Health for life

Are you tired of Thanksgivings when your entire family comes to visit, but you don’t have time to talk to any of them? Do you dream of serving fresh, home-prepared food instead of Stove Top and Potato Buds on Turkey Day? Come this holiday, do you wanna save a coupla bucks?

Sweet. We gotcha covered.

By following these steps and devoting an hour or two to planning ahead, you can cook up a wholesome, economically sound Thanksgiving feast without going completely insane. You’ll have time to actually interact with your loved ones, and no one will leave the house hungry.

Of course, if you’re not up for these strategies (and yo, it’s understood), A) do whatever works for you, or B) try a potluck. Roast some poultry and have each guest bring a side, a dessert, or some booze. No muss, no fuss, and no one can blame you if the green bean casserole came out a little weird this year.

In the meantime, behold! And if you have anything to add, fire away in the comment section.

Step #1: Start shopping now.
Supermarkets begin offering Thanksgiving bargains weeks before the actual holiday. So, if you know you need an item – say, unsalted butter or canned sweet potatoes – buy them on sale a.s.a.p. You’ll save cash AND get to check something off your list.

NOTE: Obviously, this doesn’t apply to perishable goods. If you know you’re making applesauce, wait until the week-of to pick up the fruit. Otherwise, Rot City.

Step #2: Get a headcount.
Is it just the immediate fam this year, or are your 16 second cousins from South Carolina stopping by for some big, juicy bird? Having an approximate attendance will help you plan and budget accordingly.

Step #3: Prep your recipes.
Once you have a headcount, research and start amassing the appropriate recipes based on number of attendees, dietary restrictions, taste perences, and budget. (It’s easier than it sounds, since Thanksgiving tends to focus on a few traditional dishes.) Cut and paste them into a Word Document, so they’re easily searchable and erenced. My favorites include:

• Alton Brown’s Brined Turkey, roasted via Cook’s Illustrated directions
• Pioneer Woman’s Cranberry Sauce
• Honey-Glazed Roasted Carrots
• Ma’s Applesauce
• Sweet Potatoes with Mini Marshmallows

Don’t worry about appetizers, as people are going to stuff themselves at dinner. If you do opt for hors d’oeuvres, choose something light, like crudite and bean dip.

Ask guests to bring wine and desserts. Of course, you can prep a pie or two the night before, but letting family pitch in will A) make them feel validated/as if they contributed, B) ease your stress level, and C) save you a buck or two.

Step #4: Create a grocery list.
Now that you have all the recipes, make a big ol’ grocery list of their ingredients. (This is super easy if you’ve already compiled the recipes in a Word Document.)

Helpful hint: If two dishes call for the same ingredient, combine the quantities so you don’t overbuy. For example, if your mashed potatoes need 4 tablespoons of butter, and your stuffing needs 6 tablespoons of butter, combine them into a single line, reading “10 tablespoons of butter.” Shopping will be way less complicated.

Step #5: Check off what you already have.
Odds are, a few list items are already floating around your pantry. Olive oil? Check. Salt? Check. Sixteen-pound game bird? Che- … oh, wait.

Step #6: Spread the remaining shopping out over the next few weeks.
To reiterate, supermarkets tend to spread sales out in the days leading up to Thanksgiving. Buy a little of your list each week, during your regular grocery shopping, using online circulars to check for deals. You’ll have to make a final trip, of course, but you’ll have already banked a bunch of money, and reduced your list by leaps and bounds.

Step #7: Create a schedule.
Okay. This one is where it gets a little nuts, but trust me – creating a schedule really, really helps. Why? It does four things:

1. Manages your time. Worried about what you’re supposed to be doing, and when? No longer. Also, you actually get to socialize.
2. Coordinates the stovetop and oven. If you’ve ever tried to cram stuffing, turkey, and sweet potatoes into the oven simultaneously, only to have nothing cook all the way through, you know what I’m talking about.
3. Ensures you remember everything. Have you ever blanked on the biscuits? Forgotten the beans in the fridge? This visual cue will stop it from happening.
4. Gets all the food to the table at the same time. Never again will your turkey be ready two hours after the mashed potatoes.

To make this magical document: Take each recipe, and working backwards from the time you’re serving dinner, assign each prep step a time slot. For example, if the stuffing needs to be served at 4pm, it should go in the oven at 3pm, be assembled about a half-hour earlier, at 2:30pm.

This is tough to explain, so here’s mine from last year. (Click to enlarge.)

Click to enlarge

I usually stick my schedule to the fridge, along with the recipes I’m making that day. This way, it’s convenient, accessible, and I won’t spill gravy on it.

Step #8: Enlist a Sous Chef, a Dish Doer, and a Table Setter.
Unless you’re Ina Garten, Superman, or SuperInaGartenMan (whom, I assure you, exists), you’re gonna need some help in the kitchen. Your Sous Chef can take care of potato mashing while you’re making the gravy. The Dish Doer will wash kitchen gear throughout the day, guaranteeing the appropriate equipment (whisk, measuring cup, etc.) is always clean. And heck, you know all about the Table Setter.

Fun fact: One person can cover the three jobs, if he/she is particularly talented. Last year, my sister’s boyfriend basically made Thanksgiving possible.

Step #9: Do as much as you can the night before.
The Night Before Thanksgiving 2009, my schedule read like this:

• Make brine
• Dunk turkey
• Make applesauce
• Make cranberry sauce
• Make cornbread
• Dice all gravy ingredients
• Peel and cut carrots
• Wash and cut green beans
• Prep all remaining ingredients

It looks complicated, but only took a few hours, and allowed me tons of time to hang out on Thanksgiving Day. With a similar strategy, you’ll reduce potential stressors and eliminate last-minute trips to the grocery store for cranberry sauce.

Step #10: Stick to the gameplan.
Adhere to the schedule, and Thanksgiving Day will be a walk in the turkey park. (Yes, the turkey park.) Youll not only have plenty of quality time with family and friends, but theyll applaud your efforts for decades to come.

BONUS Step #11: Start drinking, but wait until AFTER you’re finished chopping.
Don’t ask me how I know this.

Readers, what think you? Does this seem crazy, or does a little time invested up front seem like a good trade-off for the day-of? What would you add or take away? The comment section, she is open.

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If you like this article, you’ll surely enjoy:

• Feeding a Group on Vacation
• Potluck Tips to Save You Time and Moolah
• Recession Chic, Party Planning, and Me

Lets fix it!

While noisy media leprechauns dispense blame and declare winners in the government shutdown imbroglio, the Disease Management Care Blog remains focused on the next steps for meaningful health orm. So are JAMA authors Jack Lewin, Lawrence Atkins and Larry McNeely who, other than one lapse in their editorial, get it mostly right.

Their important insight is that the Bipartisan Policy Center, Brookings Institution, Commonwealth Fund, Kaiser Family Foundation, the National Coalition on Health Care, Partnership for Sustainable Health Care and Urban Institute all have a remarkable degree of overlap in their recommendations for the next phases of health orm. 

Most of these expert organizations agree on the merits of value-based payment as well as insurance orm (pay for quality), information technology, competition, tort orm, evidence-based benefit design (paying when theres evidence that it works), workforce changes (greater efficiency), orming Medicare, changing tax policy (the exemption for health insurance) and instituting regional or local caps (stick to a budget or theres consequences).

The DMCB wholeheartedly agrees and hopes that the bipartisan consensus evident among these think-tank institutions leads Congress (if not this one, the next) and the President (if not this one....) to use these ingredients to build on the successes and correct the many deficiencies of the Affordable Care Act.

And the lapse? 

Jack Lewin et al were missing one thing. The DMCB looked in each of these organizations web sites and found that there was also considerable support for population health management.

To wit:

The Bipartisan Policy Center - while the emphasis of this report is on health information technology, the real dividends are pretty clear when it mentions "population health" 14 times:

This plan should address the development and adoption of policies and standards needed for the delivery of care, the empowerment of individuals, and improvements in population health based on national health and health care priorities.

The Commonwealth Fund:

 Effective population health management requires fundamental change in care delivery that must be supported by changes in payment.

National Coalition

Real orm means engaging consumers in their own health and health care choices. In both Medicare and too many private plans today, benefit design neither supports self-management of chronic disease nor distinguishes between care that is effective and care that is not.

Partnership for Sustainable Health Care - see page 22:

Federal nurse education funding should be ocused to equip registered nurses to assume the roles of case manager and population health coordinator.

The Urban Institute - see page 17 on the topic of Medicaid orm:

States can start in select geographic areas or specific population groups (adults and children or specific chronic conditions), and then incrementally expand them after learning from experience and making program improvements and adjustments. Broader efforts typically mean additional stakeholders, increased collaboration and communication.

Moving 6,000 or more steps a day—no matter how—adds up to a healthier life for midlife women. That level of physical activity decreases the risk of diabetes and metabolic syndrome (a diabetes precursor and a risk for cardiovascular disease), showed a study published online this month in Menopause, the journal of the North American Menopause Society.

Although other studies have shown the value of structured exercise in lowering health risks such as diabetes, high blood pressure, and heart disease, this study has shown that habitual physical activity—whether it comes from exercising or just activities of daily living—has the power to improve womens health.

In Passo Fundo, Brazil, 292 women who were 45 to 72 years old wore pedometers and recorded their daily steps. They also had health checks such as cholesterol and blood sugar and waist and hip measurement (to gauge abdominal obesity, which is a risk for diabetes and cardiovascular disease). Women who took 6,000 or more steps per day were considered active and those who took fewer inactive.

The active women were much less likely than the inactive ones to be obese and have metabolic syndrome or frank diabetes, whether or not they had gone through menopause–when these risks usually go up–and whether or not they were using hormone therapy.

For midlife women, it looks like the journey to health begins with 6,000 steps!