Wednesday, November 12, 2014

Take a Break: Kitchen Hacks that Really Work

With the holidays in the offing, take a break today by trying a kitchen hack or two. A number of these I’ve tried and can highly recommend. Since one of my favorite “take a breaks” is experimenting in the kitchen, there are some I want to try.

• Corn Tortillas + the Oven Rack= Great Taco Shells: If you want them more like a tostado shell, lay flat on the oven rack and spray slighting with cooking oil. For a true taco shape, warm in the microwave and drape over the rack. Bake at 350 for about 10 min. You can also cut up a corn tortilla shell, place on baking sheet,  spray with oil, sprinkle salt and bake at 350 for 10 min.

• Use an apple slicer to cut potatoes. Great for making baked potato wedges. Mix with a little olive oil, salt, pepper and whatever spice you like, and bake at 450.

• Bring new life to stale crackers, chips and even rice crackers by zapping in the microwave. Takes seconds, so a few trial and errors will help you figure out the best setting for your microwave.

• Reheat pizza in a skillet.

• Mason Jar Blender Hack (This is my current favorite): Basically turn your blender into a Magic Bullet by using a Mason jar in place of the blender pitcher. Use this for single serving smoothies, salad dressing, and even single serving soups. 

• Make delicious gluten free breadcrumbs with a food processor: I actually prefer these to regular breadcrumbs in recipes. Put Rice or Corn Chex Cereal or GF Pretzels into a food processor and grind. Use as needed and freeze the rest for another time. Careful processing can yield crumbs that are similar to Panko. I prefer these to regular bread crumbs.





Not interested in today’s activity? Check out the Take a Break Pinterest for lots of Take a Break ideas. 

Saturday, November 8, 2014

Enabling/Scamming and Fraud in Health Care

There's no such thing as free money.
This past week I was alerted to a situation where a chronically ill person was being used as a conduit to obtain goods and services for their family. The person thought they were helping by “fronting” for their family,  not realizing that they were not only enabling adult children, but they were putting themselves in jeopardy.

As if to prove a point, a day later I learned of another similar situation, but in this case, those cutting the check had caught on and they came down very hard with little regard to the impact this would have on the person. Bottom line - if you are caught inappropriately using or abusing state and federal services or even local charities, the hammer falls swiftly and can have very damaging effects.

So what types of things can get you into trouble? Getting money from a local charity to pay the rent, fuel, utility bill and using it for something else. Hiding income in order to qualify for state, federal and/or local program. Turning benefits (such as food stamps) into cash.

There are people who spend hours figuring out how to “work the system,” justifying it by saying, “everybody does it.” Fact is, not everyone does it and because those that do it create such a problem, the process of qualifying for certain types of services has become so complex, many of those who could benefit don’t bother.

Also disturbing are people and organizations that knowingly dupe the public. This can range from the “snake oil salesman” promising “cures” to the “charities” that are nothing more than fronts to raise money for solicitors and not benefiting those who are in need. America’s Worst Charities list organizations like Cancer Fund of America, American Breast Cancer Foundation, and Breast Cancer Relief Foundation in the top 10 of the 50 Worst Charities in America. 

According to the National Health Care Anti-Fraud Association (NHCAA), the financial losses due to health care fraud are in the tens of billions of dollars each year. A very small minority of dishonest health care providers commits the majority of health fraud, yet the impact is huge. Common types of fraud include: billing for services and goods that were never rendered; “upcoding,” billing for more expensive services than were actually performed; performing unnecessary tests and services to generate insurance payments. Not only does this result in higher health insurance premiums, it can have very negative effects on patients, including physical risk from unnecessary tests, treatments and other procedures. Learn more by going to the NHCAA site.

Needless to say, the more complex our health care and social services become, the more advances made to extend life, the more scamming and fraudulent behavior seems to be appearing.  These issues are so prevalent in health care that a week doesn’t go by that I have some form of discussion about this. That noted, there are things that each of us can do to help reduce it.

 Consider the following:
• We live in a materialistic society where having more is believed to be better. Learning to live within your means is a critical skill we all need. 

• Helping others makes us feel better, so it’s natural that we want to do it. Yet, we can over do it and become enablers creating negative consequences for all. Learn more by reading Pathological Altruism: Giving That Hurts.

• To protect yourself from being scammed by a charity, follow the guidelines for “Don’t get fooled by bad charities.”

• Prevent Health Care Fraud by treating your health insurance ID card like a credit care. Report fraud. Review your medical bill each and every time you receive it. Look for charges for services you didn’t receive; billing for the same thing twice and services that were not ordered by the doctor. Since many people have life time caps on their health insurance policy, “upcoding” could end up robbing you of health care reimbursement down the road. For more information on this topic read 12 Tips to Protect Yourself from Health Fraud 


• Because those with chronic conditions are often at high risk for being the targets of charlatans promising false “cures,” be sure and read If it Sounds to Good to be True: Scams, Frauds and Quacks 

Wednesday, November 5, 2014

Take a Break Archives 2009-10/14

The first Wednesday of November is “archival day,” where I catalogue the “take a breaks” for the last 12 months and add them to the previous years. There are now literally enough take a breaks that you could do a different one every day. This past year I started a Pinterest site, so that is another option to check when looking to “take a break.” 




NOVEMBER 2013




JANUARY 2014


FEBRUARY 2014

MARCH 2013

APRIL 2014

MAY 2014

 JUNE 2014

JULY 2014

AUGUST 2014

 SEPTEMBER 2014

OCTOBER 2014


































Saturday, November 1, 2014

Cleaning When Affected by a Chronic Condition



When you feel lousy, or your caring for someone round the clock, it’s really hard to keep your house clean. With that in mind, these are tried and true ways that people affected by chronic illness are dealing with housekeeping issues.

Basics
• Accept whatever level of clean you have to. Don’t compare your place to someone else, particularly since they aren’t dealing with what you are.

• Clean a little each day and when you have the energy. Do what you can, when you can for as long as is reasonable. You’d be amazed what you can get done in 5 minutes. Rest and don’t over do it.

• Turn on your favorite radio program, listen to music or even watch a little TV while you fold clothes, dust or engage in a chore. I have a routine where I listen to one of my favorite programs on public radio and clean the kitchen. 

• Set priorities of what gets cleaned. Priority areas should be kitchen, bathroom and the room you spend the most time in. Focus on the heavy traffic areas. You may only need to vacuum those areas of the house where people walk the most in order for the house to look good.

• Establish routines, such as sorting mail when it arrives; washing down the shower before you step out.

• Ask children, family, friends and neighbors to help, particularly when deep cleaning is needed.

• If someone asks what they can do, don’t hesitate to assign them some of the heavier cleaning chores you don’t have the stamina for.

• Hire a cleaning service, particularly for the heavy lifting.

• Check out local resources to see if there are volunteers that can help. Call 2.1.1 as every state has this service. Contact your condition specific organization (e.g. Parkinson Disease Foundation)  as some do help with cleaning. Local schools, churches, colleges, civic organizations, and the health facility where you receive your care are also places to contact for help.

• Cleaning for a Reason: As a nonprofit serving the entire United States and Canada, they partner with maid services to offer professional house cleanings to help women undergoing treatment for cancer, any type of cancer.  

• The less stuff you have the less you have to keep clean. Adopt the philosophy of “bring one thing, throw two things out.”

Green Clean
Most commercial cleaning products are not only unhealthy for the environment; they can be life altering for people with a chronic condition. Check out Are Your Green Cleaning Products Making You Sicker? 

All you need to clean is baking soda, white vinegar, liquid soap and good cleaning clothes. Not only will making your own cleaners save you money, it’s going to be healthier for you. Fresh air is the best freshener. Opening the windows, even for as little as 10 minutes, is sufficient to air out the house. For practical cleaning tips, check out:

Easy Does It
Make it as easy as possible:
• Use disposable when you don’t have the energy to clean dishes

• Equip yourself with tools that are easy for you to use and keep cleaning supplies in every room, so if you have a few moments to clean, everything is at the ready

• Let your cleaning products do the work. Let dishes soak. Spray the toilet, tub, sink, counter etc. and let it sit and soften up so it slides off with little effort.

Tools that help
• Wipes can be very helpful for cleaning bathrooms and “spot” jobs

• Swiffers are easy to use and can get in all sorts of places. The dusters come with long handles to reach where you can’t no matter how much you stretch your arm. The floor Swiffer uses disposable clothes, which can become very pricey. Try a microfiber cloth in place of the Swiffler cloths. Wetting your microfiber cloth with water, or a mixture of white vinegar and water, is a very easy way to wash floors.


• Shark Steam vac is very popular as it only uses water so no harsh chemicals and sanitizers. It’s also fast drying so limits risk of slipping and falling.

• Hand vacs are easier to use than a regular vacuum cleaner. The Oreck XL Upright only weighs 8 pounds.

• Magic Erasers: Purchase at the Dollar Store as they can be pricey, but they also get all sorts of stuff off of walls, floors and other surfaces with minimal effort.

• Microfiber clothes are the best and are available in varying sizes at the Dollar Store.

• Have pets? A good way to get pet hair off of sofa or other surfaces is with a rubber glove. Slip in on and wipe. For carpets, a squeegee is very helpful.

Laundry Tips
• Have ample bedding and clothing so if you can’t wash for a few weeks you’re okay.

• Use a laundry basket with wheels

• If possible, remove dirty clothing in your laundry room thereby eliminating a trip with the laundry basket

• Store detergent within easy reach. Shelves can help with this. Put the laundry basket on a chair or stool to reduce bending.

Bathroom
• Take a minute after a shower or bath to wipe down and clean out. Dirt and grime comes off quicker when it’s wet.

• While wipes are good for cleaning toilets and other surfaces, you can get the same effect for less money by using a spray and plain old toilet paper.

• For other tips check out Deep Clean Your Bathroom in 7 Steps from Real Simple.  Lots of easy ways to get a good clean.

Websites that can help
• FlyLady.net: The FlyLady's Simple FLYing Lessons Will Show You How to Get Your Home and Your Life in Order--and It all Starts With Shining Your Sink! Very popular with those with fibromyalgia.