Just the facts ma’am….

just-the-facts-ma'am

Sgt Joe Friday (Jack Webb)

I was recently asked by a new acquaintance if I had been diagnosed with ADHD. My initial response was surprise. Me? Attention problem? As someone who has sat in the same spot for hours on end reading textbooks cover to cover, studying for medical boards and looking at hundreds of slides (one of my favorite parts of dermatology and why I became a dermatopathologist) without getting up to eat, drink or use the loo (that just sounds better than “potty” don’t you think?), it hadn’t occurred to me that I might have a problem staying focused.  I know I have my idiosyncrasies and nuances, and that certain” je ne sais quoi” that I like to think of as part of my charm (aka: a New Yorker without a filter=inappropriate and sometimes vulgar to which I credit  my father: love you Dad ), but I didn’t think attention or focus was a problem. But as I thought about her comment some more, I came to the realization that my issue is not an inability to stay focused when tasked, it’s more that I am perpetually interested in lots of things and often more interested in something other than what I am doing at that moment. Which brings me to the whole point of this post.

I had originally intended to post topics that only had “dermatology” titles: topics relating to the health of your skin, how to manage issues with your skin, and how to protect it, as my passion is educating people about skin cancer and melanoma, but somehow I keep getting side-tracked. Like I said, I am interested in a lot of things, especially eating. Learning new ways to cook (or just learning to cook for that matter) has opened a whole new world for me and I am having fun experimenting and I want to share that with you.

You see, your skin is a window to the overall health of your body. There are many systemic diseases which manifest characteristic skin findings. Therefore, examination of the skin can be key to making diagnoses as well as prompting a more extensive evaluation to pursue the possibility of internal organ involvement. Though not common, skin findings can be the first clue to metastasis of internal malignancy leading to diagnosis, work-up and subsequent management.

So what I am getting at is that what you eat can have a big impact on your skin. For example, those of you with Celiac disease may have experience with dermatitis herpetiformis (DH). DH is a chronic, intensely itchy, blistering skin manifestation of gluten-sensitive enteropathy (Celiac disease) which affects 15 to 25 percent of people with the disease and is found mainly in adults (more common in men and people of northern European descent). A strict gluten-free diet is the only treatment for the underlying disease, though some people may require temporary use of oral medication in order to get relief from their skin symptoms as they transition their diets.

So even though my plan was just to stick to the “derm facts”, there are so many facets of our lives that are intimately linked to the health of our skin: food, fitness, travel (bed bugs, myasis and leishmaniasis, oh my) that you may find my attention wandering in different directions. Feel free to reign me in if you have questions, or jump on board and enjoy the ride it should be interesting!

Chocolate Almond goodness

IMG_1909
These little nuggets of goodness are made from a recipe adapted from an inspiring and beautiful blog I have come across (thank you Caitlin-roostblog.com)  It was originally made as a dinner biscuit, but I tweeked it make it an after dinner treat. Depending on which of my adaptations you try, you can make it more like a biscuit(less sweet) or more like a true dessert….a girls got to have her chocolate right?

Over the last few months, as I have jumped, I mean seriously, like off the high dive right into the deep end of a pool (and I’m afraid of heights mind you…another wonderful bonus of getting older, but I digress) into the gluten-free realm, I have tried to nudge my family, especially the kids into the “shallow water” of gluten-free eating. So when my son, the pickiest eater of us all gives something a thumbs up, believe me, I am going to shout the recipe out to anyone willing to listen. (just turn down the volume if I’m being too loud).

I have now made this 3 ways, using either butter or coconut oil for variety. Choose whichever one sounds good to you!

Chocolate Almond Goodness: Subtle sweetness for a mini-biscuit

  • 2 1/2 cups almond flour
  • 1/2 tsp salt
  • 1/2 tsp baking soda
  • 2 eggs
  • 1/4 cup melted organic coconut oil or butter (Note: coconut oil will impart a somewhat “tropical” flavor and butter will provide a true biscuit flavoring)
  • 1/4 cup brown rice syrup
    3 Tb organic cacao powder

Preheat oven to 350F. Line a baking sheet with parchment paper or a silpat (or whatever you’ve got so things don’t stick to pan).

In a large bowl, combine the almond flour, salt, cacao and baking soda. In a medium bowl, whisk together the coconut oil, brown rice syrup and eggs. Stir the wet ingredients into the flour mixture until thoroughly combined. With a spoon or if you are willing to get dirty (which is more fun in my opinion) scoop up some dough in your hands and make small/medium blobs (very technical term) probably equivalent to 2 teaspoons or tablespoon size depending on your blob preference.

Bake for 15 minutes (give or take depending on your oven) so that a toothpick inserted into the center of a biscuit comes out clean. Let cool briefly on the baking sheet. Serve warm. ( I have also frozen the leftovers and they keep well!)

Makes about 25-28

The one below is the sweet treat version and my favorite one so far. Not too sweet, but just enough to satisfy my cravings…and hopefully yours too!

Chocolate Almond Goodness: my version of an “Almond Joy”

  • 2 1/2 cups almond flour
  • 1/2 tsp salt
  • 1/2 tsp baking soda
  • 2 eggs
  • 1/4 c organic melted organic coconut oil
  • 1/2 c organic light brown sugar
    1/4 c organic cacao powder

The mixing and cooking directions are the same as above but instead of brown rice syrup use the brown sugar and add it to your dry ingredients. Enjoy!