Simon starts seven weeks of radiotherapy today. As part of his preparation he has to be able to retain 350 ml of urine in his bladder while the machine delivers the dose over 15 minutes. This has meant he has been diligently recording his intake and output times and quantities so he can establish a pattern and arrive at hospital in just the right state. It's much harder than it sounds as it's over an hour from home to the hospital.
Banned.
He is also not allowed to have intestinal gas. We've been given a diet sheet, which is a list of foods to avoid and a list of foods that are encouraged. It has meant a quite radical change in our diet and a lot of thinking on my part.
Banned.
Number one on the banned list is anything in the onion family, so I've made batches of chicken and vegetable stock with celery, parsley and carrots, no leeks, no onions. So far he has enjoyed my special chicken noodle soup, and there is vegetable, and tomato to come.
Banned.
Number two on the banned list is green vegetables, mostly anything Brassicae, but also chard and spinach, green beans and peas. Zucchini seems to be fine, and soft lettuce such as oak leaf is positively encouraged. Green asparagus is allowed too, but a) he doesn't like it, and b) it is out of season.
Banned.
The only truly safe vegetables that he can eat and likes are carrots and potatoes, so long as they are peeled and cooked. I am going to be so sick of them by November, and sick of peeling them.
Banned.
Other banned veggies are peppers, most root vegetables (cooked carrots and beetroot are the exceptions), cucumber and white asparagus. I'm taking the view that as tomatoes and aubergines are not mentioned they must be okay.
Okay.
Naturally the other big group of banned foods are pulses (leguminous veggies such as dried beans, chickpeas and lentils). This is a food group that we would normally eat several times a week!
Okay.
He can eat hard cheeses but needs to avoid soft cheeses and blue cheeses. Yoghurt is okay, and desserts such as rice pudding. I've been doing him stewed fruit to have with yoghurt, and he can eat all sorts of plain cakes and biscuits. Toasted white ham and cheese sandwiches are okay and now a mainstay. He's encouraged to eat honey, but he doesn't like it.
Okay.
The herbs and spices he can have are limited and I've been doing my best to liven some bland dishes up. He can have cumin, dill, fennel, cardamon, basil and turmeric. Saturday night I did a sort of pretend white chilli, with turkey, carrots, potatoes, tomatoes and just about all of the allowed herbs and spices.
Banned.
Meat is restricted to chicken, turkey and white fish. I've no doubt he could have rabbit too, but he doesn't like it. Luckily we have a good new fishmonger at SuperU in la Roche Posay so I can get good fish easily.
Banned.
Considering that we are a household that easily reaches the recommended 30 plant species per week in our normal diet, and usually manages double that, this is going to be challenging. I've been scouring the Monash University FODMAP recipes for inspiration, but even they are not always suitable. They were designed to help people with IBS and a couple of other bowel problems though, so they are a good starting point.
Okay.
Further reading: the Monash University FODMAP website https://www.monashfodmap.com/about-fodmap-and-ibs/