Paul's Heart

Life As A Dad, And A Survivor

Archive for the category “Food”

Ice Cream – I’ve Always Screamed For Ice Cream!


(image created via ChatGPT)

“Ice Cream! Ice Cream! We all scream for ice cream!”, the long time favorite chant. Today, thanks to a presidential act in 1984, is recognized as National Ice Cream Day. I say it is literally okay to have ice cream for breakfast, lunch, and dinner. Okay, maybe a little bit overboard, but… back in 1988, when I was going through chemo for my Hodgkin’s Lymphoma, it was not unusual for me to eat large amounts of ice cream (and pasta). Why you may ask?

Oddly, as part of my chemotherapy cocktail of MOPP-ABV, I won’t get into the individual drug names and issues related to each, I was actually restricted from certain foods, surprisingly and not a problem for me being a picky eater, the restrictions were for “healthy” foods such as brocolli and cauliflower, but also others that I did eat, such as processed foods like cheese, carbonated beverages, and bananas. The reasons ranged from contradictions to the chemo, to issues with bloating and gas, bacteria from eating raw or not cleaned well enough vegetables, or issues with high fiber which can be problematic if experiencing bowel or mouth irritation issues.

But do you know what was not restricted? Ice cream, and of course pasta. Again, mentioning that I am a picky eater, I had no problem with either of these options. However, a warning from my oncologist, “don’t go crazy on this stuff”, making reference to a major side effect from Prednisone, one of the chemo drugs in my cocktail, weight gain.

One thing that I had not expected going through chemotherapy, especially after going through radiation therapy having lost weight, was gaining weight. Anything I knew about chemotherapy stereotypes, was that patients looked almost waif-like having lost so much weight.

Unexpectedly, I gained fifty pounds during my chemo, I believe courtesy of the Prednisone side effects; increased hunger, fluid retention, metabolism changes, and yes, muscle loss. And when I say hunger, I mean ravenous. I could eat pints of ice cream at a time (which by the way also helped with the mouth discomfort), and quart containers of meals made of pasta.

The result of this diet? Something we in the cancer world describe as “moon face.” Now I am not going to post any picture examples of this, because this is definitely one side effect, next to hair loss, that really upsets us. But, just as it describes, the moon is round, and no matter the shapes of our faces, our faces look swollen, and much more round, like the moon as a result of the high dose prednisone intake.

Multiple drugs are often used to treat cancer together, because that is what was studied and determined to have the best chance to reach remission, and more importantly, stay in remission. And in particular, Prednisone actually helps to reduce side effects of the other chemo drugs, and has its own benefits of destroying lymphoma cells, in working with the other drugs to reduce any inflammation, reduce any potential allergies, and there is even a benefit to reducing (though not eliminating) nausea, that is what other drugs are for.

But it is that one super unfortunate side effect, increased hunger, that will easily cause a potentially major weight gain. Which to be honest, gaining some weight during chemo is not a bad thing. I do understand that the fifty pounds I gained was not good. Here is the important part.

Just like the hair loss, the weight gain is temporary. Just like the hair has already started growing back towards the end of the treatments, slowly but surely, so will the weight drop off. And if you use the hair growth by comparison, it is not going to happen overnight.

At the completion of my chemo, the date that I have marked on the calendar of this page, I gave myself a break for about two weeks just to soak in all that I had gone through, now in remission, gathered my thoughts, to produce a checklist of goals that I now wanted to achieve, and think how I could achieve them, and potentially how long they could take.

My number one issue was dropping the fifty pounds I gained. It definitely did not have me feeling well. So the easy part would be, focusing on my diet. Now off the prednisone and chemo, my diet was no longer restricted, and the amounts would be much smaller as my hunger had decreased. Exercise, even the smallest effort, such as a five-minute walk in the beginning and building up as time went on, would make a difference because for two years, I did nothing. As time went on, and I felt my body get stronger, I was able to do more. And yes, the weight did come off, all of it. It did take six months, and if you tell any of us in the beginning how long it would take, it would overwhelm us. But I am just being realistic. If you went through cancer treatments, you likely went through a year or more of some of the most difficult days. You can get through the recovery so much more easily.

The great thing is, of all the things that I “lost” my love for food-wise during my cancer days, ice cream is not one of them. Which is why I am definitely celebrating today.

(image courtesy of Simon Says Dip This)

(image courtesy of Istock)

And with three meals to choose from, it will help me not be limited to my choices… waffles and icream for breakfast, an ice cream sandwich with my lunch sandwich, and a nice sundae to cap off Sunday. Sounds like a plan.

Paul’s Heart Milestone – 100,000 Views!


It certainly took long enough, definitely longer than I thought it would, and then last night, as I realized it was going to happen real soon, it took even longer. I was taking screenshots of the counter, for just before, and then when 100,000 was hit. But as most things in life, not having control, my counter went cuckoo as multiple visits registered at the same time.

Though I am a 37 year cancer survivor of Hodgkin’s Lymphoma, I did not start the concept of Paul’s Heart until thirteen years ago, five years after I became aware of the complicated health issues I had and was developing due to the treatments of my cancer back in 1988 at the age of 22, just out of college.

I have always enjoyed writing. I actually have kept school assignments from elementary, junior high school, and high school. I always got good grades. In junior high school, I began writing song lyrics (though very tacky and cheesy) and poems, but it was documentary and testimonial pieces I enjoyed writing most. In college, I experienced my first bad and quite rude critique, and the way I handled it was definitely wrong. My professor not only handed me my first “F” (I had never had less than an “A” on any writing assignment), but my professor also wrote in big RED letters, “you don’t have the intelligence to get past a comic strip page.” And with that, I dropped out of her class. I was devastated. I felt I was a good writer. It was one thing to get a bad grade, after all, grading a paper is subjective, but the insult definitely crushed me. And I stopped writing, for a long time.

But it was during my later years of survivorship, my passion and my need for writing returned. As a patient and survivor advocate, I often encourage people to put their feelings and experiences down in writing. There is a catharsis, a releasing of pent-up emotions, stress, or trauma, resulting in a feeling of relief, renewal, or emotional cleansing that comes when you let those feelings leave your body. This is especially good if you have an aversion to speaking to a therapist, which I can tell you, is also a good option.

In 2013, I created Paul’s Heart originally with the web address http://www.pedelmanjr.com , later adding http://www.paulsheart.com . I have published 1323 posts over those years, averaging about 8 posts a month, sometimes a lot more, sometimes a lot less. I still have 285 sitting in a cue to finish, stalled by writer’s block or distracted by other topics that came up in the meantime, now sitting in their own purgatory. I have 48 pages, short stories also published on this site, as well as links to other resources. I have allowed comments to my posts, well, except for a few trolls (their comments are actually saved should I ever decided to approve them). I avoid only two topics by choice if it can be avoided, politics and religion, unless there is a tie to cancer, health care, and survivorship.

It definitely took a lot long to hit this milestone than I thought. At least in the beginning, average views to the page were around 20, and depending on the topic, there would be hundreds of views. It had been my hope, that in spite of Hodgkin’s Lymphoma being considered a rare cancer, Paul’s Heart would hopefully finally get Hodgkin’s on the conversation map. I am a small fish, not like the American Cancer Society or the Leukemia Lymphoma Society, but unlike them, I am solely focusing on Hodgkin’s and long term survivorship. Little ol’ me, not famous, not rich, and without the help of anyone famous who had also recently dealt with Hodgkin’s who had an opportunity to draw attention to the cancer we shared (Michael C. Hall “Dexter”, Martin Fry – lead singer of 80’s band ABC, comedian Dick Gregory, actor DJ Quals, literal “Survivor” Ethan Zohn, Pittsburgh Penguin hockey great Mario Lemieux, Kansas City Chiefs Eric Berry, and though he has passed, Microsoft founder Paul Allen), though in fairness, as anyone who has dealt with cancer, nobody wants to stay in the cancer world once they are done with treatment and in remission. I am an anomoly. For me, it is my way of giving back for the efforts of those who saved me.

So yes, I am doing this one post at a time, one person at a time. I am also doing this organically. This count was done with the efforts of those who follow or read Paul’s Heart, and then share it. Word only gets out, when it gets passed around. Not once did I ever pay to publicize any of my stories here. 100,000 views is a legit and honest effort!

I have also expanded Paul’s Heart with 2 Facebook pages, both titled Paul’s Heart, I am on Youtube at @paulsheart, and have a Paul’s Heart page on Tiktok at @paulsheart2022 where I rank in the top 10% of creators with the similar follower counts.

I have been doing peer to peer counseling with patients and survivors nearly my entire survivorship. I have given countless survivorship speeches and interviews on cancer survivorship, though still waiting for that one big opportunity with major media, but I realize the big ones don’t care about publicizing happy stories. And then of course, I got to publish so many projects, newsletters and book anthologies for other organizations (like Memorial Sloan Kettering Cancer Center). I even got to have one of my stories performed by broadway actors, that was way cool (see the link on this page “My Dad Was Just Like Me”). And then finally, my biggest effort, publishing my own book, called “Paul’s Heart – Life As A Dad And A 35-Year Cancer Survivor,” available on Amazon. And I have four more book projects started and undoubtedly will either need to do another book on my survivorship as I have lived even longer, or at least do a second edition. I am also working on doing an audible version of the book. One other thing I would like to do, is create a podcast.

I have tried to balance my topics here not just with things related to cancer and survivorship, but with all things, life after cancer, a life that definitely was no longer like what I was doing before cancer. I have shared stories of other survivors, and memorialized those who have passed. I have dealt with everything from relationships (married twice, divorced twice), to employment issues, and even dabbled in local politics as a school board candidate (an interesting experience). But perhaps the biggest thing that I got to share here, was my experiences with parenthood. The BEST THING hands down about my 37 year cancer survivorship is being the Dad of two of the most wonderful, intelligent, beautiful, kind, empathetic, all around, best daughters a Dad could ever hope for. They were not there when I dealt with my cancer, but they have witnessed the last 18 years of my difficult survivorship with all the health issues that I face. Only in recent years do they understand the gravity how serious some of these issues are, because now as adults, they are included in all of my appointments. There is no one that matters more to me than my daughters and each and every moment I get to spend and witness with them. This unconditional love has been the bond that has kept us together, and going, and keeps me going wanting so many more years of time with them, to see what else they accomplish.

Today is a big day for Paul’s Heart. It is a compilation of so many things that have come together, hopefully achieving what I set out to do when I was told I was in remission, making a difference, wanting to inspire others facing cancer and survivorship, even if one at a time.

And though I am sure that old battleax of a professor is no longer in this time and place, whereever she is, I am hoping she can see the two finger salute I am giving her. Her words did not stop me forever and I am quite proud to have done what I have. And finally, my daughters have their legacy of their Dad to be immortalized forever, right at their fingertips.

Root Forward, Don’t Scratch Backward


(photo courtesy of Facebook Pennsylvania German)

As someone with Pennsylvania Dutch (German) heritage, there is a custom in my family, that on New Year’s Day we eat pork. Of course, all the holidays seem to have their “meat” of the holiday, whether it be turkey on Thanksgiving, ham on Easter, and though I have never had a Christmas goose, we usually had some sort of fowl. But on New Year’s Day, the menu was pork and something called sauerkraut. Yes, the same condiment you put on hot dogs at a ball park during a baseball game.

If you like cabbage, chances are you will like sauerkraut, because that is all that it is, finely shredded cabbage. It is fermented with salt, and the smell is likely what turned me away from it as a child. My grandmother was notorious for fermenting and pickling (with vinegar) vegetables. The pungent smell in the house lasted for days.

The truth is, sauerkraut is actuall good for you, packed with vitamins and minerals, boosts gut health, the heart, and the immune system. And you would think this would be a convincing argument for me with my health history to make this a part of my daily diet. Nope. I am permanently against sauerkraut. Now to get all nerdy about the fermenting process, it is driven by lactic acid, which squeezes out the juices of the cabbage, then the cabbage sits in that juice and ferments.

Now for the super nerdy… isn’t lactic acid what is the cause of sepsis, a life threatening condition? I only know this because I was septic due to pneumonia back in 2012. So relax, there is no conspiracy against sauerkraut, but there is a difference between the lactic acids in suaerkraut and the lactic acid produced in the body, which I did not know about until I wrote this post. Simply, the lactic acid in the body is considered an L-lactic, while the lactic acid in sauerkraut is D-lactic, and there is a difference. I am not going into that science lesson on this post, just know there is a difference, and you are okay to eat sauerkraut if you can get passed the smell and bitter taste.

So, getting back to the pork on New Year’s Day and why. The Pennsylvania Dutch eat pork on New Year’s Day, because a pig roots forward, and fowl, like a chicken (we never had chicken on New Year’s Day), scratches backwards. So, you go forward into the new year and leave the old year behind. The picture above is exactly what our plates looked like at dinner on New Year’s Day, except mine was missing the sauerkraut.

Oh, one warning, if you were out the night before as many New Year’s Eve revelers do, and drank heavily, and still under the influence just now a hangover, you might want to skip the sauerkraut. Not a part of the custom, and definitely not the way you want to start the new year.

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