One of the players in my biliary system is gone and the team is a bit confused.

Or, maybe it's just me.  I've been adjusting to life without a gallbladder for a few weeks now, learning what foods (and drinks) I can tolerate.  I tried to rationalize the fact that I have lost my appetite, thinking it's all in my head and if I recognize that my body will follow suit.  After a little bit of reading I've found that my body is smarter than me, it's been making adjustments from day one and I've just been tuned in to the wrong frequency.  There's a reason I can't eat certain things and that reason is purely physiological - it's not going to sit well with the rest of the gang.  There's good news though, I have a new found love affair with fresh veggies and water.  Okay, enough about my digestive track.

***********************************************

How To Make Spicy Tuna

 

 Fresh tuna is best, finely chopped with some green onions.  

This is yellowfin tuna straight from the waters of Saipan. 

 You can use any type of mayonnaise, but Japanese mayo has a creamier consistency and is less tangy.  I've seen this everywhere, it has no labels except for the distinctive red cap.  I found this at Himawari. It's a bit pricier, but worth it if you want your spicy tuna to taste authentic.

 Japanese chili paste.  It isn't pika (hot), but it adds a nice chili flavor.  I've done spicy tuna without it before and it always tasted like something was missing.  This is the something.

We sent our 17 year old son to the grocery store to buy salt and he came back with this, kosher salt.  Surprisingly, we use it for everything now.  It has nice salt flavor which enhances the flavors of everything else (learned that from Alton Brown) and it doesn't have that weird chemical after taste that iodized salt has or the extreme sharp saltiness of rock salt.

 

 Mix all these ingredients together.  I like to add some black pepper to it for punch, but that's because I'm Chamorro and what food isn't complete without black pepper? 

 Keep your mix in a bowl that you can refrigerate until you make your sushi rolls.  Doesn't it look delicious?  Only problem is, since I've learned how to make this I don't want to eat it much anymore.  I guess that's a culinary risk every cook has to take.

When preparing your rice for sushi, rice wine vinegar is a must.  Make sure you use the short grain rice because it's sticky.  If you're not a rice fan like me, you can use a square of tofu, but that's another recipe.  In restaurants, they'll add a dash (teaspoon or two) of sugar to the rice  and you hardly notice it's there, but we just go without it.  Sugar on my rice is like sugar in my spaghetti, nah.

 

If you're making this at home, it's safer to roll your sushi rice in the nori (seaweed) and separate it from the spicy tuna mixture.  We just grab a roll and put the spicy tuna on it as we eat.  This way, if there is any leftover you can refrigerate the tuna mix for later and not have to worry about eating rock hard rice rolls or suffering from salmonella poisoning.  You can't microwave left over spicy tuna and you can't leave it out for too long without risking food poisoning.

Hot pepper, or donne'.  This is what makes your spicy tuna spicy.  

Add this to everything. I like to add it to ice cream too.  Just kidding. 

Well, that's the lesson on spicy tuna for you. I know I didn't go through the sushi wrapping process, but it's pretty easy.  Lay seaweed sheet flat, put a nice layer of sticky rice on it, wet the end of the sheet with water or rice wine vinegar so it'll adhere, roll it like a burrito or lumpia and cut it into desired widths.  Spicy tuna!

Oh incidentally, did you know you can find the recipe for fina'denne on recipes.com? For real!

******************************

Oh, I almost forgot, spicy tuna is eaten best with parents who show up close to midnight with a laptop full of movies and margarita mix! Permitted topics of discussion: life, children, goals, plans for the next gathering and jokes.  Topics prohibited from conversation for the sanity of everyone else who isn't dad or Boni: HB 17-45.  LOL!

Out Damn Gallbladder!

I've never been so mad at any part of my body before.  I mean, yeah there are plenty of times when I'm not particularly fond of my thighs, but they're still invited to dinner and all.  But, last night or early this morning, on my second trip to the ER I reached for my phone so I could log on to FB and become a fan of "If I could reach my gallbladder I'd punch it in the face."  Eight more days and it'll be lying helpless in a specimen pan begging me to let it live while I laugh a vengeful morphine induced laugh and eerily whisper, "that's what you get for pissing me off!"

I've got some gall!

I remember waking up, not falling asleep, but as soon as I heard the doctor say, "give her as much morphine as she wants" it all came back to me.  The way I was feeling, I expected to see House standing over me trying to pry an 8 inch needle from Cameron who was trying to prevent him from sticking it through my heart saying, "if she lives I'm right, if she dies you're right."  I'd been getting attacks for almost two years now, but never knew why.  Lesson #1: when someone says they want to take you to the hospital, you should let them.  The first time I felt the pain I thought I was having a heart attack.  I was doubled over for about an hour before Wayne came to drive me to the hospital, but on the way there the pain miraculously disappeared.  No pain, no hospital.  The second time was right before a staff meeting, my only daytime attack.   I got stuck in the nurse's room trying to wait out my "acid reflux".  Again, the pain left in almost an instant after about 30 minutes of breathless contractions.  The attacks happened every few months since then and lasted around 30 minutes to about 4 hours.  I blamed them on everything from heartburn to anxiety, but early Friday morning we finally found out who the real culprit was.

I woke up at midnight with moderate pain around my chest and back.  Wayne and I drove to the store to get some antacids, but they didn't work at all.  In two hours the pain became what's the word, excruciating!  I was doubled over, sweaty, cursing and once the tears started rolling down my cheeks that was indication this was bad.  We were in the car on the way to the ER, no excuses.  One ultrasound later and I had an IV in my arm with morphine on its way to my brain, diagnosis gall stones.  Two more doses of morphine and a shot of something I can't pronounce and I was in and out of lala land.  This is the prettiest picture of a gallbladder I could find, google it if you don't believe me.  It is now my enemy and after some medical consultation it shall be eradicated.  Gall, kidney and sometimes liver stone attacks have been likened to child birthing pains.  The sucker hurt like a motherflower, but after having gone through about ten attacks in the last couple of years and four natural childbirths, I can tell you that I'd rather have a gallstone attack than go through labor again any day. That's not to say I don't tremble with fear thinking of the next time I get one.  There's a reason why you can have as much morphine as you want.  For those of you who are curious, I've prepared a very short FAQ on gallstones.  You know, just in case you're foolish like me and rely on your limited medical knowledge to self-diagnose instead of getting real medical help.  

Who gets gallstones? Women are more prone, but it can also run in your family.  A high salt diet helps create the stones, a high fat diet helps cause an attack.  Being overweight or going through rapid weight loss can trigger an attack.  There are many other factors such as ethnicity and pregnancy.  I haven't quite figured out mine yet, but I've pretty much figured out I won't be enjoying mangoes and salt this season.  Sigh.

What does an attack feel like?  Everything I've read tells you it feels like intense pain in your right side, near your ribs and your back side under your right shoulder blade.  In my own vast experience I can tell you the sensation rates anywhere from extreme heartburn (like once I actually said outloud "why the hell does acid reflux hurt so freaking badly??) to feeling like you're getting shot by a semi-automatic in your chest.  My most recent attack lasted four hours and by the second hour I was begging for the pain to knock me out.  That's about the time when Wayne put me in the car. 

 What the heck is a gallbladder anyway? Your gallbladder sits right below your liver.  Your liver makes bile and then stores it in your gallbladder.  Bile helps your body digest fat.  Stones form from bile in your gallbladder too, when they contain too much cholesterol and other yucky stuff.  When you eat something high in fat, your gallbladder goes to work sending the bile to do it's job. My gallbladder has enough stones to make a friendship bracelet.   If there are stones in your gallbladder, they block the bile from going to work and get stuck in the bile duct, thus creating a sensation akin to getting stabbed with a kitchen knife over and over again except you don't die, you just keep getting stabbed.  Fun stuff.

How does one get rid of gallstones? These are not like kidney stones, you don't just wait for them to pass.  They stick around and make your life hell.  There are some non-invasive treatments like dissolution and shock wave therapy to get the stones to dissolve, but usually if you're having frequent painful attacks you need to get your whole gallbladder removed.  That means surgery.  Who needs a gallbladder anyway? Surprisingly, your body can do without one, but there have been cases of people experiencing attacks even after a cholecystectomy.  Those people are just glutton for punishment. 

In the meantime and after surgery, what? Well, that's pretty easy.  Unless you want to relive another episode of that dream where you're walking through a minefield with your guts hanging out your side screaming, "help me, help me!" you need to make a total lifestyle change.  Eliminate the enemy: salt, fat, high cholesterol foods.  Not a lot of vegetarians get gallstones, but you don't have to go that far.  Eat whole foods and for me this means no more carb free diet.  Exercise and eating right will pretty much cure anything and this is no exception.  

Well, thanks for joining me through this journey through my digestive system.  I hadn''t been to CHC in several years.  As a matter of fact, I was just telling someone how I never want to go there forever, but I have to hand it to the nurses and doctor on call that morning because they were awesome.  They were so gentle and kind that I was ashamed to curse out loud even though I was hanging on to Wayne for dear life.  I usually get the roll of the eyes when checking in at the ER, but I guess the I'm gonna pass out any minute now look did the trick.  Despite the fact that it was coooold and they had to play hide and seek with my vein for the IV, everyone had good bedside manners and hey, what can I say, I had as much morphine as I wanted.  "Nurse! Another round for this table please!"