Treating the Knees

The greatest wealth is health.  ~Virgil

Since the summer I've had regular pain in one or both of my knees. It got to the point where I thought I had better see my doctor and get a referral to a physiotherapist because the problem has been interfering with my ability to do things and to take regular exercise.

Last week, I started on my physiotherapy which includes a four-pronged approach to treatment:

1. Manual stimulation
2. Physical exercise, including stretching and strengthening
3. Ultrasound, and
4. Interferential Treatment.

In manual stimulation the therapist is using his hands and fingers to manipulate the muscles around my knees. Among other things, I understand this helps to break up scar tissue, relieve pain and stimulate lymphatic flow.

Then the therapist usually gives me ultrasound treatment. This is basically sound energy which is directed at my knee muscles and the sound energy causes vibration at the molecular level which then turns into heat energy. It doesn't hurt at all and in fact, I don't feel much of anything except for the cooling gel that is applied before the ultrasound wand is placed around my knee area.

Positive benefits of ultrasound can include:

* Increased circulation and metabolism
* Breaking up and softening scar tissue
* Reduced inflammation or swelling
* Diminished muscle spasm
* Relief of acute and chronic pain
* Enhanced natural healing processes

Once the ultrasound treatment is complete, the therapist then puts me on a stationary bike. He told me "motion is lotion" and that I need to get on one as often as possible. Since it can be expensive to go to the gym so often, I purchased one second hand. I'm very happy I have it as I am finding it makes my other aching body parts feel better. I have had it now for only a couple of days and I am noticing a benefit. When I go to the physiotherapist's office, I get on their stationary bike for up to 15 minutes as part of my therapy before he teaches me 3 new stretching and strengthening exercises.

I was fortunate to find this on Craigslist without waiting too long. I think I got a good deal and it was one of the nicest ones on offer. The young man I bought it from even delivered as he lived in my neighbourhood. I suspect his wife was happy to get rid of it and he doesn't need it anymore so we are all happy.

It even has a fan (see the top) as well as the usual time, distance and work out programs.

After I'm done with the exercises, the physiotherapist administers Interferential Current (IFC) treatment.  The interferential current machine transmits electrical currents at a high frequency (4000 Hz) waveform. This technique enables the electrical current to penetrate deep into the tissues.

The electrical current is applied to the affected area using four electrodes. In some situations, the Therapist may choose to include a massaging suction effect to the electrodes. The four electrodes deliver two currents into the tissues. Where the two currents meet, they actually 'interfere' with each other hence the name 'interferential.' These interfering currents allow the delivery of a relatively high stimulus to the underlying tissues in a comfortable manner.

During treatment the patient will feel a tingling or 'pins and needles' sensation and often also muscular contractions. This sensation may continue for a brief period following treatment as well.

The electrical stimulation of the patient’s tissues results in a number of physiological effects that have therapeutic value such as reducing pain by blocking the transmission of the pain signals (pain gate mechanism) or by stimulating the release of pain reducing endorphins, reducing swelling, improving circulation, and muscle relaxation. (http://www.mkburnabyphysio.com)

I've had 3 complete sessions with the physiotherapist.  My knees though still weak and sore, are much better than they were a week ago. I have another two appointments booked.  Hopefully after that I can improve and maintain myself with the stretching and strengthening exercises and the stationary bike regime.  It has been rather busy of late with the various medical and dental appointments amongst all the other necessary things one has to do in life.

I'm leaving town soon and I really need to be in the best of shape for my travels. In other long awaited news, my mom's application for her preferred critical car home was accepted today. Now we are waiting for the actual bed and my hope is she will be happily and safely settled early in the new year if all goes well.

Friendship

The glory of friendship is not the outstretched hand, nor the kindly smile, nor the joy of companionship; it is the spiritual inspiration that comes to one when he discovers that someone else believes in him and is willing to trust him with his friendship.

Ralph Waldo Emerson

I stumbled upon this wonderful quote over at Hope Filled Magazine

Sunset over English Bay, Vancouver, Canada, Summer 2009

 

Apple Pie

Welcome to my new follower, Diane from Food, Fun and Life in the Charente. 

So glad to have you as my 50th follower ;-)

Don't get fancy. Have you cooked an apple pie? You don't know what you did wrong? Do this: Take two or three apples. Put them on a table. Study them.

Paul Prudhomme

Is there anything as good and comforting and joyful as a simple, home made apple pie?  

I still don't have a pie pan so I made do with a spring form cake pan. I used this one because it is much smaller than the enamel dish I used last time I made pie. I think I'm going to have to invest in a pie plate if I'm going to continue to practise making pies. Overall though this pie crust was much flakier than the last one I made since I didn't have to roll the dough out so thin.

I took the pie dough recipe from the internet.


Pie Filling

1 double pie crust recipe 

5 to 6 cups apples, peeled and thinly sliced
1/2 to 3/4 cup sugar (to your taste and depends on the sweetness of the apples)
3 tablespoons flour
1 teaspoon cinnamon
dash salt
2 tablespoons cold butter

Preheat the oven to 425ºF.

Lay 1/2 the pastry, rolled out to about 1/8" thickness, in the bottom of the pie pan and press it in gently to lay flat in the pan. Leave the excess crust hanging over the edges for now.

Place peeled, sliced apples in a bowl. Mix together the sugar, flour, salt and cinnamon. Pour over sliced apples and mix. Fill the pie pan with the apples and pat down with a spoon. Dot the filling with pieces of butter.

Moisten the lip of the pie pan with water. Place the top layer of rolled out crust over the filling, making sure crust reaches outer edges of the pie pan all around. Seal the edge and flute all around (see notes below for how to flute a pie edge).

Take a fork and prick the pie top in several places to create vents for steam to escape. I cut out some vent holes instead of pricking the dough. Bake for 50 minutes, until pastry is golden and the filling is bubbling through the vents. 

Let cool a bit before cutting to allow the filling to settle.

Makes 1 - 9" pie.

It was delicious.

In order to make an apple pie from scratch, you must first create the universe.

Carl Sagan

Blue Buttons ~ Blue Monday, October 25, 2010

 "Enjoy the little things, for one day you may look back and realize they were the big things."

Robert Brault

One day I was sorting all my buttons by colour. I found this set of blues and near blues. Now I wonder what I'll use them for as I have buttons in several colours! I could make some crafts with them I guess as I don't make enough garments that will require so many buttons.  Whatever I decide to do with them, I know the buttons in various colours including these blue ones, are ready to be used.

At first blush you may wonder what my selected quotation has to do with buttons.  It just strikes me that life is made up of so many little things and that we need to enjoy the journey that we call life. This journey that is made up of many little steps and little events and some big ones now and then. Some people have trouble enjoying what they feel are the mundane things of life. Things like sorting buttons or organizing the desk, the household, the car, etc. I feel fortunate to find JOY 
not just in the doing of these things but in the contentedness that comes from having accomplished these small goals.

How do you feel about these mundane tasks like sorting buttons? Do you have a lot of buttons too? How do you organize them?  What do you do with them?

Join Smiling Sally and friends here for more Blue Monday.

What's for Dinner? Matoke!

As you worship plantain, remember to worship banana as well.

Ghanaian Proverb

I sampled a dish made with plantains when I was in Kenya. I liked it very much but had a hard time locating a recipe that would replicate the particular dish I sampled.

Today I came across this recipe that reminded me very much of the dish even though it is called "Ugandan Matoke" so I decided to try it out.  I found the recipe at www.food.com, although I've also seen it on a website featuring recipes from the Congo. See here if interested.  It stands to reason that this dish would be cooked in several different countries since these countries are not terribly far from one another and they all grow and eat plantains.

This is what the cook who provided the recipe on www.food.com had to say about Matoke:

Matoke (or Matooke) refer to the plantain or plantain banana in Uganda, where plantains are a staple crop. In Uganda, plantain bananas are often wrapped in plantain leaves and steamed until tender. This dish can be made with or without the meat.

So without further ado, here is a recipe that will easily feed 4-6 people even with the recipe modifications I've noted at the bottom of this post.

 * 8 -10 plantains
* 1 lemon, juice of (optional)
* oil (for frying)
* 1 onion, chopped
* 2 -3 tomatoes, chopped (or canned whole tomatoes, drained)
* 1 green bell pepper, chopped
* 3 -4 garlic cloves, crushed
* 1 chili pepper, chopped (optional)
* salt or coriander or cayenne pepper (to taste) or red pepper (to taste)
* 1 lb ground beef (optional) or 1 lb beef stew meat, cut in bite-sized pieces (optional)
* 1 cup beef broth (optional) or 1 cup beef stock (optional)


Directions:

Prep Time: 20 mins

Total Time: 1 1/2 hrs

1. Peel the plantains, cut into cubes, sprinkle with lemon juice, and set aside.
2. Heat oil in a large pan. Fry the onion, tomatoes, green pepper, hot pepper, and garlic together. Add spices to taste. Add meat or broth. Continue frying and stirring until the meat is nearly done or until the broth is starting to boil.
3. Reduce heat. Add plantains. Cover and simmer over low heat until plantains are tender and meat is done. Serve matoke (matooke, if you prefer) hot.

Recipe from http://www.food.com/


My modifications:

I used 6 large plantains rather than 8-10. I cut up part of a roast for stew meat (and froze the other part for roasting another time). I used a large can of whole tomatoes which I forgot to drain first.  I also added beef broth to the mix. Altogether this was more liquid than called for in the recipe but it  worked out okay.  My cast iron pan is very large and there is no lid large enough to cover it so enough liquid evaporated during the cooking process.

I could have cooked the plantains longer but I was afraid they might turn to mush as they were a bit too ripened when I bought them. They were yellow in colour rather than green.  This means they were also a little softer and a little sweeter.  The sweetness didn't pose a problem.  I added some hot chili and coriander to the mix so that tempered the sweetness.  Next time I will use my heavy dutch oven to cook this dish.  That way everything will be thoroughly cooked, heated and tenderized.  Overall though the dish was very tasty!  See the finished dish in the photos below.

I enjoyed  making and eating this dish and will definitely make it again. I was so hungry when I made it for dinner last night (Saturday) that I couldn't wait until everything was cooked to perfection so I intend to cook it longer in the dutch oven next time.

If you decide to make this dish please let me (us) know how it works out!

Never a Dull Moment

After mostly two months of being away from home I've been madly scrambling to catch up to life. Unfortunately I first had to contend with a flu bug which made me more tired than usual, amongst other things. I think the bug is largely gone now though I am still tired. I am not complaining too loudly though. I am just glad to be home for awhile.  Before too long, I will be away again.

In addition to getting to the doctor and a diabetes workshop where we discussed the importance of sleep and the things we can do to try and achieve a sleepy state on a sleepless night, I have also been busy at the dentist. Unfortunately, I needed a tooth extracted. My poor tooth had been loose for some time and it takes the brunt of my chewing processes since I have a loose tooth on the opposite side of my mouth. The dentist informed me that it should be pulled and so I agreed. Yikes, I haven't had a tooth pulled since I don't know when. I had to have extra freezing due to my pain threshold. So now I am recovering from that. Next week, I have to get a root canal on the opposite side of my mouth. Thank goodness for dental insurance, although I hope I am not speaking too soon. When I got into the dentist's chair the receptionist informed me that my insurer had no record of me! One more thing to follow up on.

Now on to more interesting ways I've been filling my time.

I picked up these three books by Alexander McCall Smith; an author who hails from Zimbabwe but who spent much of his life in Scotland. These books are all part of the No. 1 Ladies' Detective Agency series.  I quickly read two of the books in the photo and am now reading the blue covered book "Blue Shoes and Happiness".  Reading these books is a satisfying past time. They are like spending time with a good friend and at the same time, learning about the customs and ways of Botswana where Mr. McCall Smith frequently spends time. If you haven't read any of these books, I invite you to pick one up but start with the first one, called "No. 1 Ladies' Detective Agency", before you commence reading the other 10 books in the series.

All of these books are wonderfully entertaining. Reading them gives me a sense of comfort and joy.

Next up are several books. The first one is The Pillars of the Earth by Ken Follet. I won't begin to tell you about this sweeping book other than to say that I enjoyed it a lot and I recently discovered that it has been made into a television series, co-produced by Canada (click on the underlined title to find out more about the book itself). I haven't seen the mini-series but I have seen the trailers and I will for sure want to watch it if it comes back on my television listings. It looks like a superb cast and a thrilling tale.  The Shack is a book that seemed to have created a lot of controversy in Christian circles though having read it, I cannot fathom why. It is after all, just a novel. I did not enjoy this book as much as I thought I would though I would certainly recommend it to anyone as it does have a novel and profound way of explaining the trinity of Christ and the nature of Christ. For that reason alone I will probably read it again sometime though I'll have to buy my own copy as this one was loaned to me by a friend.

I've read the two books on either side of the photo.  The book on the left is almost a 1000 pages but I read it much more quickly than the relatively short book on the right. I have started the one in the  middle but haven't gotten too far yet.

The three books in the next photo were purchased at the goodwill today for 50 cents each. I've read a few of the late Frank McCourt's books though enjoyed his novel, Angela's Ashes most. This book entitled, Teacher Man is a memoir.  The other two books are classics and I try to ensure I am working my way through the classics whenever I can.

The goodwill is a wonderful place to purchase books. I hate to part with books and it is much easier if I've only paid 25 or 50 cents. I can still give them back to the goodwill after I've finished reading them or give them to a friend who'd like to read them too!

Besides going to appointments, libraries and the goodwill this week, I made some time for shopping for new towels and facecloths. Long ago, I'd mentioned in a blog post on decluttering that my towels were over 20+ years old. Some of them have been raggedy for a long time. I finally broke down and spent about $20.00 Canadian on 6 towels and 14 face cloths.  I thought that was an excellent buy. The towels are just great and not too thick. I got over my fondness for very thick, white towels quite some time ago and now look for thin, absorbent, white towels.

I love the texture and absorbency of all these towels and facecloths. Several of these new cloths are in the wash so didn't make it into the photo.

Last, but not least, my creative mood is still in swing. I made two more dishcloths. It seems I can't get enough of them. These are for my own use and are added to the four I'm already using. I can now get rid of my purchased cloths which have some kind of oily odor to them despite being washed and disinfected. Does anyone know what causes the odor and the oil stains?

I'm loving the colour of these cloths.

Now it is the weekend and I'm trying to catch up on household cleaning, laundry, post office errands and experimenting with a new dish today for dinner. I'll post about that tomorrow if it turns out. In the meantime, I hope you are all enjoying a wonderful weekend.

Skywatch Friday ~ October 22, 2010

I snapped these very interesting sky shots over Kamloops a few weeks ago. I really love how the light of the sun illuminates the dark clouds against the building. I hope you enjoy them too!

God writes the Gospel not in the Bible alone, but also on trees, and in the flowers and clouds and stars. 

Martin Luther, German Priest and scholar whose questioning of certain church practices led to the Protestant Reformation. 1483-1546

 

 

For more fabulous Sky Watch Fridays around the world, please join in here.