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Author Topic: When you eat out for lunch what do you order?  (Read 6653 times)
paul.karen
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« on: April 21, 2011, 08:04:07 AM »

My Phosphorus is outta control.  I take renvela after meals but it is still high.  I eat good at home for dinner but for lunch i eat all the wrong things.

Besides salads if ordering out what do you order that is renal friendly?
Any suggestions welcome i need to change my eating/ordering habits.

Is ANY lunchmeat good for us?   Low sodium?  Oven baked Turkey? may be oven baked but it is stilled processed.  For me this is the hardest part of being ESRD not knowing what is or isnt ok to eat.
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peleroja
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« Reply #1 on: April 21, 2011, 08:16:10 AM »

Eggs and other low sodium protein sounds good to me.  As for low sodium lunch meat, I've found Hillshire Farms in the square package to be pretty low in sodium.  When in doubt, I use http://www.nal.usda.gov/fnic/foodcomp/search/index.html to get more information about fruits and veggies that don't come with those handy nutrition guides.  Can you take your Renvela before you start eating?  My nurse once told me that taking my binders at the end of the meal means that some of the phosphorus has already been processed.  Might make a difference.  That's all I can come up with right now.  Let us know how you're doing.
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paul.karen
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« Reply #2 on: April 21, 2011, 08:18:34 AM »

i take my renvela after meals.  But there is no reason i cant take it before meals.
They switched me from the pills to the powder im hoping that may also help...
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Curiosity killed the cat
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Operation for PD placement 7-14-09
Training for cycler 7-28-09

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greg10
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« Reply #3 on: April 21, 2011, 09:25:10 AM »

..
Is ANY lunchmeat good for us?   Low sodium?  Oven baked Turkey? may be oven baked but it is stilled processed.  For me this is the hardest part of being ESRD not knowing what is or isnt ok to eat.
Unfortunately most processed meats, even oven baked or rotisserie meats, could be full of phosphate.  You may be better off packing a lunch from home, using home made ingredients.

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Caretaker for my elderly father who has his first and current graft in March, 2010.
Previously in-center hemodialysis in national chain, now doing NxStage home dialysis training.
End of September 2010: after twelve days of training, we were asked to start dialyzing on our own at home, reluctantly, we agreed.
If you are on HD, did you know that Rapid fluid removal (UF = ultrafiltration) during dialysis is associated with cardiovascular morbidity?  http://ihatedialysis.com/forum/index.php?topic=20596
We follow a modified version: UF limit = (weight in kg)  *  10 ml/kg/hr * (130 - age)/100

How do you know you are getting sufficient hemodialysis?  Know your HDP!  Scribner, B. H. and D. G. Oreopoulos (2002). "The Hemodialysis Product (HDP): A Better Index of Dialysis Adequacy than Kt/V." Dialysis & Transplantation 31(1).   http://www.therenalnetwork.org/qi/resources/HDP.pdf
Zach
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« Reply #4 on: April 21, 2011, 09:48:57 AM »

greg10 is correct.  Most brands of deli meat add sodium phosphate.

Try to find out what the deli makes themselves.
How about sliced egg sandwich?

Also, how many Renvela's do you take at lunch?
Perhaps you need to up them by one or two pills.
 8)
« Last Edit: April 21, 2011, 09:56:38 AM by Zach » Logged

Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
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Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
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paul.karen
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« Reply #5 on: April 21, 2011, 09:58:48 AM »

i use to take three renvela pills with meals.

Now i use the powder form.  I have no idea what that equals to pill form?  Good question for my neph.

As for the delis around me they are mostly chains so not much if anything is made in store i dont think.  Usualy it is shipped in premade.

Eggsalad does sound good...
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Curiosity killed the cat
Satisfaction brought it back

Operation for PD placement 7-14-09
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Zach
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« Reply #6 on: April 21, 2011, 10:05:06 AM »

I use the powder occasionally, and one packet is 2.4 g, which equals 3 pills. I think there are smaller dose packets, so you need to check.

I start drinking a little just before I begin eating and I finish it while I eat.  Unfortunately it is a suspension and does not fully dissolve, so you need to keep stirring it as you drink it.

 8)
« Last Edit: April 21, 2011, 12:14:38 PM by Zach » Logged

Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
Zach
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"Still crazy after all these years."

« Reply #7 on: April 24, 2011, 03:35:40 PM »

Here are a few of the DIETZ & WATSON brand deli Roast Beef choices that are low sodium and do not have preservatives, such as sodium phosphates:

http://www.dietzandwatson.com/our-products/deli/beef/golden-recipe-oven-roasted-all-natural-roast-beef-rare/
http://www.dietzandwatson.com/our-products/deli/beef/choice-top-round-roast-beef/
http://www.dietzandwatson.com/our-products/deli/beef/angus-roast-beef/

 8)
Logged

Uninterrupted in-center (self-care) hemodialysis since 1982 -- 34 YEARS on March 3, 2016 !!
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
No transplant.  Not yet, anyway.  Only decided to be listed on 11/9/06. Inactive at the moment.  ;)
I make films.

Just the facts: 70.0 kgs. (about 154 lbs.)
Treatment: Tue-Thur-Sat   5.5 hours, 2x/wk, 6 hours, 1x/wk
Dialysate flow (Qd)=600;  Blood pump speed(Qb)=315
Fresenius Optiflux-180 filter--without reuse
Fresenius 2008T dialysis machine
My KDOQI Nutrition (+/ -):  2,450 Calories, 84 grams Protein/day.

"Living a life, not an apology."
Rerun
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« Reply #8 on: April 24, 2011, 03:48:21 PM »

You can have a nice jucy hamburger (no cheese).  And ask for no salt added to anything.  Otherwise they may sprinkle salt.  I also may get a small fry no salt once in a while. 

You can ask for a hamburger patty, no salt and no cheese with a side of cottege cheese for the slim lunch.

You can pack your own lunch and put in some fruit, cut carrots, some wheat thins (hint of salt), cottege cheese, and a sugar cookie?  Doesn't sound that great.  Maybe a jelly and peanut butter sandwitch.  Notice the play on words.  More jelly then peanut butter.

A hard boiled egg with Mrs. Dash for flavor is good.

Tacos are pretty good if you make them yourself to watch the salt.  Hamburger, onions, salad, corn tortillas, sour cream.

Yes, you can eat sour cream, cream cheese and cottage cheese.  So you can buy the low salt Ritz and put some cream cheese on for a snack.

Hope this helps.
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WishIKnew
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« Reply #9 on: April 24, 2011, 05:04:45 PM »

So is a grilled chicken breast a bad choice?
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kristina
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« Reply #10 on: May 21, 2011, 12:49:44 AM »

Hello, paul.karen,

Whenever I travel and (have to) eat out
I always make sure to choose a place
where “old-age-pensioners” go for their breakfast/lunch/dinner.

Experience has thought me  t h a t  is the place where the healthiest food is being served.
Often that is in an ordinary Department-store and  n o t  an independent Restaurant.

It is my experience that the food is served in its basic form
and it is left to the customer to put on the food any sauces or condiments.

As I always leave these additives out, I haven’t had any problems so far.

Independent Restaurants often add garlic (which I am allergic to)
and other spices unbeknown to the customer
and they often over-salt food to make the customer buy more drink.

So, in a nutshell, I go with the “old-age-pensioners”,
because they have to look after their more frail digestive system
and I have to look after my frail kidneys and have to avoid Lupus-flare-ups.

Good luck from Kristina.
« Last Edit: May 21, 2011, 12:51:57 AM by kristina » Logged

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