Archive / March, 2012

Movie Review “Forks Over Knives” – Part Two: The Problem

In Part One of my review of the documentary “Forks Over Knives” I presented an introduction to what the documentary is about. In this, the second part of my review, I will present the problem as it is expressed in the documentary.

The problem, as I see it, is organized in two categories: 1) There is a growing healthcare crisis in the United States, and 2) There is a direct correlation between the incidence of the diseases which are the basis of this crisis and diet.

This documentary was written and directed by Lee Fulkerson, who admits he has not always lived the healthiest of lifestyles and has eaten more than his share of fast foods. The documentary begins with a number of startling statements about the current state of the health of Americans: This Year Heart Disease and Stroke will claim the lives of 460,000 American Women; The average American now carries 23 extra pounds; Diabetes, Hypertension, Bone Disease and Osteoporosis are rampant health problems plaguing Americans; Prostate cancer is now the most common cancer in American men (there are 215,000 new cases of prostate cancer a year); Doctors say we really need to eat less red and processed meat because it can lead to Arteriosclerosis, Cancer and Autoimmune disease; There are unprecedented amounts of type 2 diabetes in our children and we’re starting to see hypertension in our children in grammar school.

Lee Fulkerson looking at his blood results Dr. Matthew Lederman

Clearly the Western diet is taking a toll. This should serve as a wakeup call. We have a growing problem and, the ones who are growing are us. No less than 40% of Americans today are obese; About half of us are taking some form of prescription drug; The best known statin drug, Lipitor, is the most prescribed drug ever in the world; Almost 1 in 5 America Four Year Olds are now considered to be obese; This could be the first generation of children in the United States that lives less that its parents; We spend 2.2 trillion dollars a year on healthcare, over 5 times more than the defense budget; We pay more per person for healthcare than any industrialized country in the world, yet we’re sicker than ever; Michelle Obama had this to say, “Obesity, diabetes, heart disease, high blood pressure are all diet related health issues that cost this country more than 120 billion dollars each year”

Every minute a person in the U.S. is killed by heart disease and 1500 people a day die from cancer – Combined these two diseases kill over 1 million Americans every year; Cases of diabetes are skyrocketing particularly among our younger population; One out of three people born in the U.S. today will develop this crippling condition (diabetes) during their lifetime; Millions of others suffer from a host of degenerative diseases; Millions more of us are so stimulated by sugar, coffee, and energy drinks that we mask our chronic fatigue.

That the United States is facing a healthcare crisis should be no surprise to any of us as politicians debate the best way to deal with it and the Supreme Court examines whether or not legislation that has been passed to address the crisis is Constitutional.

The second part of the documentaries’ presentation of the problem is that there is a direct correlation between the incidence of these diseases and diet. Much of the substantiation for this claim is based upon the work of two men: Dr. Colin Campbell and Dr. Caldwell Esselstyn and their observations of how changes in the American diet correlated with the rise of these diseases. Their observations are based upon comparisons with other parts of the world where diet had remained essentially unchanged during the same time period.

Dr. Colin Campbell at his childhood farm Dr. Caldwell Esselstyn

Here are some interesting statistics about changes in the American diet:

In the last century the American diet has changed dramatically; Near the beginning of the 20th century Americans ate about 120 pounds of meat annually. By 2007 that figure had exploded to no less than 222 pounds; In 1913 we ate about 40 pounds of processed sugar each per year. By 1999 our consumption of all refined sweeteners had risen to over 147 pounds; In 1909 Americans consumed around 294 pounds of dairy products apiece but by 2006 our yearly intake of dairy had more than doubled to 605 pounds; The late 50s was the heyday of the drive in burger joint and the supermarket was just beginning to thrive in the newly built post World War II suburbs. This is when the so called convenience foods were born like the legendary foil wrapped T. V. dinner not to mention a host of other tasty processed delicacies devised to make our lives easier and better.

A number of the changes in our diet have been to insure we got enough protein and getting enough protein has been most commonly associated with eating enough meat. However, this documentary points us to the incidence of Coronary Artery Disease which over time is caused when a fatty substance in the bloodstream called Cholesterol builds up in the arteries restricting blood flow to the heart. Cholesterol is a natural substance produced by all animals, including humans. It goes on to say that “When we consume dietary cholesterol which is only found in animal foods like meat, eggs and dairy products it tends to stay in the bloodstream. This so called plaque is what collects on the inside of our blood vessels and is the major cause of coronary artery disease.” Heart bypass surgery is used to go around these blocked arteries. Today over 500,000 Americans have this surgery each year at a cost of about $100,000 each.

An animation shows the working of a typical heart attack

In the mid 1960’s Dr. Campbell was in the Philippines trying to get more protein to malnourished children. To keep costs down he and his colleagues decided not to use animal based protein. While there Dr. Campbell stumbled upon a piece of information that was extremely important, it centered on the more affluent families in the Philippines who were eating relatively high amounts of animal based foods. They were the ones whose children were more likely susceptible to getting liver cancer. This was very unusual since liver cancers are mainly found in adults.

He and others began to ask themselves “Could some foods, including several that we think are good for our health, also be causing many of our most serious health problems?’

For the next part of this review we will present a claim of the documentary which is presented in the form of a question, “could there be a single solution to all of these problems? A solution so comprehensive, yet so straightforward, it’s mind boggling that more of us haven’t taken it seriously. Someone has to stand up and say the answer isn’t another pill: The answer is Spinach. A growing number of researchers claim that if we eliminate or greatly reduce refined processed and animal based foods we can prevent, and in certain cases even reverse several of our worst diseases.”

They say all we need to do is adopt a whole foods plant based diet. It sounds almost too simple to be true.

Keep reading Lukewarm Legumes and watch for the next installment of this Movie Review “Forks Over Knives” – Part Three: The Solution

Basic Review of Ebelskivers

First of all we want to apologize to all of you for our lack of posting last month, we also want to send a HUGE thank you to John for keeping things going.  Tiffany and I got married last month and it had taken a lot of our free time and unfortunately Lukewarm Legumes suffered.  The great news is we are happily married and have a lot of great posts just waiting to be composed!  Now to your regularly scheduled post about Ebelskivers.

I first heard of Ebelskivers in 2009 from Food Networks “The Best Thing I Ever Ate” series.  Celebrity Chef Aaron Sanchez  raved about this delectable little stuffed breakfast style pastries from Denmark.  I’ve wanted to try them or make them ever since, and recently that dream had become a reality.  Tiffany and I were out shopping and stumbled into Williams Sonoma, and picked up their Nordic Ware Ebelskiver Pan while a little pricey it’s a very well constructed pan.  My only complaint would be the design is not favorable for glass top ranges, which is what we have.  That said, as long as you are careful then I don’t think it’s a huge concern, but don’t come complaining to me if you scratch your glass cooktop.  This is more of a stationary pan, bring it up to temperature and leave it there, the only time it is moved is when you are removing the finished ebelskivers and returning it to the stove.

Before we jump too far ahead we want it to be known that we really enjoy ebelskivers and this is the first of a few posts you’ll see on the topic.  We’ve only made them 6 or so times now and all have been sweet, we have yet to gravitate towards the savory, but we will eventually!

The basic ebelskiver batter we use is very similar to pancake batter.

1 cup all-purpose flour
1 1/2 teaspoon(s) Sugar
1/2 teaspoon(s) Baking powder
1/4 teaspoon(s) Salt
2 whole(s) Eggs Separated
1 cup(s) Milk
2 tablespoon(s) Butter Melted and slightly cooled

Combine the dry ingredients, in separate bowl whisk together egg yolks, milk and butter, then combine with the dry ingredients – the batter will be lumpy.

Here is a picture of batter before folding in the beaten egg whites – please note this is a half batch.

ebelskiver batter

Whip the egg whites until stiff, fold in 1/3 at a time.

That’s it!

We typically add an extract to our batter, we’ve enjoyed coconut extract and vanilla extract but your creativity in balancing the filling to the batter is totally in your hands.  If you’re planning on a savory Ebelskiver then don’t use any extracts.

Next comes the cooking part, different people have different techniques but what I’ve found works best is to heat the pan to a med-low heat, have your filling ready, use a nonstick cooking spray or butter in the pan and then spoon in a generous tablespoon of batter into all of the ebelskiver openings. I’ve found it’s much better to under fill with batter than over fill, remember when you add your filling it displaces batter and fills up the rest of the cup.  Once the batter is in the pan quickly get your fillings into as close to the center of the batter as you can.   If you find you’re rushing too much turn the heat down a little.  As I mentioned before it’s much easier to have them a little on the small side than overly huge, however, as you’ll see in the image below the cups do fill up when you add the fillings.

Ebelskivers cooking

Another little trick I’ve been using since our first batch is that once the fillings are in I use my finger and kind of push the filling down and make sure it’s covered with batter.  The reason I do this is it typically produces an ebelskiver that is less likely to leak.  The image above is a cherry and chocolate sauce in coconut extract infused batter.

You’ll notice some bubbles when they are cooking, unlike with regular pancakes this is not an indication that they are ready to turn, even when the bubbles remain.  This just takes a little practice but after your first pan full you’ll have it down.

They sell a pair of sticks to flip/turn ebelskivers at Williams Sonoma for $13, we opted to just use wood skewers, the kind you use for grilling.  We also tried a high temperature slim silicon spatula and it didn’t work at all!  To flip them all you do is gently poke along one side and they should sort of start turning on their own, carefully help it make the complete flip and if you’ve over filled them gently, and carefully squish them into the pan.  You’ll know what I’m talking about if you do it, if you over fill them this is where it will become a problem.  When you try to flip an over filled ebelskiver it doesn’t fit back into the pan, the baking soda reacts and they grow when cooked.  If you do this and don’t squish them into the pan you end up with a most likely leaking ebelskiver that resembles a mushroom – they still taste great but it’s not a great demonstration of the technique used create what should be a uniform and sealed ebelskiver.

I typically plan for a single turn, that’s not to say you can’t flip them back over if you think they need more cooking but it shouldn’t be necessary if you are patient enough.  The finished product looks like what you see below.

ebelskiver's

 

You’ll notice some of these leaked and there is some uneven cooking, this was 100% my fault, this batch is one of our very first batches and we’ve gotten a lot better.  You can dip them in syrup, eat them as is, dust them with powdered sugar, whatever you feel is appropriate.

As I mentioned earlier we have become a big fan of these and we will follow up with additional posts on our success and failures (there have been a few), in the mean time we strongly suggest giving these tasty little stuffed pancakes a shot!

 

 

 

Vegan Party Guest

Anyone who entertains will sooner or later be faced with the prospect that one of the invited guests has nontraditional dietary needs. This is not something new because there have always been people who, because of a medical condition, conscience, or simply personal preference eat a diet different than others.

Our society continues to change, bringing with it added diversity. Greater mobility enables more of us to travel around the world to experience differing cultures.  The sharing of new and alternative ideas & perspectives predominates our communications. Medical research brings better understanding how foods and our diets affect our health both positively and negatively. All of this helps contribute to expanding dietary needs and expectations.

Being a thoughtful host who desires to be hospitable, making my guests comfortable and desiring to accommodate their needs, I contemplated “what would be the best approach to providing foods for the occasion when our guests have a variety of dietary expectations/needs?”

As I have mentioned before, for the birthdays of people who are close to me I have a standing offer to make for their birthday the meal and dessert of their choosing. This last weekend was the birthday of my son’s wife and she asked for Fettuccine Alfredo and Chocolate Cake with Cream Cheese Frosting.

Of course I was going to fulfill her request, but one anxiety I had is that one of the invited guests has adopted a dietary lifestyle that excludes meat AND dairy. Being that both Fettuccine Alfredo and Chocolate Cake with Cream Cheese Frosting involve: butter, cheese, eggs, and milk I knew that if I as the host of the party did not make other arrangements, this particular guest would not have anything to eat.

Thankfully, I had inspiration for an experiment. Knowing that the majority of the invited guests preferred traditional dishes and were not familiar with eating Vegan, and were perhaps even repulsed by the idea, I conceived to make what she wanted using both traditional and Vegan recipes and serve them in parallel so the guests had the option to not only eat what they were familiar with but also be able to sample a Vegan alternative thereby providing them with a new experience and helping enlarge their world even more.

Dual Spread Vegan/Traditional

The menu for this party included: Green Salad with Vinaigrette and Ranch Dressings; Fettuccine with Traditional and Vegan Alfredo Sauce; Garlic Bread with Olive Oil & fresh minced Garlic; and both Traditional and Vegan versions of Chocolate Cake with Cream Cheese Frosting. The Traditional options are on the left of this picture and the Vegan options are on the right. (see below for recipes)

Traditional Alfredo Sauce

ALFREDO SAUCE (Traditional)

Ingredients
5 T Butter
4 T Flour

1 c Cream, heavy
1 ½ c Milk

4 Cloves Garlic minced *
½ t Salt
½ t White Pepper

1 c Parmesan Cheese
1 c Sour Cream

Instructions
Melt butter in pan over medium heat, add flour and blend to make a paste. Pour in milk & cream and whisk to remove any lumps. Stir in garlic, salt, and white pepper and heat thoroughly. Add Parmesan Cheese and Sour Cream. Stir until blended and bubbly. Add more milk if needed to produce the desired consistency.

Serve over Fettuccine Pasta cooked al dente.

* You can substitute 1 t Garlic Powder for the fresh garlic, if necessary.

Vegan Alfredo Sauce

ALFREDO SAUCE ( Vegan)

Ingredients
1/3 c Olive oil
4 cloves Garlic, finely chopped
½ Onion, yellow chopped

16 oz pkg Tofu, soft (drained)

2 T Basil, dried
2 T Parsley, dried
8 oz can Mushrooms, sliced (drained)
½ t Black pepper
½ t Salt, Kosher

Instructions
Sauté onion and garlic in Olive oil.

Liquefy in blender.

Add Tofu to garlic/oil mixture and blend until smooth and creamy.

Put tofu mixture in saucepan, add basil, parsley, mushrooms, salt & pepper and heat thoroughly.

Serve over Fettuccine Pasta cooked al dente.

Traditional Chocolate Cake

CHOCOLATE CAKE (Traditional)

For the Chocolate Cake I tried a new recipe called “The Best Chocolate Sheet Cake Ever” and was very pleased with how it turned out.

CREAM CHEESE FROSTING (Traditional)

Ingredients
8 oz pkg Cream cheese (softened)
1/2 c Butter, softened
1 c Powdered sugar
1 t Vanilla

Instructions
Blend Cream Cheese with Butter. Mix in powdered sugar gradually and blend until smooth. Add vanilla.

Vegan Chocolate Cake

CHOCOLATE CAKE (Vegan)

Ingredients
3 c Flour, cake
2 c Sugar
6 T Cocoa powder
2 t Baking soda
2 t Baking powder
1 t Salt, Kosher

2 c water
3/4 c Vegetable oil
2 T Vinegar, white
2 t Vanilla

Instructions
Preheat oven to 350 degrees F.

Mix dry ingredients together. Mix in wet ingredients just before baking and continue mixing until you obtain an even batter.

Pour into 13 x 9 cake pan and bake for approximately 40 minutes.

CREAM CHEESE FROSTING (Vegan)

Ingredients
1/2 c Cream cheese, Vegan *
1/2 c Margarine, Vegan **
1 c Powdered sugar
1 t Vanilla

Instructions
Blend Cream Cheese with Margarine. Mix in powdered sugar gradually and blend until smooth. Add vanilla.

* VEGAN CREAM CHEESE

Ingredients
1 c Tofu, firm
2 T Vegetable Oil
3 T Lemon Juice
1 T Sugar
1/2 t Salt, Kosher

Instructions
Combine all ingredients in a blender and process until smooth. Pour into a bowl and chill.

** VEGAN MARGARINE
Earth Balance Brand Margarine

I used Earth Balance Brand Whipped Margarine which is both Vegan and Organic

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Most of the guests at least sampled both versions of the dishes (Traditional and Vegan). Some rejected the Vegan option solely because it was Vegan or that the Vegan version contained Tofu. The guests who at least tried both versions were surprised that they tasted so good and said they never would have guessed they were Vegan if I hadn’t told them. My Vegan guest took what was left of the Vegan Fettuccine Alfredo and had it for lunch the next day.

Movie Review “Forks Over Knives” – Part One: Introduction

“Get some rest. If you haven’t got your health, then you haven’t got anything. “ Count Rugen in ‘Princess Bride’

Forks Over Knives

Forks Over Knives, released in 2011, is a movie about the modern diet which seeks to support “the profound claim that most, if not all, of the degenerative diseases that afflict us can be controlled, or even reversed, by rejecting animal-based and processed foods.”

I have two friends who recently became Vegan. One grew up in the Seventh Day Adventist Church and has never eaten meat; the other has until now been a confirmed omnivore like myself. Both are in their mid thirties and both have adopted the Vegan lifestyle out of health concerns. One of these friends challenged me to watch this documentary, and I accepted the challenge.

Forks Over Knives is a documentary. For those of you who expect to be entertained by what you watch, you will most likely find viewing it to be pretty slow going. However, for those of you who are interested in what the film makers have to say, I believe you will be fascinated with the information which is presented, as was I.

I did not read any reviews before watching it so I could see it with as much of an unprejudiced eye as possible. Plus, before forming my final opinion I watched the documentary several times to be certain I understood its message clearly.

After having watched Forks Over Knives I felt it was a worthwhile exercise to write a review of it in order to help me better understand and be able to articulate my thoughts on the material presented, but also so that I could share my perspective with the readers of LukewarmLegumes who I believe will find the topic of interest and benefit.

Admittedly, I am a foodie and not a nutritionist nor trained medically and offer my perspective in that context. But even so I am certain, if you have read this far, you will be interested in my analysis. I am thankful for and highly respect the work of the two principles of this work: pioneering researchers Dr. T. Colin Campbell and Dr. Caldwell Esselstyn.

The documentary begins with a plethora of snippets about the Western Diet, its unhealthy character, and the prevalence of certain health conditions, in order to establish that we (particularly those in the United States) are facing a major health crisis. The documentary points out that we in the U.S. pay more for healthcare per person than any other industrialized nation in the world, “yet we’re sicker than ever.” Heart Disease: Diabetes: Chronic Fatigue, these are all health issues we predominately suffer from and they are on the increase.

This documentary suggests that there is a simple solution to all of these ills: switching to an exclusively plant based diet and eliminating all processed foods.

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Here is a Synopsis of the movie from the Forks Over Knives website:

What has happened to us? Despite the most advanced medical technology in the world, we are sicker than ever by nearly every measure.

Two out of every three of us are overweight. Cases of diabetes are exploding, especially amongst our younger population. About half of us are taking at least one prescription drug. Major medical operations have become routine, helping to drive health care costs to astronomical levels. Heart disease, cancer and stroke are the country’s three leading causes of death, even though billions are spent each year to “battle” these very conditions. Millions suffer from a host of other degenerative diseases.

Could it be there’s a single solution to all of these problems? A solution so comprehensive but so straightforward, that it’s mind-boggling that more of us haven’t taken it seriously?

FORKS OVER KNIVES examines the profound claim that most, if not all, of the degenerative diseases that afflict us can be controlled, or even reversed, by rejecting animal-based and processed foods. The major storyline in the film traces the personal journeys of a pair of pioneering researchers, Dr. T. Colin Campbell and Dr. Caldwell Esselstyn.

Dr. Campbell, a nutritional scientist at Cornell University, was concerned in the late 1960’s with producing “high quality” animal protein to bring to the poor and malnourished areas of the third world. While in the Philippines, he made a life-changing discovery: the country’s wealthier children, who were consuming relatively high amounts of animal-based foods, were much more likely to get liver cancer. Dr. Esselstyn, a top surgeon and head of the Breast Cancer Task Force at the world-renowned Cleveland Clinic, found that many of the diseases he routinely treated were virtually unknown in parts of the world where animal-based foods were rarely consumed.

These discoveries inspired Campbell and Esselstyn, who didn’t know each other yet, to conduct several groundbreaking studies. One of them took place in China and is still among the most comprehensive health-related investigations ever undertaken. Their research led them to a startling conclusion: degenerative diseases like heart disease, type 2 diabetes, and even several forms of cancer, could almost always be prevented – and in many cases reversed – by adopting a whole-food, plant-based diet. Despite the profound implications of their findings, their work has remained relatively unknown to the public.

The filmmakers travel with Drs. Campbell and Esselstyn on their separate but similar paths, from their childhood farms where they both produced “nature’s perfect food,” to China and Cleveland, where they explored ideas that challenged the established thinking and shook their own core beliefs.

The idea of food as medicine is put to the test. Throughout the film, cameras follow “reality patients” who have chronic conditions from heart disease to diabetes. Doctors teach these patients how to adopt a whole-food, plant-based diet as the primary approach to treat their ailments – while the challenges and triumphs of their journeys are revealed.

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In subsequent posts I will further examine the claims of this documentary, both in regards to the problem as it is presented and the proposed solution.

Watching this documentary just might transform your life.

Stay tuned.

Part Two: The Problem