogether and avoid sugar as much as possible. She also gave me some nutritional plans and talked to me about how each meal should be ideally composed, i.e. 50% vegetables and fruit on each plate, 20% starchy carbs (but only whole grains – no white rice, white pasta, white bread etc), 20% protein (eggs are allowed – phew!) and 10% fats (including nuts, pulses and butter, which is the only dairy allowed).
All of the above seems largely doable, apart from the giving up of dairy products and sugar, which is difficult for me to envision for the rest of my life. Two weeks, as I proved before, is easy peasy, but a life with no pizza (cheese), tea and coffee (milk), cheese and biscuits, cake, chocolate and many other tasty things is hard for me to get my head around. On the positive side, she did say I’m allowed red meat (once or twice a week, max), as long as it’s the best type of meat I can get my hands on – i.e. organic, free range etc (because the lower quality the meat, poultry or fish, the more likely it is to have been injected with antibiotics, hormones, etc).
One thing to stress is that the nutritional therapist didn’t say I have to give up all these things entirely – she said it’s fine to have a little of what I fancy, when I fancy, i.e. a couple of squares of dark chocolate every couple of days or a slice of cake or a dessert once a week, which is also fine. But I will struggle more with dairy because I eat a lot of it.
I decided for my last chemo I would be good to myself and let myself eat what I wanted, because often you feel so miserable and your tastes change so much, I didn’t want to punish myself like last time. So I’ve been eating something sweet most days, though not going overboard. And Christmas is coming up, so I’m not going to punish myself then either. But it’s important during radiotherapy to eat well to minimise the side effects, so I will definitely start being a little more strict in January.
I plan to take Liz’s advice to the extent that I can manage, cutting out dairy and sugar as much as possible but essentially allowing myself what I want in moderation. I am still very much aware that the oncologists don’t recommend any specific dietary changes and they certainly don’t recommend giving up sugar and dairy, and there is no proof or concrete evidence that doing so would guarantee my cancer never recurs, but at the same time changing what I eat to some extent will at least allow me to have a little more control over the situation. Nevertheless, I thought I might as well start as I mean to go on…
I started off well. Saturday morning, I had my first ever black coffee, and I quite enjoyed it. (I forgot to mention she told me to give up caffeine, but I may have to do things gradually!) Then I had a ginger steeper (fresh ginger in boiled water) at Leon. For lunch at Giraffe, I ordered a fresh fruit smoothie and a brown-rice sushi salad consisting of spinach, smoked salmon, mango, avocado and various seeds. But because I didn’t quite have the 50% veg/20% carbs ratio quite right, I ordered a separate side helping of sauteed veg (green beans, peppers and the likes – delish). Which brings me to Nutritional Problem #1: eating better is way more expensive. The better quality and the more organic the meat or the veg, the more the price increases. And the more veg portions you order to try and get the right balance, the more you end up paying. And Nutritional Problem #2: The better you want to nourish yourself, the more you have to plan what you eat, where you eat, when you eat, etc.
And then it all went down hill. As mentioned in Tuesday’s post, Saturday night I went to Bubbledogs and ate two hotdogs. I am not convinced the pork sausage was the most organic meat in the land (largely because I do not know its origin) and I can take an educated guess that barbecue sauce and ketchup both have a fair amount of added sugar. That said, at least I didn’t have a pudding, and the jalapeños on the Mexican dog would have been good for me. But I did have a glass of champagne.
Sunday, it went further down hill, with a bacon sandwich on white, a cheese toastie and sausage, chips and veg for dinner. And Monday, a decent lunch of Eggs Florentine (bit of spinach, decent amount of protein) and a handful of Niki’s fries, then fish and chips on the train home (free first-class food, I could hardly refuse, could I?) I suspect the quality of the fish on East Coast Trains may not be the best in the world, which brings me to Nutritional Problem #3: It’s particularly hard to change your nutritional habits when you’re away from home. But, like I said, I’m not being strict on myself at the moment as a) I’m still under the wicked spell of the last chemo and within the three-week cycle, b) I’m sick and c) it’s the season to be jolly, tra la la la la la la la la.
Thank you all, though, for adhering to my request not to send me any more junk food. Alice very kindly oven-roasted me some assorted nuts in fennel and honey and they are amazing – I’ve been munching my way through them as only a gannet would. I since found out that honey is on the no-no list of sugary foods (Sorry, Mr Curado, I misinformed you), but I’m happily munching through them anyway (see points a, b and c). Thanks also to Beth for the lovely tin of personalised soup, as pictured at the top of the page (don’t ask why “Bobr”).
So, that’s (the very much abridged version of) what the nutritional therapist said. I still have a lot of reading and researching to do, and I confess I am slightly skeptical that following all this advice will keep the cancer away for good, because I have always eaten so healthily and it’s most likely my cancer was caused by a gene fault (just not the one I tested negative for). However, I have to do something to take this into my own hands, and improving my diet seems to be a good place to start (she says, while slurping through a cream-heavy tin of chicken soup…)
So how did it go? Well, besides being rushed to hospital for a few days, the no-sugar diet itself went just fine. The chemotherapy had already altered my tastes and meant that I’ve been eating strangely for the past few months anyway, so the shock to my system wasn’t as great as it would have been. I have definitely wanted to eat sweet things, but funnily enough with the withdrawal of hard chocolate, I’ve been left desperate for the simplest and actually quite healthy things – for instance I would kill for a dark-chocolate-covered rice cake, and I almost cried last week when I could only eat the raisins out of my Graze box but had to leave these chocolate-covered apricots. I mean, apricots, for God’s sake! I don’t even like them that much! But they’re still sitting here, ready to be eaten tomorrow.
DAY SIX (Wednesday)
Lunch: Bowl of homemade cauliflower and almond soup with one slice of grain bread and butter. A flat white coffee.
Now that’s commitment! Bowl of strawberries, blueberries and raspberries and Greek-style yoghurt. Mint tea.
Breakfast: Porridge and banana, one tea.
Snacks: A punnet of black-pepper pistachios and one of savoury biscuits/cracker snacks. Ginger-lemon tea.
Dinner: Fish, potatoes, veg, 1 slice of bread. Several pancakes with fruit, cinnamon, lemon and Greek-style yoghurt. One tea
Several more hours and litres of saline.
Breakfast: A slice of brown toast and butter and a bowl of porridge with a banana. Cup of tea.
Breakfast: One slice of brown toast with Marmite. One cup of tea.
1) My little pinkie feels like it’s been slammed in a doorframe. Unfortunately, I can’t tell whether it’s going black and about to drop off because I already have dark black sparkly nail varnish on it, so I’ll have to wait a week or so to find out whether I lose a finger or not. But what are pinkies good for, anyway? All I can think of is proper tea-drinking etiquette…
2) My face went all red and blotchy before bedtime last night. And I am having hot flushes. I am hoping it’s just an after-effect of the steroids and not – god forbid – the onset of an early menopause.
1) My Mad Men Season Five DVD arrived in the post. Thanks, Amazon.co.uk – your timing literally couldn’t be better.
3) After ignoring me for a few days, Nurse Molly is back to do her nursing duties and is preventing me from reading magazines by sitting across the pages. Her heart’s in the right place.
6am pre-breakfast: A banana and four steroids.
Dinner: Spinach and ricotta tortellini with pine nuts, tomato and basil, broccoli and a dollop of Philadelphia for good measure. A glass of sugar-free cloudy apple juice (which I had said was not allowed but Mum reeeeally wanted me to drink it before it goes off…) Another cup of tea.
the big scary 'C' word 