Rice-topped Shepherd's Pie (dialysis diet)

This one is mostly for me. I originally started this blog as an easy way to share the couple dozen recipes I recommended frequently to people who needed to prepare meals in advance, but it's also been useful for me to document how I've changed recipes that I want to make again.

So this is one of those recipes.  It's from a cookbook called Cooking for David that provides recipes for folks on dialysis.  I'm cooking for a loved one who has been experiencing worsening chronic kidney disease (CKD) and is now receiving dialysis treatments.  Side note...Boy, have I learned about food and the kidneys lately.  Lemme tell you, if you've been diagnosed with diabetes (and CKD is likely in your future if you have poorly managed diabetes) and think the diabetic diet is restrictive, that's NOTHING compared to the CKD/dialysis diet.  Keep your kidneys (and pancreas) healthy people...life is not fun when they don't work.

So back to the recipe...you don't futz with dialysis recipes.  This is so hard for me.  There's a pretty strict limit on potassium and phosphorus intake, in addition to sodium, protein and liquid limits and it's different for each patient.  Unfortunately, potassium and phosphorus are nutrients that aren't required to be listed on nutrition labels the way sodium, carbohydrates, protein and fat grams are so it's hard to know just how much you're getting unless you follow a tested recipe very closely or use a renal diet food analyzer like this one: http://www.davita.com/food-analyzer/

Also unfortunately, the foods that are high in potassium and phosphorus are healthy foods...whole grains, many fruits and veggies, nuts and beans, dairy products.  "Low sodium" products are also a minefield as most aren't simply made with less salt, but with a potassium salt substitute (not necessarily a bad thing for those of us with functioning kidneys...in fact here is a report of a study suggesting that more than high sodium intake alone, a combination of high sodium and low potassium puts you at higher risk for cardiac problems... but it's problematic for renal patients. Also a reminder that when buying packaged foods, "low" anything oftens means "substitute" rather than just "less" of whatever the reduced ingredient is).  So again, the takeaway is that you follow the recipe, don't add extra veggies (crazy, right?), don't substitute whole grain products and read labels.

Shepherd's Pie is a family fave here.  I was excited to see a kidney-friendly recipe that substituted low-potassium/phosphorus white rice for the usual high-potassium/phosphorus potato-cheese crust (did you know that a potato has more potassium than a banana...my dance teacher always said that, but I thought she was full of it).  It did use a lot of high-sodium sauce additions though..."no salt added" beef stock, additional beef bouillon granules, Worcestershire sauce, Kitchen Bouquet (who even has this any more anyway?).  I checked the labels on all my stock/bouillon/sauce options and settled on a vegetable base bouillon made without potassium salts and a healthy slug of red wine (which I also checked on the Davita food analyzer) instead of all that other stuff.  I made it with long grain white rice...I might try arborio rice next time for a creamier, more potato-y texture.

And so to bring it all back to where I started...my husband requested that I make a note of what I did so I can make this recipe again in the future...soon, preferably.  No pictures because I prepped it ahead for my family to cook on my late night at work.

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Prosciutto Jalapeno Poppers

This is the quick'n'easy version of The Pioneer Woman's jalapeno poppers (which is delicious).  I made these guys with half jalapenos and half sweet mini peppers to give my kids a non-spicy option.  Worked very well.

The OR calls for a cheddar-cream cheese-scallion mixture that I circumvent by using herbed cheese such as Boursin or Laughing Cow, or when I ran out of that, sticks of Brie (yes, Brie is my "backup" cheese LOL)

The OR also calls for wrapping the poppers in pieces of uncooked bacon which is scrumptious.  I happened not to have any bacon on hand, but I had prosciutto so I used that (yes, prosciutto is my "backup" pork product LOL).  The nice thing about using the prosciutto is that it's already cooked so the cooking time for the poppers can be (read: needs to be) shortened from the hour originally called for.  I think using long, narrow strips of thin-sliced ham could work too in lieu of prosciutto or bacon.

The OR also calls for brushing the poppers with barbecue sauce or jelly such as apricot jelly.  I think beer jelly or garlic jelly would be OUTSTANDING here, but no sauce/jelly on top is good too (and is what I did this go-round).

I have made these in vast quantities for parties and you can absolutely make them ahead and freeze them.  I dithered about whether to freeze them before cooking or after, and decided that after cooking was less likely to result in a squishy jalapeno shell (since freezing uncooked veggies tends to make them, well, squishy).  I "revived" them for the party by baking them again for about 30 minutes to heat through and crisp the bacon back up.  To make them in advance to freeze, pull them out of the oven about 10 minutes before the final cooking time.  That way, the 2nd round of baking doesn't overbrown or burn them.

You can use toothpicks if you need to get the bacon/prosciutto/ham to stay in place, but it's a lot less time-consuming and easier to eat if you just wrap them so that the ends of the meat slice are on the bottom of the pepper.  Gravity will do the rest to keep them in place.

Lastly, the OR offers a variation wherein you place a thin slice of peach on top of the cheese before wrapping in bacon. This sounds weird, but is ohmygawd good...I highly recommend it.

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Risotto

I used shallots and celery for aromatics, tilapia for protein,
seafood stock, chopped fresh spinach for veggies, savory
for flavoring

I've worked with a delicious seafood risotto recipe for many years.  It's from a fundraiser cookbook called Dewey or Don't We published by the Dubuque Public Library.

I used to follow it to the T, and finally understood that really, it was more like guidelines (as so many recipes truly are).

And then I started being able to use the technique given in that recipe and substitute my own flavors and ingredients, depending on what was in season and available.

No matter what ingredients you use, this is definitely a prep-ahead-friendly recipe.  Chop and measure everything ahead of time, combining ingredients by category.  You can also freeze this as a meal kit...combine ingredients by category, put them in vacuseal bags or ziptop bags, and freeze.  Thaw before cooking.

The use-what-you-have components are:

• fat for sauteing: use butter, olive oil, canola oil, lard, mojo de ajo
• aromatics: use onions, shallots, celery, carrots, leeks or any combo thereof
• stock: chicken, seafood, veggie (not so much beef here)
• protein: fish, chicken, shrimp, scallops, crab (again, not so much beef)
• veggies: chopped bell pepper, snow peas, chopped greens, broccoli, peas, corn kernels, pre-cooked squash cubes
• flavoring: citrus zest, minced herbs

Some favorite combinations are shallots with shrimp, green peas and thyme; celery/onion/carrot with chicken, pepper and savory; crab, leeks, spinach and lemon zest.

Chop, measure, and fridge everything in advance for next-day or same-day cooking.  You can also freeze the components ahead.  To save space with liquids, either freeze wine and stock in ice cube trays beforehand to include in the freezer kit or pour the liquid into a ziptop bag, carefully press air out of the bag, seal and lay flat on a tray to freeze.

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Blood Mary Cocktail Bites

Finished in-tact celery ribs 

This is adapted from Time Ferriss' The Four Hour Chef.  His recipe uses a thickener called agar agar which I do not typically keep in my kitchen and would have to go a bit far afield to acquire, so I use the more easily found unflavored gelatin.

Agar agar is a vegetarian thickener, whereas gelatin is an animal byproduct, one reason to choose agar agar instead of gelatin if that's your thing.  Agar agar evidently sets up with a more solid, toothier, less jiggly texture than gelatin too (I think this is the reason Ferriss uses it...the section in the book on hunting game and cooking it in the field suggests to me that he's not a vegetarian LOL)  It may also set up somewhat more quickly than gelatin, but I've never actually used it so that's speculation based on what I read on the interwebs when I was trying to figure out whether I could successfully substitute gelatin for the agar agar.

I don't know what the exact conversion from agar agar to gelatin (or vice versa) should be, but I know 1 packet of Knox gelatin thickens 1 cup of liquid so that's what I used (the OR calls for 2 tsp of agar agar to thicken approximately 3/4 cup of liquid).

So my execution notes...
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Fettucine with (vegan) White Pesto

Oh my, this is my 300th post!

One of my pet peeves about special diet (vegan, vegetarian, gluten-free, sugar-free, whatever) cooking is the convention of naming a recipe after a foodstuff that it kinda sorta resembles if you pinch your nose and squint real hard while you eat (e.g. Mock Sausage, Sugar-Free Caramel, Scrambled You-Won't-Believe-They-Aren't-Eggs, and all those plant-based "cheeze" sauces out there).

C'mon (vegan, vegetarian, gluten-free, sugar-free, whatever) folks...you know these are tasty recipes that stand on their own without trying to stand on the shoulders of a "missing" ingredient.  The practice reeks of an inferiority complex and besides, you're inevitably setting your dining companions up for failed expectations if you tell them you will be serving something like is *almost* like sausage/cheese/eggs/etc. but isn't.

This is one such recipe.  It's from Christian Pirello of Christina Cooks and she calls it Vegan Fettucine Alfredo.  Actual alfredo sauce is buttered heavy cream, cooked down until it's super-thick and finished with fistfuls of parmesan cheese.  It's a heart attack in a pot.

This heart-healthier, plant-based "fettucine alfredo" is really NOTHING like real fettucine alfredo.  My husband made the snooty-face when he first tasted it because he was expecting something alfredo-y.

What it IS is awfully darn good once you get around that misnomer.  Once he got over his "this isn't alfredo" reaction, my husband loved it (ofc he did sprinkle some parmesan cheese on top of his, because pasta just isn't pasta until there's a flurry of parmesan on top in his world).

What the recipe IS is a white pesto...the only difference between this dish and a "true" white pesto is the relatively small amount of parmesan cheese which is understudied in the vegan production by miso paste.  No need to pretend like it's alfredo...it's pesto!

My one serious deviation from her recipe (aside from changing the name) is to omit sweetener.  I'm not quite sure why, but she feels the need to put brown rice syrup in everything.  This dish doesn't need it.

Lastly, the pesto (as with all pestos) can be made in advance and frozen. Just thaw it and add it to cooked pasta.

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Beef Roast & Beef Manhattan

Beef Manhattan is one of those looked-down-upon dishes because you typically see it in cafeterias and hospitals.  Really, it shouldn't be overlooked.  It's a great way to repurpose leftover roasted beef.  The first day after we have roasted beef, there's an excited flurry of roast beef sandwiches for lunch, then...it sits.  Beef Manhattan revives and reinterests the dinner-time audience ;)

If you don't want to use Russian dressing (because, really, it is a bizarre form of salad dressing that's far better suited to marinades than dressing salad IMHO), use an equal amount of ketchup with liberal dashes of salt, pepper and garlic powder with a splash of red wine vinegar.  If you do use Russian dressing but wonder what else to do with it, I recommend this freeze-ahead chicken dish.

To make the gravy for Beef Manhattan, I used a red wine reduction to happy up the stock.  If you'd prefer to skip the wine, use 1 tbsp tomato paste and brown it very well (5-ish minutes over medium heat without oil) in the saucepan instead.

If you're planning well in advance, you can make the gravy without the cooking juices from the beef and freeze it.  When you're ready to serve the second-round Beef Manhattan, thaw the gravy, warm it to bubbling, add the reserved juices and chopped beef and simmer until it's a good consistency.

You can serve Beef Manhattan over bread (white or whole wheat) or over mashed potatoes.  If you're looking for a lower-carb version, serve over pureed cauliflower.

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Shakshuka

I've seen and made multiple versions of the eggs-poached-in-chunky-sauce meal...one with a bed of sauteed spinach and mushrooms, another with caramelized shallots and a marsala-beef consomme reduction, among others.  This one is a recipe from the cookbook Jerusalem by Ottolenghi that uses a stovetop-simmered pepper-tomato sauce as the poaching bed.  A similar sauce that would probably also work well for cooking eggs this way is this roasted red pepper sauce.

The original recipe calls for harissa, a super-spicy pepper paste, that I don't have on hand.  I used some minced jalapeno and ginger from my freezer stash to bring a little heat and depth of flavor to the sauce.  If you like things hotter, use more or hunt down some harissa.

To chop your pepper finely enough for this dish, I highly recommend using the food processor.  Pulse quickly and stop short of pureeing them.  If you use canned tomatoes instead of fresh, drain them very well to shorten the cooking time needed to thicken the sauce.

I like how quickly the sauce went together and how well this recipe lends itself well to prepping ahead and freezing ahead.  You can chop all the ingredients for the sauce ahead of time and fridge them, or make the sauce completely in advance.  If you're going to freeze the sauce, you can even freeze it in individual portions for a quick meal-for-one.  Just bring the sauce back up to a simmer (from its frozen state even!), crack an egg into the sauce, cover and simmer 8-10 minutes.  Probably this thaw-and-poach process could even be managed in microwave...I don't know offhand how long to zap an egg to poach it, but if you do, let me know!

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