The Gift

Just the other day, a new friend in my aikido class shared a story with me. Knowing that I just went through a kidney transplant, she shared with me that someone close to her also went through it. About nine years ago, her aunt desperately needed a new kidney. Her Dad volunteered to give her one of his and be a living donor.

Not knowing what the experience of a living donor was, I asked her what his experience was like. She said that after the surgery her Dad said he felt like he was hit by a truck three times. He was in a lot of pain – probably similar to the pain a transplant recipient would experience. After all, not only was he cut open, but a major organ was just removed from him.

She said that her Dad was down and out for about two weeks and had to live with his parents while he was recovering. His parents took care of him at this time, which is probably difficult for any adult.

She said that it was so touching that he gave his kidney to her aunt. She guessed that he loved his sister so much that he was willing to go through that much pain. I was so touched, I almost cried right there on the mat!

After his recovery, he was up and about. He actually feels normal now, except that he only has one kidney. Her aunt is also doing very well. Her Dad and aunt still call each other at the transplant anniversary. They are very close since they shared a very special experience and also his kidney.

I was very honored that she shared her Dad’s story with me. Being a living donor is a significant commitment, but it connects you with another human being in a very unique way.

I received the same gift this year, as well, and for that, I am extremely grateful. Living or deceased – every donor’s gift is priceless. In this season of giving, I hope you all consider to sign-up to be an organ donor and give someone the gift of life.

Happy Holidays and have a Happy New Year!

The Diva Diet - Part III: Odds and Ends

This is my last installment of The Diva Diet – or what I call my post-kidney transplant diet. This one focuses on general, but important stuff.

As you read through these posts, please remember that this is what works for me.  Everyone is different.  You may need to adapt it for yourself and for the meds that you are taking.

Balanced Diet?

Maintain a balanced diet. For my meals, I try to adhere the Choose My Plate guidelines: combining protein, grains, and a good focus on vegetables. Although I am sometimes not successful, I usually try to add veggies with my meal – some of them pretty hidden (I don’t like peppers that much).

Also, as I mentioned in a previous post, I can now add whole wheat and other grains in my diet. Since I do not have any phosphorus restrictions, I can now experiment with different grains. When I was in dialysis, I was pretty much limited to white rice and white bread, which probably created havoc with my digestive system. Now, I can have quinoa, barley, corn meal, oats (my favorite) and oat bran.

I still need to be careful though; immunosuppressants may increase potassium in one's system so you may need to watch high-potassium foods like bananas, mangoes. and coconut. If this is the case, moderate your potassium a bit – just like when you were in dialysis. My guilty pleasure is usually bananas or mangoes. I’ll have only a third of a banana in my cereal and about third of a mango.

Key is everything in moderation. My meals are usually 4-5 ounces of protein, whole grains (I still have a bit of white rice added for flavor), and lots or veggies. I try to practice Meatless Mondays or just have Meatless lunches. Actually, when I have a meatless lunch, I am more alert in the afternoon and don’t get that 2:30 slump.

When in doubt, ask your nutritionist. Since I've been experimenting on different foods, sometimes, I find things that may be iffy. A few recent examples are celery seed (as a replacement for salt) and wakame salad (seaweed salad). I usually start with my own research, but if I don't find any relevant information, I consult with my transplant coordinator or my nutritionist. They are the experts on this, not me.

Keep moving.  This means what you think it means: exercise. I find that when I walk, my body (and mind) is able to function more efficiently. I make it a point to exercise at least 20-30 minutes at least five days a week.

Me in aikido class - one of my favorite activities

Do vary it. Example, I practice a martial art called aikido, practice hula dancing, and do regular cardio like walking or doing the elliptical. I am trying to incorporate stretches and core strengthening exercises, but I feel at this point cardiovascular exercises are more important in maintaining a good blood pressure.

Be cautious not to overdo it – and believe me, I have. While it is important to move, again do it in moderation and consult your doctor before you start a new routine. I have to keep reminding myself that my surgery was not too long ago. Rest and recovery are still equally important.

Keep hydrated. My new kidney needs to be constantly hydrated, so I need to drink plenty of water. Actually, everytime I see the word “hydrate”, “drink”, or “water”, I drink some water. I guess it’s my version of a drinking game.

I believe hydration is key in keeping your creatinine low. Now, that it’s winter, like me, you probably don’t want to drink water, but continue on hydrating. Choose low-caffeine or herbal teas. Soups are okay too, I think – just be cautious of the sodium content.

 

I try to keep these tips in mind everyday. Although some of these we really need to adhere to (like food safety), the ones that are optional, I try not too obsess over (too much). It’s the holidays, and it is time to celebrate with family and friends. I plan to relax, be careful, and enjoy my new kidney.

Bon Appetit!

You might also enjoy:

The Diva Diet - Dining In

The Diva Diet - Dining Out

The Diva Diet - Part II: Dining Out

Now that Thanksgiving is over, as always, most of the challenge in sticking to your diet when eating out: office parties, group parties, get-togethers with visiting friends or relatives, etc… The list is endless.

As a kidney transplant recipient, I still have restrictions, but there is no reason why I cannot enjoy these holiday get-togethers. Here are my ideas for keeping your diet during the holiday season while dining out.

Be Mindful of Food Safety When Dining Out. As I mentioned in a previous post, we need to continue to be careful of infection, from all sorts of germs or bacteria. I can understand why this is a concern. After watching shows like Kitchen Nightmares and Restaurant Impossible, we have seen problematic kitchens and food gone bad that were still served to the public. All of us need to ensure that the establishment has passed health safety guidelines and that the food is stored and prepared well in a very sanitary way. Since my transplant, my husband and I have been very picky in selecting restaurants when we eat out. We often limit ourselves to nice, very nice restaurants, but this can get expensive.

 

No Buffets. This is a follow-up to the food safety issue. With buffets, the food has been exposed to different people, so you never know who touched what or what temperature it has been kept. With food exposed to different people, you never know what germs they may carry. Again, after watching Restaurant Impossible and seeing buffets that were not kept at the correct temperature, I can understand why this continues to be a concern.  Served Hors d’Ouevres are out now too: same principle as buffets, except now your food is traveling.

Cafeteria-style food may be okay. Assess the situation and figure out if this option is safe. Do not be tempted by really yummy food – your life is more important. An alternative may be to wait until you get home and just simply nuke it.

Order your own entrée. As I mentioned before, when dining out, meals really need to be made for me only – Hence, the name “Diva Diet”. If it is just my husband and I, we usually share an appetizer and an entrée, but we move it to separate plates. When we go with a group, I would stick to my own dish.

Family-style food may be okay, as long as they use serving spoons, AND no one is sick.

No raw meats or eggs. Unfortunately, that includes raw sushi and oysters – my old favorites. Again, it’s a question of bacteria. So, I must say goodbye to my beloved salmon rolls, ahi pokes, oysters-on-the-half-shell, and tuna tartars. Even smoked foods like salmon are also out of the question. Sigh, at least, I think, I can still have cooked sushi (ebi and unagi anyone?) and usually there are other items on the menu.

Be careful of raw eggs too. This may mean aioli, Caesar salad dressings, certain meringues (baked meringues are probably fine), and eggnog! No more eggnog lattes. The only raw thing that would be safe would be fruits and vegetables.

Deli Sandwiches. Improperly reheated cold cuts and soft cheeses can contain certain bacteria that can cause illness and possibly death to a kidney transplant patient. That means no more cold cuts, or for that matter cold, deli sandwiches. Also, the coleslaws and potato salads are probably not a good idea either. Some possible alternatives: hot sandwiches or a bagel and cream cheese … and get them from a high-end deli.

Craving for Tacos? Make it yourself.

A word on fast food. I do not normally eat fast food, but a sucker for some of them, especially tacos or hash browns. I think occasionally it’s okay: I am going to limit myself to maybe once a quarter. Surprisingly, since I’ve been eating fresh food and whole grains, I do not have any craving for fast food anymore, except for tacos and hash browns.

Limit dining out. I’ve noticed that every time I eat out, I gain at least two pounds. To make the food really-really yummy, most chefs season their food rather well. Most of the weight that I gain is from water retention and it impacts my blood pressure. Can you imagine what happens when I eat out all the time? My blood pressure can go through the roof. If you can limit dining out, you can give your body a chance to get rid of the excess water.

Again, Do have fun! As a former dialysis patient, I have memories of food restrictions and evaluating how many binders to take if you had some pizza. Yay! Gone are those days. So even if you do have restrictions, try new places and new types of food. As an example, for Oktoberfest, we found a German restaurant nearby that was just awesome. My husband said it was just like what his Dad made. They gave us gigantic portions: so my husband halved the entrée and still had a full meal, and with a to-go box!

The key is to enjoy your new life while still keeping safe. As an old saying goes - “Life is to be enjoyed, not endured.”


Final installment: Other important stuff.