September 16, 2018

A simple, light lunch

Posted in brisbane, Cooking, food, health tagged , , , , , , , at 2:37 pm by Margi Macdonald

Today we wanted to use up a few things in the fridge and make a fuss-free meal.

Just waiting to be used sooner rather than later were these ingredients:

  • Left-over mashed cauliflower, previously lightly boiled in a little salted water
  • Grated cheddar cheese
  • Spring onions (scallions)
  • Almond flakes
  • Big field mushrooms

Mix the first 4 ingredients together with a little salt, pepper and olive oil.

Rub some more olive oil into the smooth tops of the mushrooms, previously wiped clean.

Pile and press the cauliflower filling into the mushroom ‘cups’.

We preheated our sandwich press and cooked ours there. You could also do these in a little toaster oven, or under the grill using a gentle heat. If you were to make lots of these at once, you’d use your large oven.

Possible variations or additions:

  • Cooked rice, millet, quinoa, burghul or cauliflower ‘rice’
  • Fresh snipped herbs, ground spices such as chili, paprika or nutmeg, dill or fennel seeds
  • Sunflower or pumpkin seeds, pine nuts, chopped walnuts
  • Other cheeses (dairy or non-dairy)
  • Left-over cooked vegetables, finely chopped

What are your favourite fillings for mushroom cups?

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September 13, 2018

Saturdays in The Park

Posted in Acupuncture Brisbane Southside, brisbane, health, Margi Macdonald Acupuncturist, music tagged , , , , at 8:40 pm by Margi Macdonald

Yes!

Saturday appointments are available with me at Soothe Acupuncture & Tui Na in Holland Park, Brisbane.

My colleagues Adrian Jackson and Nathan Francis established this lovely, peaceful clinic over ten years ago.

We can help you with these health concerns.

Book online here.

See you soon.

…and here’s your sing-along-earworm for the week. Enjoy!

September 10, 2018

Labour induction, fear, the cascade of interventions… and a new study

Posted in Acupuncture Brisbane Northside, Acupuncture Brisbane Southside, brisbane, health tagged , , , , , , , , , at 9:08 pm by Margi Macdonald

expectant lady holding pen marking calendar

Photo by rawpixel.com on Pexels.com

August through to October are busy times for acupuncturists, as we’re often seeing women in the last few weeks of pregnancy.

An over-riding concern some women have by this stage is that their Obstetrician has started talking about needing to induce labour, usually “at 38 weeks”.

In recent years women have disclosed how anxious and worried they are about being induced when their hearts are set on a ‘natural birth’. Many of these healthy women enjoying uncomplicated pregnancies feel that the decision to schedule a non-urgent induction had been made for them, rather than with them. These women are educated and well-read, and they’ve come to understand that inducing labour may result in a cascade of interventions which may culminate in Caesarian section.

At this point, I must state that it is definitley not within the scope of practice for acupuncturists to advise women on how, when or where to have their babies. Nor is it within our scope of practice to advise or guide women in their decision-making about labour induction. And acupuncturists cannot perform ‘acupuncture for labour induction’. Labor induction is a medical-obstetric procedure.

Nevertheless, it’s our job as responsible complementary health practitioners to stay abreast of contemporary research, and to understand the wider context in which our clients are receiving health and obstetric care.

Recently this large scale study was published and it received international attention: Labor Induction versus Expectant Management in Low-Risk Nulliparous Women, Grobman WA, et al. N Engl J Med 2018; 379:513-523 DOI: 10.1056/NEJMoa1800566

The findings of this study were summarised by Science Daily:

Inducing labor in healthy women at 39 weeks into their pregnancy reduces the need for cesarean section and is at least as safe for mother and baby as waiting for spontaneous labor. Choosing to induce could also reduce the risk that mothers will develop preeclampsia and that newborns will need respiratory support after delivery.

I particularly enjoyed the discussion Australia’s Dr Norman Swann had on The Health Report with Dr William Grobman about this research. You can read the transcript, or listen here. I recommend listening if you can, as this is a nuanced conversation and it’s not often we get to hear directly from clinical researchers like this.

Dr Grobman is Professor of Obstetrics and Gynaecology, Feinberg School of Medicine at Northwestern University, Chicago and the lead author of this paper.

As well as summarising the findings and outcomes of this study, Dr Grobman stated in that interview that:

What I really want to emphasise is that this isn’t a study about that induction is the right thing to do, this isn’t a study that induction is the wrong thing to do, this is a study that we hope really provides women and their obstetric providers with information so they can make the choice that’s right for them. I think the thing that we think we can do the worst for the people for whom we care is not allowing them to make good choices because we don’t have the right information or giving them the wrong information.

And he continued

So what I would say is on the basis of this I think women need to be counselled and should be counselled by their obstetric providers so they understand the benefits and risks or the trade-offs essentially of the different options; induction of labour at 39 weeks, assuming again a reliable dating, or expected management. I think the decision-making process is I think this trade-off between it seems that with induction of labour there is a somewhat lower risk of caesarean, although there was no different in major bad outcomes for the babies, that some baby things were better. But on the other hand there are some women who find a non-interventional approach to have such value that that’s something that we should of course be honouring and supporting.

And so I think the decision-making process is trying to understand what is of most value to any given individual and using a sort of shared decision-making framework to decide because there’s not going to be a one-size-fits-all for everyone, it’s going to be, you know, I think probably a reasonably complex decision that people are going to need to make.

So if you’re in your final trimester of a healthy pregnancy and your obstetric care providers have started talking about labour induction, hopefully this latest research will enhance the important conversations you’ll be having together.

Coming soon in another post, we’ll look at an Australian study Complementary therapies for labour and birth study: a randomised controlled trial of antenatal integrative medicine for pain management in labour. Levett KM, et al. BMJ Open 2016;6:e)10691. doi:10.1136/bmjopen-2015-010691. Download this study here.

The conclusion was that this study protocol significantly reduced epidural use and caesarian section.

 

August 30, 2018

Lactose intolerance. What’s it all about?

Posted in brisbane, food, health tagged , , , , at 8:38 pm by Margi Macdonald

Watch this beaut little video “Gas Busters”.

It won the 2018 University of Sydney Sleek Geeks Science Eureka Prize (Secondary School).

Kudos to the prize-winners, Ella Woods and Emily Woods for all the research and work they put into this production, and to their science teachers.

August 21, 2018

Welcome!

Posted in health at 8:45 am by Margi Macdonald

Thanks for joining us here.

I’m glad you’re following along.

August 19, 2018

Golden Apple-Dapple Oats (with a shout-out to Aussie dairy farmers)

Posted in Cooking, food, health tagged , , , , , , at 10:04 am by Margi Macdonald

Kick-off your day with these gently spiced oats: a bowl of nutrients and energy-to-burn.

Here’s how:

  • 1/2 cup rolled and/or steel cut oats, but definitely not instant oats. We’re not making slush; we want texture, and the reverie of standing at the stove and stirring the pot.
  • Finely grated fresh turmeric root, about 1 teaspoon, or lots more. No need to peel it, but do be sure to have rinsed it and given it a little scrub.
  • 1/2 to 1 grated Granny Smith apple I peeled today’s apple simply because I didn’t want to photograph a brownish slurry which is how green skin + orange turmeric + oats would appear. Nutritionally, it’s better to include the peel, as there are abundant nutrients just beneath the skins of fruits and vegetables.
  • Hot water. You know how much.
  • Vanilla essence, if it pleases you.
  • Ground cinnamon; 1/2 teaspoon or more. Or half a cinnamon quill stirred around in there during cooking. You can rinse, dry and re-use the cinnamon quill.
  • A sprinkle of sesame seeds or pepitas or toasted nuts.
  • Milk.
  • Yoghurt. Mine is homemade. I support Aussie indie dairies, using their delicious milk to make our yoghurt. (Take that, mega-supermarket-duopoly and your ultra-cheap milk and unsustainable business practices)
  • A swirl of honey or maple syrup.
  • Serves 2

With extra thanks to ‘J’, a generous client who gave me the turmeric, fresh from her garden.

August 14, 2018

Hey Brisbane! I’ve got you covered.

Posted in Acupuncture Brisbane Northside, Acupuncture Brisbane Southside, brisbane, health, Margi Macdonald Acupuncturist tagged , at 8:40 pm by Margi Macdonald

Aerial View of Brisbane by Tobytoblerone2017.png

Aerial view of Brisbane in 2017 courtesy of Tobytoblerone

I’m available for new and existing clients – and for people I haven’t seen in a while – on both the inner northside and inner southside.

Find me here:

Northside: at AcuHealth Acupuncture Clinic in the vibrant little hub of Wilston Village. Make a booking here.

Southside: at Soothe Acupuncture and Tui Na, in a leafy, peaceful neighbourhood in Holland Park. Make a booking here.

…and yes, I’m still at Brisbane Livewell Clinic, Chermside!

_____

Image used with thanks: Tobytoblerone – Own work, CC BY-SA 4.0, https://commons.wikimedia.org/w/index.php?curid=65504628

 

 

July 14, 2018

…and we’re back!

Posted in creativity, health, life, nature tagged , at 9:40 am by Margi Macdonald

Nature is not a place to visit. It is home.

Gary Snyder

September 25, 2016

Sing-along-Sunday

Posted in creativity, music at 10:00 am by Margi Macdonald

Yep.

 

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