Another Paper
This paper has the title of “Effect of B vitamin supplementation on plasma homocysteine levels in celiac disease”. It sounds boring, but I think it says that if you have low B6 and folate levels, then you might be more likely to get a stroke.
In any case I’m going to get my homocysteine, folate and B6 levels checked. I know the B12 are OK.
Coeliac Disease and Ischemic Stroke
I’m up early and playing on the Internet with Google. I’ve just typed “stroke coeliac” into the search engine with a couple of modifiers to cut out some of the things I already know about.
I have now found this paper by El Moutawakil B, Chourkani N, Sibai M, Moutaouakil F, Rafai M, Bourezgui M and Slassi I working in Casablanca in Morocco, entitled Coeliac Disease and Ischemic Stroke. This is the extract.
INTRODUCTION: Neurological manifestations of celiac disease are various. An association with ischemic stroke is not common and has not been well documented. We report two cases.
OBSERVATIONS: The first patient had experienced several transient ischemic strokes in the past 2 years and then had an acute ischemic stroke involving the territory of the right posterior cerebral artery. Investigations revealed celiac disease with no other recognizable etiology. The clinical course was marked by persistent visual aftereffects, but no new vascular event. The second patient had been followed since 1998 for celiac disease confirmed by pathology and serology tests. She was on a gluten-free diet. The patient had an ischemic stroke involving the territory of the left middle cerebral artery. Apart from a positive serology for celiac disease and iron deficiency anemia, the etiological work-up was negative.
DISCUSSION: The mechanisms of vascular involvement in celiac disease are controversial. The most widely incriminated factor is autoimmune central nervous system vasculitis, in which tissue transglutaminase, the main auto-antigen contributing to maintaining the integrity of endothelium tissue, plays a major role. Other mechanisms are still debated, mainly vitamin deficiency.
CONCLUSION: Being a potentially treatable cause of ischemic stroke, celiac disease must be considered as a potential etiology of stroke of unknown cause, particularly in young patients, and even without gastrointestinal manifestations.
I’d always fancied going to Casablanca to see the ghost of Humphrey Bogart.
Google Flu Trends
I found reference to Google Flu Trends in The Economist in an article about how Google are searching blogs and other information to find out what is going on.
An interesting graph is shown, but why are the UK, Finland and Denmark left out?
I wonder if the same techniques could be used to check for relationships. For instance, I wonder if my being a coeliac means that I am more likely to have strokes. So what if there are a lot of blog posts, with these two words in them? Obviously, it would need powerful and correct statistical analysis.
As an aside here, some years ago I wrote a program that used Google to deep search the Internet, create a database of all possible results and then display them in a Daisy chart. It showed a lot of promise, but I then had other things to do. That’s my life all over.
Gluten-Free Meals in Holland
When it happened the first time at a cafe near the Watersnood Museum, I just thought it was a nice gesture. But when it happened last weekend, I thought it could be part of an encouraging trend for coeliacs.
Cafe Restaurant Landbouw
But last week at the Cafe Restaurant Landbouw, for the second time I got gluten-free bread with my meal. So it was frozen and had been warmed in an oven or a microwave.
It was a nice gesture, that rarely happens in the UK.
Café de la Paix, Paris
The Cafe de la Paix is one of the most famous cafes in Paris. So much so, that the French declared it to be an historic site in 1975.
Cafe de la Paix, Paris
My late wife and I went there by accident. It was the only time we did too, but then it was also on the only day, that one of the horses we had bred, Diamond White, had won The Prix de l’Opera at the Arc meeting at Longchamp. We had hurried away from the racecourse and the crowds made it difficult to get anywhere, but by reason of some luck, we were able to get a bus to the Place de l’Opera.
So we just stumbled into this famous cafe and as we had little time to catch the Eurostar back to Ashford, we asked the waiter what could be served quickly.
Everybody in the cafe surpassed themselves and within an hour, we were on the Metro towards the Gare du Nord.
If there is a postscript to this trip it happened on the train home. The day had been disastrous for English punters and come the last race, The Prix de l’Opera, most had lost heavily. So they put what they had left on Diamond White at 12-1. And the rest as they say is history.
On the trip back, my late wife had needed a coffee and went to the buffet. When she interrupted the party and told them that she had bred the horse that had got them out of trouble, everybody wanted to buy her champagne.
But she didn’t drink bubbles!
So on this trip to Paris, when the guy I was to meet on business suggested that we meet in the Cafe de la Paix, I accepted.
I had a very good gluten meal too!
Smoked Salmon and Poached Egg
The picture shows the first course!
Incidentally, the wife of one of the waiters was a coeliac, so this made them even more careful.
Would I go again?
Yes!
Even if it is very expensive, but then the decor, the ambience, the food and the wine are worth it.
Ceiling of the Cafe de La Paix, Paris
Rose Gray at the River Cafe
The death of Rose Gray, one of the co-founders of the River Cafe, has just been announced. That is obviously extremely sad for her friends and family, but it also marks the passing of someone, who has left her culinary skills to the world. Jamie Oliver and Hugh Fearnley Whittingstall have all paid tributes.
My late wife and I went twice. It was marvellous and of course, I was able to eat a real high-class gluten-free meal.
I’m sure if my wife was here now, we’d be discussing those two meals and paying our tributes.
There is a post here, that I wrote after one of the meals.
Michael Winner
I must be one of the few people who actually like Michael Winner. He makes a refreshing change from most of the politically correct people that pass for presenters and stars these days.
His new program, Michael Winner’s Dining Stars, is either going to be very good or absolutely awful. But after hearing Michael on Richard Bacon’s program on Radio 5 on Wednesday, I’m hopeful that it could be the former. He was his usal outrageous self on that program, name-dropping like a good un’ and generally slagging off things that he didn’t like. But he also praised things that he did like.
I would agree with his comments on the north. He said that food is awful, the people and the countryside are good. But he did say that he’d never had a decent meal in a restaurant up north. Until a few weeks ago, I would have agreed with him, as being a coeliac, asking for a gluten-free meal up north brands you as a food-wimp and a southern softie.
But then, I had that wonderful lunch at The Manor House Inn at Carterway Heads. So perhaps, Michael should try that unassuming pub!
We always associate Michael with violent films, but he did make one of my favourites, Hannibal Brooks. He also produced, directed and wrote that film, which I think says a lot about Michael.
If I had to have a few celebrities at a dinner party, they’d be Michael Winner, David Bellamy, Janet Street Porter and Princess Anne. I’m not allowing dead people, but if I did, I’d include Danny Blanchflower, Ian Dury, John Lennon and my of course my late wife.
A Useful Cook Book
I bought a cook book called “One Pot – low-fuss food for busy people” from Waitrose for £5.99. It is actually published by the Australian Women’s Weekly. The ISBN is 978-186396793-8, but I can’t find it on Amazon.
It is quite simple and although not specifically gluten-free, most recipes seem to be so or are easily modified. I’ve already cooked one recipe for Beef and Mushrooms in Red Wine. It was good and I froze three portions for later.
The only problem is that some recipes talk Australian and use terms like pizza-cheese and smoked ocean trout.
Gluten Free Lunch on Norfolk Line
I travelled out for a quick weekend away hoping to shake off the effects of the flu I somehow caught last weekend. I’ve had the jab too. I drove the Jag to Dover to get on a ferry through the Thursday on afternoon traffic and only just made the boat. The problem was the queues at the Dartford Crossing, as there were just not enough toll booths open to take the £1.50. As I noted previously, when you get there with coins you’re through quickly, but the outside lane is blocked by those without the correct change. People don’t think.
I haven’t eaten on the Norfolk Line boats before, as when I first travelled a couple of years ago, I asked about a gluten-free meal in the restaurant and the friendly steward said he didn’t know if there was any flour in the meals. So I took the sensible action as most coeliacs do and went hungry. But this time as I knew I had a long drive to Holland along the food deserts that coeliacs call motorways, I decided to ask again if there was something that was gluten-free.
So I looked at the menu in the Bistro and asked about the sea bass which looked promising. It came with a salad, fresh vegetables and potatoes. As it was under a tenner, I thought I’d give it a try, as at that price, if I abandoned it, it wouldn’t be a financial disaster.
- Sea Bass Meal – Norfolk Line
I have had better sea bass, but not often and certainly not at £9.50.
I actually ate it in Winterton Class, as I wasn’t travelling with the riff-raff. This meant that for an extra £8, I was in a virtually empty cabin with a steward ministering to my needs with free nuts, fruit, soft drinks and coffee. I also got to be the first off the boat.
Comments on Carluccio’s Gluten Free Menu
Several times in the last year or so, I have gone to various of Carluccio’s caffes in various parts of the country. I’ve tasted it in Docklands, Trafford Centre, Cambridge and St. Pancras and it has been worth the extra wait as it takes a little longer to prepare.
In my view there are two very small problems.
- The staff just bring the gluten-free menu, so you have to ask for the other one as well, as that is the one with the drinks on it. I have contacted Carluccio’s about this and hope they change their training.
- The pasta is very good, but I would love the occasional meat based one. They used to do an Italian sausage one, but in Cambridge last week, they said that they had to discontinue that, as the supplier had declared the sausage not to be gluten-free. It does show that they take us seriously, though.
One manager also indicated that they can do other things from the main menu, by a few simple modifications. For some years, I used to get liver on this basis, but it has dropped off the menu.
I have also heard of only a slight problem at the Trafford Centre, where the waitress was unaware of the menu. As the manager at that caffe, was the person who introduced me to the menu, I suspect it was a training issue. But even there, the customer got the gluten-free menu in the end.
I did pass these comments to Carluccio’s and got a reply by e-mail within the hour. So they take what I said seriously.
The Anonymous Widower 