WEBVTT
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You’re listening to the Cornwall Cancer Cafe podcast. With me, Matthew. And me, Emma. Thanks
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to the National Lottery Community Fund for supporting this podcast. And we’ve got a slightly
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different one this week, haven’t we? We are recording this back at the Cove at the Royal
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Cornwall Hospital in Truro and one of our favourite places in the world. Yeah, they’ve
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been great, haven’t they? But wouldn’t we rather have never found it? I know, but as we
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have found it. They’re amazing. What a great team. Now, we are set up in the big room upstairs
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from the cafe because today we are filming a film to go on the website and it’s going
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to be about making smoothies. So we are getting Anna Brigo, the dietitian from the
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Cove, involved in it. And you’ve met her, I’ve met her before and everyone who’s listened to this
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hopefully will have heard her podcast. It’s interesting knowing about food and all the
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things that can help you through a cancer journey, isn’t it? It is. And if you listen
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to the podcast we did with Anna recently, you’ll hear all of her advice. And when I
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listened back to it, I was absolutely blown away by the depth of her knowledge, how much
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she knew, how much advice she gave and the way she delivered it as well. What a lovely lady.
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And I have actually put into place some of her advice as well. Have you? I have. What have you
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done? Well, she advised me one of the few things that was missing from my diet that she
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said I could improve was to get Brazil nuts and have two Brazil nuts a day with my breakfast.
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Okay. Are these ones with chocolate on them? No, no chocolate. Come on. This is healthy stuff.
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She did say you can have things, you know, like in moderation. That’s true. But there’s
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no chocolate on these Brazil nuts. This is, I think, for the selenium in the Brazil nuts.
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Did you know they had selenium in them? I didn’t. I don’t even know what that is,
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but yes, she knows. Yeah, perhaps we’ll ask her at some point. So are you having these
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Brazil nuts whole or chopped up? Whole and just, I have them as a lovely snack. Now,
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our other guest, our other guest today. I think we’ve gone a bit off topic here, haven’t we?
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Our other guest is laughing his head off here. And we’ve spoken to him before. It’s Rob Stott
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and you took part in a podcast and we were sitting in a park in Redruth when recording it.
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Yeah, that’s right. I’ve got the t-shirt. So yeah, kind of thought I’d come and help out.
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Are you eating Brazil nuts as well? No, I’m worried now whether I should be eating
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Brazil nuts. They would have chocolate on them. They definitely have chocolate on.
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Yeah. Now, the thing is, the thing is, is that the reason why I’ve got Rob on this video,
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because it’s about smoothies. And I thought Rob is such a smooth customer, isn’t he?
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Smooth head. If you haven’t seen the photo, he has got a smooth head.
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Yeah. That fell out not because of chemo. So yeah.
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Now, do you think I should apologise to Rob now?
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Yes. Sorry, Rob, for…
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But you are. Was it okay to call you a smooth guy?
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Yeah, I don’t mind that. I’ve been called worse.
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I was going to say, yeah, you could be called worse, couldn’t you?
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Okay. So, right. We are going to get into the smoothie production
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with Anna. Let’s see what goes on.
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Here to support you, the Cornwall Cancer Cafe podcast.
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Share this podcast on your social media so others may benefit.
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So part of today is to talk about how nutrition can help in the recovery from a cancer
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journey and also to help us along when we’re on our cancer journey,
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eating the right things, but also acknowledging that sometimes along that cancer journey,
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people’s tastes change. So sometimes we need stronger tastes.
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So do you want to go ahead and introduce us to maybe your favourite smoothie and talk
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through why it is? Yeah, 100%.
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So recipes can be definitely individualised and personalised based on every person’s
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taste preference and as you said, taste changes. And again, also depending on what
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the goal is. It can be, like you said, really useful for people preparing for
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going through treatment, especially if their appetite is not the best as a cancer side
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effect potentially. They can be really useful when they are going through treatment,
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especially if they can manage to eat much. It’s an easy way.
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It’s much easier to blend food and swallow a drink rather than chopping,
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preparing a meal and then having to eat it too. A lot of people are overwhelmed
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by a big meal. So my favourite one would have to be a banana and peanut butter
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smoothie. I do like that quite a lot. And I would say it’s probably best.
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It’s quite calorie dense. You can pack a lot of nutrition in there.
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It’s probably best for people that are currently struggling with their appetite.
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Thank you. And needing a little bit more of an extra nutrition boost
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or, you know, to prevent some weight loss, help to gain them a little bit of weight.
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Okay. Well, Rob was saying earlier that following your treatment,
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you had a lot of weight loss, didn’t you? Yeah. I dropped down to, I had nine weeks
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of BEP chemo. So I did three weekly sessions. So that’s nine weeks in total.
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And I dropped down to just over six stone. So I’m now 11 stone.
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So, but it was very interesting about, you don’t want to chew. You start off
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relatively okay in the first few weeks, but then you don’t want to chew because
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your mouth is sore. You’ve got ulcers. Your gums are receding and you don’t want
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to chew. And, and obviously it’s trying to keep this stuff down.
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Is there anything here that, or you could think of that would actually keep
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food in us? Because I think that’s why we lost so much weight is because
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we either didn’t want to eat. So we didn’t eat or we couldn’t keep the
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food in long enough. Is there something that we can eat that would stop it coming?
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And are you talking specifically about like nausea, feeling sick?
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Yeah. And being sick. I mean, even if you manage to get the food in you,
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it’s keeping it in you. That was the difficult thing.
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There’s no, yeah, I was going to say, I’m guessing what we’re about to do now being
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high in calories, even if you don’t manage to keep it down for long.
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So those calories will be absorbed. Yeah. Yeah, for sure. You know, like the
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nutrition, you’re packing to something, you know, and hopefully you can manage to
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actually get it through the more you absorb as well.
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So it’s very difficult. There’s no food that, you know, it’s going to be better
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to keep down. It’s very individual based on what your treatment is, what your cancer is as
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well. Sometimes medications are needed, you know, what we call antiemetics. So then I
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would always recommend you to speak with your doctor or your oncologist or your GP.
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But food can help because sometimes going long periods of time without eating can actually
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make you more nauseous. You know, so like a smoothie perhaps in between a couple of
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meals if you don’t want to have another big meals in between can help with that
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and potentially reduce the nausea. Could we, sorry to interrupt, could we
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freeze these smoothies? You can definitely make it into
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ice lollies if you got like an ice lolly mold at home, you know, you can freeze
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anything really. And you mentioned sore mouth, like ulcers and things like that.
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If you’re making a smoothie with frozen food, frozen fruit, like frozen berries,
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for example, and it’s quite a cold drink, it can be quite soothing, you know, for
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people that have a sore mouth. I would always be drinking water with
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ice. It was lovely when we were here in Lohen, we had a big ice machine.
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And it was just constant ice. But that doesn’t provide you a lot
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of nutrition, which is crucial when you’re going through treatment, you know.
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So if you can have something cold that suits your mouth, but also with some
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calories and some protein in there, some antioxidant vitamins, minerals, then
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much better. So we’re going to hit the bananas.
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Peanut butter? Yes, yeah, I’ve got some recipes here
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that I like to follow sometimes. So for the peanut butter, and again,
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quantity wise, I would say measure with your heart, you know, depending on how
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thick. Measure with your heart, I love that. Can we keep doing this?
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Based on how thick you like it or thin, and also what flavour you prefer in it.
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So I do like peanut butter quite a lot. So that’s what I would do.
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So peanut butter, some banana, some cacao powder.
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I think peanut butter and chocolate is a really good combination.
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See, we mentioned chocolate earlier, didn’t we, when we were talking about
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Brazil nuts and chocolate. So you don’t have to not have
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chocolate, do you? I know when we talked in our previous podcast,
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there’s balance, isn’t there? Yeah, 100%.
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A lot of people come to see me for a dietetic appointment here at the Cove,
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and they think I’m going to tell them you have to eat 100% healthy,
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only fruit, vegetable, lean protein all the time.
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So it’s not always like that. The advice needs to be personalised
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to each patient. If someone has got a low BMI,
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losing weight, poor appetite, not managing to eat anything,
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it doesn’t matter too much where the calories are coming from,
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as long as they’re getting calories in to be fit enough to tolerate the treatment.
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And then obviously, as we go on, then we can think about adding more
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healthy foods in it as well, and overall health.
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But when someone is malnourished, what we focus on is getting enough nutrition in.
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So yeah, chocolate is fine to do it. Also, because I wouldn’t expect anyone
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to just eat chocolate. They will have other things in their diet as well.
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I feel better now having a pint glass of tea with…
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This is part of my weight gaining regime, because I did say,
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what should I eat afterwards? I mean, everything tasted like a rusty nail anyway.
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So it was like… I was going to say, if you’ve ever been
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punched in the face and you taste the blood, because that’s what…
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Metallic.
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Yeah, very metallic, very weird. And that was one of my biggest fears.
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I could cope with everything else, but whether or not it would come back
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and I started to taste food again, that was one of my biggest fears, and it did.
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And I feel better now, because I used to down…
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I had a pint glass of tea with evaporated milk instead of milk,
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cut the sugars, and then I would down a whole pack of custard creams
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that we were buying from Booker’s. And I just sort of thought of that.
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I’m sure that helps with weight gain.
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Well, yeah, exactly. I didn’t know whether that was the healthiest thing,
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but I used to go to Booker’s and buy custard creams, and it would be
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a whole packet of custard creams three or four times a day,
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a litre of Tropicana juice, and 12 Weetabix.
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Are you still doing that?
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No. Do you know what it’s really funny you say about whether you’re
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going to pester people to be healthy? I do know people who afterwards
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went to the extreme of organic and everything was healthy and fresh,
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and I went kind of the opposite, was just still, if I like…
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I want to eat food, I can taste it now, I’m going to eat it,
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and I’m still like that. I will eat a lot of butter, a lot of cakes,
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buns, pastries, all these things I still eat. Not a lot of sweets.
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I’m not one of these people that binge on chocolate, but
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I do eat quite high carbs, and just because it’s enjoyable.
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So let me make it clear. As a dietitian, we would always
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promote a healthy eating pattern. We want you to meet your five
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a day of fruit and vegetables, ideally whole grain carbohydrates,
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try to be careful about processed meat, very fatty meats, red meat,
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try to limit that as well, not to go too high in saturated fat like butter.
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So that is the standard healthy eating advice, right?
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So if someone was doing well, is not malnourished, they just need
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advice on the healthy eating guidelines, the Eat Well Guide,
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and that’s what we recommend. It really depends what point of
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cancer journey you are. I know you don’t like me to say journey.
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No, no, it’s absolutely fine because everybody in this room, even you,
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are going on a cancer journey. We’ve been diagnosed with cancer,
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and you support so many, so, so many people that have had that cancer
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diagnosis and that change in their life from before cancer and now after cancer.
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So I think you’re part of that journey.
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It’s very honourable to be part of such a difficult time in people’s life, for sure.
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And I think that’s why we need to give specific advice for them.
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So if I had met you when you were six stones, I would have really encouraged you
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to try and get calories from wherever you could tolerate, you know,
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especially with a sore mouth, nausea, perhaps taste changes.
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Potentially, if I saw you now for just like a one-to-one healthy eating advice,
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I might tell you. You’d be in trouble, mate.
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I’d be into the wrong things.
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And the thing’s like, I do agree what you said, that food still has to be enjoyable,
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okay? It doesn’t matter what part of your journey you are, even after cancer,
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even in rehab, you know, even 10, 20 years later, I still want people to enjoy food
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because it’s such an important part. You know, you do it at least three times a day,
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so it has to be pleasure as well, not just nutrition.
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Speaking of which, should we get back to these smoothies?
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Because all this fruit is going off in front of my eyes, look.
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So here we go, the bananas, the peanut butter and the cacao.
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So what I would add to add some protein, because protein is really important
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to maintain your muscle mass as much as possible, it has also your bone strength,
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your immune system, your skin integrity.
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So I would add a little bit of Greek yoghurt, which we’ve got here.
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Oh, I love a bit of Greek yoghurt.
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You can try it.
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Do you want me to put it in?
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Yeah, go for it. Or do you want me to do it?
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Oh, you can do it, it’s fine.
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And here, depending on your goals, you can choose to have 0% fat, 5% or 10%.
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If you’re a bit more on a weight management,
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trying to look a little bit more for like healthy eating, perhaps,
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or losing weight, then I would recommend 0%.
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That’s plenty, thank you.
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Well, if you’re needing a nutrition boost and needing a lot of extra calories,
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I would go for the 10% full fat Greek yoghurt.
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More calories and still more protein than just like a normal fruit yoghurt, for example.
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For our liquid, for this one, a liquid base, I would add milk.
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And same thing here, you can go for semi-skimmed or whole milk,
206
00:14:52.500 –> 00:14:55.580
depending on what your goal is, whether you’re trying to gain weight or not.
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00:14:56.820 –> 00:14:58.240
I think that’s probably plenty.
208
00:14:58.260 –> 00:15:01.720
It really depends on how thick you like it or not.
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00:15:02.280 –> 00:15:02.640
Perfect.
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00:15:03.880 –> 00:15:04.060
Yeah.
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00:15:05.080 –> 00:15:09.280
Anything that you put in, maybe a bit of salt or sugars or anything like that?
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00:15:09.700 –> 00:15:11.960
Very much depending on patient preference.
213
00:15:12.160 –> 00:15:14.880
Some people, like you said, you mentioned taste changes before.
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00:15:15.100 –> 00:15:18.260
Some people find food that is really, really sweet, like overwhelmingly sweet.
215
00:15:18.260 –> 00:15:20.860
So perhaps they could add a little bit of salt in there.
216
00:15:21.020 –> 00:15:25.480
Some people find their food too salty, so they could add, for example, a tablespoon of honey.
217
00:15:26.440 –> 00:15:29.600
Again, really, really depending on that person’s own flavour.
218
00:15:29.720 –> 00:15:31.840
If someone needs a little bit extra fibre,
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00:15:32.060 –> 00:15:34.020
say for example, they’re a bit constipated perhaps,
220
00:15:34.140 –> 00:15:35.660
or just needing a little bit more nutrition,
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00:15:35.980 –> 00:15:38.030
we could add a tablespoon of oats in there.
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00:15:40.280 –> 00:15:44.220
Really depending on what the patient needs and goals are and taste preference.
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00:15:44.460 –> 00:15:46.700
So if you were constipated, you’d put the oats in?
224
00:15:46.700 –> 00:15:48.140
You could. You could a little bit.
225
00:15:48.260 –> 00:15:50.300
And they’re also really good for cholesterol lowering.
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00:15:50.640 –> 00:15:52.320
Perfect. I think we’re ready to blend now.
227
00:15:57.470 –> 00:15:58.890
So whilst this is blending, Anna,
228
00:15:58.890 –> 00:16:01.990
can you just remind us the ingredients that we’ve put into this
229
00:16:01.990 –> 00:16:05.110
and why you put them in and what their properties are?
230
00:16:05.230 –> 00:16:06.790
And that’s a big question. Off you go.
231
00:16:07.270 –> 00:16:07.870
Yeah, yeah, of course.
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00:16:08.010 –> 00:16:09.830
So I would say we start with bananas.
233
00:16:10.230 –> 00:16:11.710
They’re a really good source of energy.
234
00:16:11.790 –> 00:16:14.230
They offer us some carbohydrates and also some fibre.
235
00:16:15.110 –> 00:16:18.610
The peanut butter is really good to add a lot of extra calories.
236
00:16:18.670 –> 00:16:19.890
It’s quite high in fat.
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00:16:20.370 –> 00:16:22.610
It’s giving us a little bit of protein as well.
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00:16:24.050 –> 00:16:27.590
We add some Greek yoghurt for some extra protein as well.
239
00:16:27.950 –> 00:16:29.990
Our milk is our liquid base.
240
00:16:31.150 –> 00:16:33.630
And the cacao powder is just a little bit of flavour.
241
00:16:34.410 –> 00:16:36.150
Cacao has some antioxidants in it,
242
00:16:36.670 –> 00:16:38.250
but for the small amount that we use,
243
00:16:38.290 –> 00:16:40.210
I don’t think it’s going to provide much of that.
244
00:16:40.330 –> 00:16:40.990
It’s mostly flavour.
245
00:16:41.570 –> 00:16:42.290
Okay, thank you.
246
00:16:42.290 –> 00:16:43.310
I can’t remember if you added anything else.
247
00:16:43.310 –> 00:16:44.330
Shall we try it?
248
00:16:44.970 –> 00:16:45.410
Okay.
249
00:16:45.930 –> 00:16:47.590
I say we. I’m going to pass because
250
00:16:47.590 –> 00:16:51.470
I can’t drink milk, so I’m going to bug out on this one.
251
00:16:51.670 –> 00:16:52.830
I’m going to try it.
252
00:16:55.100 –> 00:16:55.740
All right.
253
00:16:57.720 –> 00:16:59.260
So that, do you know what?
254
00:16:59.280 –> 00:17:00.380
It’s looking a lot better now.
255
00:17:00.560 –> 00:17:01.280
Can we smell it?
256
00:17:01.320 –> 00:17:02.040
Can we have a smell?
257
00:17:02.160 –> 00:17:02.720
Smell-o-vision?
258
00:17:04.819 –> 00:17:06.900
Oh, that’s like pure peanut butter.
259
00:17:07.000 –> 00:17:08.240
Okay, let’s try this.
260
00:17:08.460 –> 00:17:10.359
Now, this has got yoghurt in it now.
261
00:17:10.359 –> 00:17:11.740
I’m not a big fan of the yoghurt.
262
00:17:12.079 –> 00:17:13.440
The thing again, it’s like anything.
263
00:17:13.680 –> 00:17:16.720
If you can get food in you, would you…
264
00:17:17.359 –> 00:17:21.260
Is there a type of food for a different type of chemo treatment?
265
00:17:22.160 –> 00:17:23.500
Not necessarily a type of food,
266
00:17:23.880 –> 00:17:25.339
but there are different requirements.
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00:17:26.500 –> 00:17:26.680
Sorry.
268
00:17:26.880 –> 00:17:26.980
Thank you.
269
00:17:27.119 –> 00:17:29.720
There are different requirements in terms of calories,
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00:17:29.920 –> 00:17:32.700
in terms of protein based on someone’s age,
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00:17:33.220 –> 00:17:36.920
someone’s condition, someone’s BMI, their weight.
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00:17:37.540 –> 00:17:39.860
So not specific foods because different foods
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00:17:39.860 –> 00:17:41.920
can provide different things for different people.
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00:17:43.060 –> 00:17:45.100
So it’s mostly based on their requirements.
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00:17:45.100 –> 00:17:47.760
Is there anything that we should stay away from,
276
00:17:48.180 –> 00:17:50.380
having had lots of chemo and having a low immune?
277
00:17:50.740 –> 00:17:52.600
I know that I wasn’t allowed Chinese.
278
00:17:53.780 –> 00:17:54.160
Chinese?
279
00:17:54.360 –> 00:17:55.960
I was not allowed Chinese food.
280
00:17:56.120 –> 00:17:57.580
What was the reason for that?
281
00:17:57.580 –> 00:17:58.300
I think it’s for the rice.
282
00:17:59.080 –> 00:17:59.720
Rice in.
283
00:17:59.780 –> 00:18:00.200
Okay.
284
00:18:00.320 –> 00:18:01.400
If we reheated it.
285
00:18:01.400 –> 00:18:01.680
Yeah.
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00:18:01.920 –> 00:18:03.500
I think then that was the issue.
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00:18:10.660 –> 00:18:16.880
Visit our website, www.cancercafepodcast.org
288
00:18:16.880 –> 00:18:20.700
Is there anything that we should steer clear of
289
00:18:20.700 –> 00:18:24.020
when we’re getting over chemotherapy
290
00:18:24.020 –> 00:18:25.140
or any sort of other treatment?
291
00:18:25.300 –> 00:18:26.780
Is there anything that we should stay away from?
292
00:18:27.000 –> 00:18:28.940
So obviously you always have to avoid things that
293
00:18:28.940 –> 00:18:30.720
food that you’re allergic to if you do have an allergy.
294
00:18:31.360 –> 00:18:33.300
If you’re talking particularly about patients
295
00:18:33.300 –> 00:18:34.620
that are immunocompromised,
296
00:18:34.700 –> 00:18:36.000
that they have a low immune system
297
00:18:36.000 –> 00:18:37.400
and the doctor would let you know
298
00:18:37.400 –> 00:18:38.900
if that’s the case for you.
299
00:18:39.820 –> 00:18:41.820
The recommendation are to stay away from
300
00:18:42.580 –> 00:18:44.940
foods obviously that are quite raw,
301
00:18:45.200 –> 00:18:48.040
like uncooked eggs or raw meat or raw fish
302
00:18:48.040 –> 00:18:50.060
or shellfish sometimes as well.
303
00:18:51.120 –> 00:18:53.000
Unpasteurized dairy products as well.
304
00:18:53.260 –> 00:18:55.900
So I wouldn’t go for raw cheese or raw milk.
305
00:18:56.820 –> 00:18:56.840
Exactly.
306
00:18:57.440 –> 00:19:00.200
Or cheese that has like mold in there as well.
307
00:19:01.380 –> 00:19:01.920
But the yogurts.
308
00:19:02.060 –> 00:19:05.060
I like the blue cheeses with the like Stilton.
309
00:19:08.200 –> 00:19:10.900
Yogurt, we say probiotics
310
00:19:10.900 –> 00:19:12.700
or like yogurts that contain probiotics
311
00:19:12.700 –> 00:19:14.320
can be a little bit of a tricky one.
312
00:19:14.380 –> 00:19:16.520
So the doctors would usually recommend to avoid
313
00:19:16.520 –> 00:19:17.660
if you’re immunocompromised.
314
00:19:18.240 –> 00:19:18.880
Thank you.
315
00:19:19.120 –> 00:19:19.280
Yeah.
316
00:19:19.440 –> 00:19:21.500
And obviously if you’re reheating certain foods,
317
00:19:21.540 –> 00:19:22.620
make sure that you’re doing it
318
00:19:22.620 –> 00:19:24.440
at the specific temperature for that food
319
00:19:24.440 –> 00:19:25.780
needing to kill the bacteria.
320
00:19:27.200 –> 00:19:28.880
Well I’m feeling a little bit left out here
321
00:19:28.880 –> 00:19:31.420
so can you do something that I can try?
322
00:19:31.580 –> 00:19:32.660
Of course, yeah.
323
00:19:33.100 –> 00:19:35.460
So I’m really keen to try.
324
00:19:35.640 –> 00:19:37.300
We’ve got some lovely mango here
325
00:19:37.300 –> 00:19:40.900
and you’ve got some recipes there.
326
00:19:40.920 –> 00:19:42.520
Are these recipes available online?
327
00:19:42.960 –> 00:19:44.940
Yeah, so these are just recipes that I created
328
00:19:44.940 –> 00:19:47.260
because I run a smoothie workshop here at the Cove.
329
00:19:47.660 –> 00:19:51.440
I’m more than happy for you to post them on your website.
330
00:19:52.220 –> 00:19:53.400
Okay, thank you very much.
331
00:19:53.480 –> 00:19:55.040
That would be great if we could do that.
332
00:19:55.240 –> 00:19:59.140
So there’s one here called Creamy Tropical Nourish Smoothie.
333
00:19:59.840 –> 00:20:01.820
Lots of fruit in there, quite refreshing.
334
00:20:02.140 –> 00:20:04.320
So if the previous one was a little bit heavier,
335
00:20:05.580 –> 00:20:07.520
more like comforting like a hearty smoothie,
336
00:20:07.780 –> 00:20:09.120
we’d say this one is a little bit more light,
337
00:20:09.220 –> 00:20:10.700
more fresh, you know,
338
00:20:10.720 –> 00:20:13.800
for people that perhaps want something,
339
00:20:14.140 –> 00:20:15.700
a little bit more summery basically.
340
00:20:15.900 –> 00:20:17.580
Okay, let’s try this one.
341
00:20:17.660 –> 00:20:20.660
So for this, I would recommend any fruit that you like.
342
00:20:20.800 –> 00:20:23.060
You know, here we’ve got mangoes, strawberries, berries.
343
00:20:23.580 –> 00:20:25.220
I think we might have to put a bit of everything in.
344
00:20:25.420 –> 00:20:25.960
Go ahead.
345
00:20:26.440 –> 00:20:27.280
Do you want another banana?
346
00:20:28.060 –> 00:20:28.800
Yes, please.
347
00:20:28.920 –> 00:20:30.060
Wait, is this half a banana?
348
00:20:30.240 –> 00:20:32.220
So maybe because we’re going to put the other fruit in,
349
00:20:32.720 –> 00:20:34.620
I’ll pass this to my assistant
350
00:20:35.500 –> 00:20:37.760
who will do all the chopping stuff for me.
351
00:20:38.220 –> 00:20:39.740
So we’re going to go for half a banana.
352
00:20:41.200 –> 00:20:43.440
Is it the potassium levels as well from bananas?
353
00:20:43.440 –> 00:20:44.440
Yeah, what is it with bananas?
354
00:20:45.020 –> 00:20:47.580
Bananas are just like generally good in general,
355
00:20:47.580 –> 00:20:49.340
because they’re a good fruit.
356
00:20:49.940 –> 00:20:51.360
They are quite a source of potassium.
357
00:20:51.520 –> 00:20:53.900
I think generally they are known, you know,
358
00:20:53.940 –> 00:20:55.840
people say, oh, if you’ve got low potassium, eat a banana.
359
00:20:56.040 –> 00:20:57.400
Sometimes it’s not that easier, you know,
360
00:20:57.480 –> 00:20:59.000
sometimes especially if you’re having lots of
361
00:21:00.260 –> 00:21:01.160
loose bowel movements.
362
00:21:01.620 –> 00:21:03.060
Sorry to talk about this while we’re making food.
363
00:21:03.160 –> 00:21:03.540
No, you’ve got to.
364
00:21:03.560 –> 00:21:05.560
You can have low electrolytes, you know,
365
00:21:05.560 –> 00:21:06.340
lose quite a lot.
366
00:21:06.580 –> 00:21:07.980
And sometimes a banana is not enough
367
00:21:07.980 –> 00:21:09.460
and you need some replacement,
368
00:21:09.460 –> 00:21:11.660
you know, at the doctors or in the hospital perhaps.
369
00:21:12.120 –> 00:21:14.140
So yeah, generally they are a good source of potassium.
370
00:21:14.560 –> 00:21:15.600
Okay, so what next?
371
00:21:15.780 –> 00:21:16.240
What next?
372
00:21:16.440 –> 00:21:17.300
Any fruit you like.
373
00:21:17.300 –> 00:21:19.360
Oh, let’s put a bit of everything in.
374
00:21:19.460 –> 00:21:20.680
Can we put all three?
375
00:21:20.860 –> 00:21:21.720
Yeah, absolutely.
376
00:21:22.480 –> 00:21:25.280
It’s very much depending on your taste preference.
377
00:21:27.000 –> 00:21:27.220
For sure.
378
00:21:27.680 –> 00:21:30.060
And again, these are room temperature, but…
379
00:21:30.060 –> 00:21:32.460
I think, I think, yeah,
380
00:21:32.600 –> 00:21:34.500
we’ve got a lot of strawberries going on over there.
381
00:21:34.580 –> 00:21:35.540
Oh, I love strawberries.
382
00:21:36.400 –> 00:21:37.180
Some blueberries.
383
00:21:37.360 –> 00:21:38.280
Some lovely blueberries.
384
00:21:38.680 –> 00:21:40.640
And if you were to use frozen berries,
385
00:21:40.980 –> 00:21:42.980
then obviously it’s much nicer,
386
00:21:43.000 –> 00:21:44.160
you know, in your mouth,
387
00:21:44.240 –> 00:21:46.040
if you’re having a sore mouth or something like that.
388
00:21:46.040 –> 00:21:46.780
Yeah.
389
00:21:46.980 –> 00:21:47.560
You like blueberries?
390
00:21:47.840 –> 00:21:48.620
I love blueberries.
391
00:21:48.760 –> 00:21:49.600
I love fruit.
392
00:21:50.080 –> 00:21:51.360
And then for your liquid,
393
00:21:51.540 –> 00:21:52.840
you can choose, obviously,
394
00:21:53.020 –> 00:21:54.360
you can have milk, you said,
395
00:21:54.760 –> 00:21:56.800
but you can have some fruit juice instead.
396
00:21:56.900 –> 00:21:57.800
Obviously, it’s not going to give you
397
00:21:57.800 –> 00:21:58.920
the same amount of protein,
398
00:21:59.060 –> 00:22:01.100
but it’s still good as a liquid base.
399
00:22:01.460 –> 00:22:02.780
So you mentioned fruit juice there.
400
00:22:02.780 –> 00:22:05.100
We’ve got orange juice and pineapple juice here.
401
00:22:06.100 –> 00:22:07.140
Obviously, other fruit,
402
00:22:07.180 –> 00:22:09.600
I mean, you could cut orange and pineapple up,
403
00:22:09.600 –> 00:22:11.620
but the juice, where it’s juiced down,
404
00:22:12.060 –> 00:22:13.440
I know there’s different types of juice,
405
00:22:13.440 –> 00:22:16.200
the percentage or the,
406
00:22:16.200 –> 00:22:18.720
you can get some that are from concentrate
407
00:22:18.720 –> 00:22:21.300
or some that are actually juice, juice.
408
00:22:21.600 –> 00:22:21.940
Yeah.
409
00:22:22.240 –> 00:22:24.680
They act pretty much equally.
410
00:22:25.180 –> 00:22:26.080
So when you’re talking,
411
00:22:26.240 –> 00:22:27.720
when you’re looking at the guidelines,
412
00:22:28.080 –> 00:22:28.920
it’s recommended,
413
00:22:29.600 –> 00:22:30.920
healthy eating guidelines I’m talking about,
414
00:22:32.060 –> 00:22:34.540
recommended not to have more than 150 mils a day.
415
00:22:34.540 –> 00:22:36.420
And that’s because it can damage your teeth,
416
00:22:36.560 –> 00:22:37.400
it can cause cavities.
417
00:22:37.640 –> 00:22:39.100
So we wouldn’t recommend people
418
00:22:39.100 –> 00:22:41.060
to just go and drink a liter of juice every day.
419
00:22:41.300 –> 00:22:42.760
And a brie go there.
420
00:22:42.760 –> 00:22:45.180
The dietitian from the Cove
421
00:22:45.180 –> 00:22:47.200
at the Royal Cornwall Hospital
422
00:22:47.200 –> 00:22:51.860
talking to Rob Stott and Emma Coom
423
00:22:51.860 –> 00:22:53.560
about making smoothies.
424
00:22:53.560 –> 00:22:56.120
This is a special episode.
425
00:22:56.380 –> 00:22:59.980
We’re doing a bit of a Saturday morning breakfast
426
00:22:59.980 –> 00:23:01.420
or something like that.
427
00:23:01.660 –> 00:23:04.360
We are making smoothies
428
00:23:04.360 –> 00:23:09.500
and this is recorded at the filming of a special video,
429
00:23:09.500 –> 00:23:16.420
which will go on www.cancercafe.org very soon.
430
00:23:16.780 –> 00:23:19.340
So let’s go back to the filming session
431
00:23:19.340 –> 00:23:24.960
where Emma and Rob are talking to dietitian Anna Briego.
432
00:23:25.000 –> 00:23:25.800
If you are struggling
433
00:23:25.800 –> 00:23:27.240
and it’s the only thing you’re managing
434
00:23:27.740 –> 00:23:28.960
during your cancer treatment,
435
00:23:29.240 –> 00:23:30.760
then obviously that doesn’t apply to you.
436
00:23:30.940 –> 00:23:32.200
Yeah, that’s really useful information
437
00:23:32.200 –> 00:23:33.980
because you can make a big smoothie.
438
00:23:34.040 –> 00:23:35.140
And as we’ve mentioned earlier,
439
00:23:35.140 –> 00:23:35.980
you can freeze it.
440
00:23:36.800 –> 00:23:38.840
So, you know, if you make a 300 mil smoothie,
441
00:23:38.840 –> 00:23:40.520
you can drink half a bit today
442
00:23:40.520 –> 00:23:41.680
or just pop it in the fridge
443
00:23:41.680 –> 00:23:43.620
and you’ve got a smoothie for tomorrow, haven’t you?
444
00:23:43.900 –> 00:23:44.960
Or even in the night.
445
00:23:45.100 –> 00:23:47.900
I mean, obviously afterwards you’re awake all hours.
446
00:23:48.260 –> 00:23:48.320
Yeah.
447
00:23:48.380 –> 00:23:50.120
Oh no, you’ve got to count down 24 hours
448
00:23:50.120 –> 00:23:51.160
before you have another one.
449
00:23:52.300 –> 00:23:53.780
No, it’s in my face.
450
00:23:54.420 –> 00:23:55.700
I’ve got a funny face
451
00:23:55.700 –> 00:23:58.060
because I was doing a litre of Tropicana
452
00:23:58.540 –> 00:24:00.280
so that probably was bad.
453
00:24:01.180 –> 00:24:01.620
Potentially.
454
00:24:02.020 –> 00:24:05.480
Yeah, and I did lose the back teeth as well.
455
00:24:05.760 –> 00:24:07.680
Yeah, but we don’t know why, do we?
456
00:24:07.680 –> 00:24:09.700
Make sure you have really good hygiene,
457
00:24:09.860 –> 00:24:10.560
you know, mouth hygiene,
458
00:24:10.780 –> 00:24:12.660
brush your teeth twice a day before going to bed
459
00:24:12.660 –> 00:24:14.560
and all the dental recommendations.
460
00:24:14.840 –> 00:24:15.340
Happy with orange?
461
00:24:15.700 –> 00:24:16.120
Yes.
462
00:24:16.660 –> 00:24:17.620
You put quite a lot of fruit,
463
00:24:17.620 –> 00:24:18.980
so I imagine you need quite a bit,
464
00:24:19.040 –> 00:24:20.040
otherwise it’s going to be quite thick.
465
00:24:20.260 –> 00:24:22.760
So we’ve got banana, strawberry, blueberries and mango
466
00:24:22.760 –> 00:24:24.560
and we’re adding orange juice.
467
00:24:24.560 –> 00:24:25.460
That’s probably enough.
468
00:24:25.740 –> 00:24:27.200
Do you want the pineapple juice now
469
00:24:27.200 –> 00:24:29.720
or do you think that’ll make it too acidy or tangy?
470
00:24:30.600 –> 00:24:31.260
Really depends.
471
00:24:31.280 –> 00:24:33.060
If you have a sore mouth or mouth ulcers,
472
00:24:33.100 –> 00:24:34.920
I’ll probably stay clear from citrusy
473
00:24:34.920 –> 00:24:37.440
or very acidic foods because it will sting.
474
00:24:37.440 –> 00:24:39.660
I don’t think we need any extra juice in there.
475
00:24:39.780 –> 00:24:41.720
We’re not going to put any peanut butter in there.
476
00:24:41.780 –> 00:24:42.420
No, not the stuff.
477
00:24:42.580 –> 00:24:44.040
Because I don’t like peanut butter,
478
00:24:44.140 –> 00:24:44.640
do you know how I mentioned that?
479
00:24:44.660 –> 00:24:45.780
How can you not like peanut butter?
480
00:24:46.060 –> 00:24:47.400
So at the moment here,
481
00:24:47.520 –> 00:24:50.600
if you were to add a little bit of Greek yoghurt,
482
00:24:50.600 –> 00:24:51.100
for example,
483
00:24:51.120 –> 00:24:52.580
then you’re adding some protein there.
484
00:24:52.900 –> 00:24:53.680
At the moment here,
485
00:24:53.920 –> 00:24:56.960
you’re pretty much only having carbohydrates and fibre.
486
00:24:57.320 –> 00:24:59.840
So I wouldn’t count this as a complete smoothie.
487
00:25:00.240 –> 00:25:01.920
This will be more for pleasure.
488
00:25:02.160 –> 00:25:04.300
So do we need to put some Greek yoghurt in there?
489
00:25:04.460 –> 00:25:04.900
Is that what you’re saying?
490
00:25:04.900 –> 00:25:05.840
If you’re happy with that,
491
00:25:05.920 –> 00:25:07.420
then that will add a little bit of protein in there.
492
00:25:07.420 –> 00:25:08.600
It will be a little bit more balanced.
493
00:25:08.840 –> 00:25:10.460
You’ve also brought milk powder along.
494
00:25:10.860 –> 00:25:12.980
So we’ve got milk and we’ve got milk powder.
495
00:25:13.240 –> 00:25:13.500
Yeah.
496
00:25:13.740 –> 00:25:16.020
So I often recommend that to patients
497
00:25:16.020 –> 00:25:17.300
that need a little bit extra calories
498
00:25:17.300 –> 00:25:18.520
and protein in their diet.
499
00:25:18.940 –> 00:25:22.420
So what you can do is make fortified milk.
500
00:25:22.820 –> 00:25:24.180
Like we discussed in the podcast,
501
00:25:24.260 –> 00:25:26.000
you take a pint of whole milk
502
00:25:26.000 –> 00:25:28.580
and you add five tablespoons of skimmed milk powder.
503
00:25:28.940 –> 00:25:29.840
You shake it really well
504
00:25:29.840 –> 00:25:31.660
and you use that fortified milk
505
00:25:31.660 –> 00:25:33.440
like you would use your milk normally.
506
00:25:33.700 –> 00:25:36.260
So in tea, coffee, smoothies, porridge,
507
00:25:36.260 –> 00:25:38.020
can you say that again?
508
00:25:38.200 –> 00:25:40.320
So you take one pint of whole milk,
509
00:25:40.500 –> 00:25:42.680
one part of whole milk, blue top.
510
00:25:42.680 –> 00:25:43.140
Blue top.
511
00:25:43.260 –> 00:25:46.140
And you add five tablespoons of skimmed milk powder.
512
00:25:46.700 –> 00:25:48.680
You mix it really well so there’s no clumps
513
00:25:48.680 –> 00:25:52.100
and you use that pint within 24 hours.
514
00:25:52.580 –> 00:25:53.800
You use it through the day
515
00:25:53.800 –> 00:25:56.380
like you would use your milk normally.
516
00:25:56.800 –> 00:25:59.400
And you add, you double the amount of protein
517
00:25:59.400 –> 00:26:01.060
and you add a lot of extra calories.
518
00:26:01.180 –> 00:26:02.060
So if you’re struggling,
519
00:26:02.520 –> 00:26:03.820
you don’t have to change the volume
520
00:26:03.820 –> 00:26:05.340
of how much milk you’re drinking.
521
00:26:05.340 –> 00:26:07.160
It’s liquid, easy to swallow,
522
00:26:07.440 –> 00:26:09.080
but you’re getting much more nutrition
523
00:26:09.080 –> 00:26:10.500
from the same amount of volume.
524
00:26:10.900 –> 00:26:12.520
So if you eat cereal in the morning,
525
00:26:12.600 –> 00:26:14.320
you could have that on your breakfast cereal.
526
00:26:14.400 –> 00:26:15.920
You can have it in your tea and coffee
527
00:26:15.920 –> 00:26:16.820
throughout the day.
528
00:26:17.580 –> 00:26:19.320
Like you would use your milk.
529
00:26:19.320 –> 00:26:20.610
You can make custard with it.
530
00:26:21.640 –> 00:26:22.480
You can make puddings.
531
00:26:23.240 –> 00:26:24.020
We’re ready to blend.
532
00:26:25.340 –> 00:26:26.700
So whilst this is blending Anna,
533
00:26:26.760 –> 00:26:29.320
can you just give us a final tip?
534
00:26:29.760 –> 00:26:30.220
Yeah.
535
00:26:30.500 –> 00:26:31.160
I know, absolutely.
536
00:26:31.680 –> 00:26:33.020
And because I don’t want you to think
537
00:26:33.020 –> 00:26:35.220
that dieticians are only smoothie chefs
538
00:26:35.220 –> 00:26:37.240
obviously we are here to help anyone
539
00:26:37.240 –> 00:26:39.340
that is struggling with nutrition
540
00:26:40.160 –> 00:26:41.620
through their cancer before
541
00:26:41.620 –> 00:26:43.020
or after their treatment
542
00:26:43.020 –> 00:26:44.360
or during as well.
543
00:26:44.520 –> 00:26:46.480
So please, if you are struggling
544
00:26:46.480 –> 00:26:47.940
ask for our referral,
545
00:26:48.200 –> 00:26:50.120
ask for help early on
546
00:26:50.120 –> 00:26:51.760
so we can provide that for you.
547
00:27:02.540 –> 00:27:05.660
If you live in the Penwith area
548
00:27:05.660 –> 00:27:07.880
fairly near to Penzance
549
00:27:07.880 –> 00:27:12.620
you can listen to the Cornwall Cancer Cafe podcast
550
00:27:12.620 –> 00:27:13.920
on your radio
551
00:27:13.920 –> 00:27:16.160
on the FM Waveband.
552
00:27:16.520 –> 00:27:22.760
Go to www.coastfm.co.uk
553
00:27:22.760 –> 00:27:24.600
to look at the schedule
554
00:27:24.600 –> 00:27:26.700
to find out when we’re on.
555
00:27:27.080 –> 00:27:30.460
And also if you live on the Roseland Peninsula
556
00:27:30.460 –> 00:27:32.380
and up to Truro,
557
00:27:32.780 –> 00:27:35.760
you can also find us on your radio
558
00:27:35.760 –> 00:27:38.840
by listening to Chaos Radio
559
00:27:38.840 –> 00:27:41.320
and their schedule tells you
560
00:27:41.320 –> 00:27:42.700
when we’re on the radio
561
00:27:42.700 –> 00:27:49.040
go to www.chaos.radio
562
00:27:49.040 –> 00:27:53.280
that’s C-H-A-O-S dot radio
563
00:27:53.280 –> 00:27:56.420
thanks to both radio stations
564
00:27:56.420 –> 00:27:59.640
serving the community for helping us along.
565
00:28:03.700 –> 00:28:04.820
Here to support you
566
00:28:04.820 –> 00:28:07.140
the Cornwall Cancer Cafe podcast.
567
00:28:07.500 –> 00:28:09.540
So I’ve been busy doing the cameras
568
00:28:09.540 –> 00:28:11.780
for the video version of this
569
00:28:11.780 –> 00:28:14.800
which will be up on the website fairly soon
570
00:28:14.800 –> 00:28:17.680
and I’m going to have a try
571
00:28:17.680 –> 00:28:19.800
of some of those smoothies in a sec
572
00:28:19.800 –> 00:28:21.800
because I’m holding microphones, cameras
573
00:28:21.800 –> 00:28:22.740
and all sorts of things
574
00:28:22.740 –> 00:28:24.440
but you’ve already had a go Emma
575
00:28:24.940 –> 00:28:26.900
what does that taste like?
576
00:28:27.320 –> 00:28:28.500
Oh well the one I’ve just tried
577
00:28:28.500 –> 00:28:30.160
it’s gone I’ve drunk it all
578
00:28:30.160 –> 00:28:30.820
it was lovely
579
00:28:30.820 –> 00:28:32.900
so I’ve had my whatever there was
580
00:28:33.660 –> 00:28:35.160
125 was it 125?
581
00:28:35.820 –> 00:28:36.300
150?
582
00:28:36.460 –> 00:28:39.220
150 I think I’ve had my 150 mils for today.
583
00:28:39.760 –> 00:28:41.120
Rob are you a convert?
584
00:28:41.760 –> 00:28:43.140
Not to yogurt no.
585
00:28:44.220 –> 00:28:45.200
I still don’t like yogurt.
586
00:28:45.280 –> 00:28:47.700
Are you a convert to smoothies?
587
00:28:47.980 –> 00:28:49.220
Yeah oh I love a smoothie.
588
00:28:50.680 –> 00:28:52.400
You already had smoothies?
589
00:28:52.740 –> 00:28:53.560
Yeah I love a smoothie
590
00:28:54.360 –> 00:28:56.100
I mean when I had it
591
00:28:56.100 –> 00:28:57.520
it was just I didn’t have to chew
592
00:28:57.520 –> 00:28:59.080
probably because I’m just lazy really
593
00:28:59.620 –> 00:29:00.820
just didn’t have to chew.
594
00:29:01.980 –> 00:29:02.820
Okay now Anna
595
00:29:02.820 –> 00:29:04.700
this is an important question
596
00:29:04.700 –> 00:29:06.320
do you have smoothies at home anyway?
597
00:29:06.700 –> 00:29:07.840
I actually do
598
00:29:07.840 –> 00:29:09.860
especially in summertime I would say
599
00:29:09.860 –> 00:29:11.740
yeah they’re cold they’re refreshing
600
00:29:11.740 –> 00:29:14.680
you can add a lot of nutrition in there
601
00:29:14.680 –> 00:29:15.680
lots of fruit
602
00:29:15.680 –> 00:29:17.180
so yeah I do love a smoothie
603
00:29:17.180 –> 00:29:19.240
I think that’s why I run the workshop as well.
604
00:29:20.140 –> 00:29:21.920
Right okay so we’re heading
605
00:29:21.920 –> 00:29:23.260
towards the end of this show
606
00:29:23.260 –> 00:29:26.700
the audio version video version soon online
607
00:29:26.700 –> 00:29:29.400
but we’ve forgotten to say something
608
00:29:29.400 –> 00:29:30.220
haven’t we Emma?
609
00:29:30.540 –> 00:29:32.660
Yeah yeah we usually offer
610
00:29:32.660 –> 00:29:34.540
all of our listeners a big hug
611
00:29:34.540 –> 00:29:36.300
because when you give a hug
612
00:29:36.300 –> 00:29:38.360
you get a hug.
613
00:29:38.940 –> 00:29:40.740
Right perfect way to end the show
614
00:29:40.740 –> 00:29:43.960
and we’ll be back with you next week.
615
00:29:44.320 –> 00:29:44.900
Bye bye.
616
00:29:45.020 –> 00:29:45.600
Bye bye.
617
00:29:53.240 –> 00:29:55.520
Thanks to the National Lottery Community Fund
618
00:29:55.520 –> 00:29:57.440
for supporting this podcast.