1 pound beef round, cubed
2 cup water
1/2 cup white onion, chopped
1 teaspoon dried oregano
1 large green pepper, chopped
1/4 cup arrowroot (optional)
2 carrots, sliced
1/2 cup water (optional)

2 celery stalks, sliced

2 tablespoon basil, minced

2 garlic cloves, minced

2 tablespoon parsley, minced

2 cup stewed tomatoes

1 tablespoon lemon juice
Brown beef in skillet over medium heat. Drain off all but about 1 tablespoon of fat.

Add onions, peppers, carrots, celery and garlic. Saute for a few minutes.

Add tomatoes and 2 cups water. Stir in oregano. Simmer 1 1/2 to 2 hours, until beef is tender.

For a thicker sauce, combine arrowroot with 1/2 cup water and stir into stew. Simmer 5 more minutes.

Stir in basil, parsley and lemon juice before serving.
Yield — 4 servings

Per Serving:
Calories 278
Carbohydrate 19 g
Protein 27 g
Fat 11 g
Cholesterol 69 mg
Sodium 413 mg
Potassium 1021 mg
Phosphorus 299 mg

Diabetic Exchange — 4 vegetables, 4 meats. Diets Appropriate for following diets: healthy family, healthy heart, diabetes, lactose intolerant.

Menu Ideas — This is a meal in itself. Serve over potatoes, brown rice or even sweet potatoes.

The kids who come to work regularly are all babies/toddlers. Usually they stay near their moms, but they hang out together too. There’s some socialization benefit on the job! I bring toys with me, but people here also buy her little trinkets at Good Will, and various toys find their way around the office. Here and there you might spot a Barney bank on top of a bookshelf, clapping hands on the conference table, balls in the corner. I’ll forget her juice cup from home and feel fairly confident that I can find one at work!

Do you watch your daughter at work exclusively, or do co-workers share parenting responsibilities?

I don’t expect my staff to watch Emma; that’s not their job. I’m their supervisor and would never ask them to do that. The exception would be once or twice where I had to run and do something and asked them to cover for 3 or 4 minutes. If I asked for more, I don’t think anyone would resent it, but it’s a personal ethic of mine. I want to make it as easy on everyone else as possible because bringing her to work is a privilege and I don’t want to lose it.

What have the advantages been to your daughter?

I believe it’s made her very secure. If I’m going to work without her, she’s able to imagine me there and knows what the routine is; she knows that if she really needs me I will come home or she will be brought to me. She doesn’t cry when I leave her with the sitter; she calls out, “Mama work, bye-bye!” There’s rarely any separation anxiety. It’s neat that she’s been exposed to so many different people, too. The residents have problems, but they’re all great kids whom she’s had the opportunity to meet.

What other kinds of jobs/office environments do you think could handle parents bringing children to work?

It would be too disruptive to bring a child if you were a typist or receptionist, where you have to answer the phone and get interrupted a lot. But I think companies could do a lot more, like having daycare on site. I know that’s not reasonable, but that’s the way I feel. It’s so important for our children to have access to us. Part of the reason why parents are not as effective at their jobs is that they’re worried about their families and trying to juggle. What are they supposed to do if their kid is sick, but they’re not allowed to use sick days for family emergencies? That creates resentment. If people had flextime, or could take sick days when their kids were sick, I bet companies would be better off in the long run.

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The grape example is a good one. How do you deal with other conflicts between your parenting and your professional role on the job?

Usually it’s not a big problem — if I can I go to my daughter first I do so. It helps to be assertive with other staff and work in a supportive environment. For example, once a staffer waited to talk to me about a difficult situation until I was walking out the door at the end of the day. Emma picked up on my tension and got real upset. I told the staffer that I really needed to take my daughter home, this wasn’t a good conversation for her to witness, and could she make an appointment with me later. She respected that.

Most of the time, she respects when I’m really “working working” and can’t be interrupted. She knows the difference! I took her to a staff training one time and she was very fussy, trying to get my attention when I was listening to other people speak. When I was presenting and in my professional mode, however, she got real quiet and paid attention.

You mention that since you started, the agency has allowed two other mothers to bring their children to work. Was this a result of your example?

Yeah, I think it was, because the next staffer who did it worked in a program directed by a single man who doesn’t have a family. When this woman, Theresa, got pregnant, she called me up, learned about what I did, and laid it out for her manager, saying, “Look, Kelly does this and I want to try it too.” What could he say? I set a precedent. I think he was really weirded out at first, but it worked out pretty well. After that, another part-time woman brought her baby in too.

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It’s been a very positive thing, because when you add Mommy instinct to your own gut instinct about things, you really have something going for you. There have been times when I’ve been with a resident who asked to hold infant Emma, and I would feel distinctly uncomfortable. Those same residents would inevitably turn out to be the really unpredictable ones. My daughter is a great barometer of which residents have impulse control, because around her many choose not to swear, throw things, or be angry and scream at other residents. Another staff member also pointed out that it was great to have the kids see somebody role-model positive parenting.

It’s interesting that your child has had a positive influence on your relationships with your clients, the teenage residents in your program.

Yes, she opens up lines of communication that might have remained closed otherwise. A very disturbed young man asked me why I brought her into work, for example, and I ended up talking about attachment parenting, why I chose to breastfeed and do the family bed, etc. He listened and then asked, “Do you think the reason that kids like me are so screwed up today is because our parents isolated us, put us in daycare, and didn’t attach? Is that why we have so much trouble connecting to other people?” Wow, I thought, you’re 17 and you can see that!?

Emma has also inspired some interesting conversations with the residents about violence and TV. They have cable going on all the time, but I’m pretty clear about what she’s allowed to watch. The kids are very understanding, and keep the tube tuned to cartoons. If they want to watch something scary, they let me know. We’ve had a lot of good conversations about TV, violence, and the effect of commercials on children.

Do other staff feel any resentment?

Not about bringing Emma to work, but they do feel some minor resentment about my putting my family first. I won’t work evening shifts from 4:30 to 12:30, for example, because I need to put my daughter to sleep. The resentment is mild, however, and because we all have to be good at communicating with each other in this job, we don’t let anything build up.

What kinds of added stress does bringing your daughter to work add? Alleviate?

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Give us some background, to start.

When I was pregnant I had no idea how attached I would be to my daughter and how hard it would be to leave her to return to work. I decided to bring up the possibility of bringing my daughter to work me with my boss. Initially, she had reservations — she didn’t think it would be appropriate all of the time — but was willing to see if we could work something out.

Was anybody else bringing their children to work?

No, I was the first. Of course this led to some feelings of guilt since I was the only person with a child on site; I struggled with feeling like I was cheating everybody. On top of that, my mom was very unsupportive and thought I was robbing my daughter of my full attention.

Not everyone’s work situation is conducive to this kind of arrangement, of course, and not every worker can make it work. I am lucky in that the place I work at is a residential program, with a semi-domestic setting (almost like a second home). This made bringing a baby to work much a more acceptable and comfortable situation. There weren’t any glass tables to break or office equipment to get tangled up in.

With time, everyone warmed to the idea. So “OK” with my bringing Emma to work was everyone, they even chipped in and bought me a swing! My mother-in-law even gave me a portable crib which helped me make my office as homey as possible.

That’s a turnaround. What other surprises did you experience?

Mmy husband’s small high-tech company was bought out by a larger one, with relatively family-unfriendly management. With the older management, my husband and I were able to arrange our work schedules so he could work from home two days a week and take care of Emma; with the new management that was no longer possible. Luckily, my full-time job became part-time, so we were able to give Emma the time and attention we wanted.

You’re lucky to have had a more famly friendly environment to work in!

At my company, everything is very family-oriented; families are invited to all of the staff parties and you are allowed to bring children to work. The crucial difference is that at my company almost every program is run by a woman, and they want you to put your family first. My boss and her boss respect that parents have to be more flexible. My husband’s bosses are all fathers, but that same respect isn’t there.

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Why the discrepancy between actual incidence of breast cancer and women’s fears? Part of the reason may be that breast cancer is a tangible disease while heart disease may often be silent — sometimes until it is too late, unfortunately. Women often go for their yearly mammogram and perform monthly breast self-exams, as well they should.

However, many women do not realize, or have not checked, their risk factors for heart disease. When heart disease does affect a woman, she is more likely to have atypical symptoms, such as vague gastrointestinal symptoms or other complaints, instead of chest pains, as a man might.

Osteoporosis is another hideous disease that affects many maturing women. In fact, it is the second major cause of morbidity and mortality (sickness and death) in menopausal women. Studies show that a 50-year-old white woman has about a 15-percent chance of breaking a hip during her lifetime. Of those women who do break their hip:

Five percent to 20 percent will die within the first year after their fracture.
Twenty-five percent will need to enter a long-term care facility, such as a nursing home or assisted living center.
Twenty-five percent to 50 percent will never regain full mobility.
With today’s life expectancy, women may spend at least one-third of their lives post-menopausal. If they do not seek treatment for decreased bone density, women may be placing themselves at serious risk, not only for death, but for a radical change in lifestyle, with possibly decreased mobility and decreased overall quality of life.

I actually had a patient once say to me: “Oh well, so I have osteoporosis.

At least I don’t have cancer.” While I agreed with her elation that she indeed did not have cancer, I completely disagreed with her disregard of the seriousness of her osteoporosis diagnosis, and spent quite a while discussing it with her.

Please discuss your heart disease and osteoporosis risk factors with your healthcare provider. This way, you may not only increase your lifespan, but you also may improve your overall quality of life.

a rash that begins as bright red patches on the cheeks
over the next few days, the rash becomes pink, slightly raised and lacy-looking
the rash spreads to the buttocks, torso, arms and thighs
physical activity or bathing may make the rash worse
fever, as high as 102 degrees

Cold-like symptoms, including sore throat, headache, reddish eyes and sometimes fatigue and/or itchiness Most children who have fifth disease feel fine even while they have the rash, and the illness usually clears up in about 10 days.

However, the virus (named parvovirus) can cause arthritis in older children and adults, and serious complications in children and adolescents who have sickle-cell anemia.

A.Although IDET is not considered experimental, it is somewhat new, so we will have to see over time what the long-term risks and benefits are. There is some concern that this procedure will result in further collapse of the disc, and that some of these patients will subsequently require spinal fusions.

For now, many different physicians are performing this procedure, including fellowship-trained orthopedic spine specialists, general orthopedists, neurosurgeons, anesthesiologists specializing in pain management, and some internists. It is my opinion that this is best performed by a spine specialist, in either orthopedics or neurosurgery, who has available all treatment options and can choose the right procedure for you.

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A.Intradiscal electrothermal therapy (IDET) is a relatively new procedure that involves insertion of an electrothermal probe into the disc using the trademarked IDET device. This is done percutaneously (through a tiny incision in the skin) under X-ray guidance. Once the probe is in the proper position within the disc, it is heated for a set period of time. It is believed the heating causes shrinkage of the disc material. It is also thought to destroy some of the nerve endings within the disc. Medical literature shows about 50-80 percent benefit from the procedure.

A.When the IDET procedure is done, I feel that it is best done at one level in the spine at a time. Some surgeons prefer to perform a discogram before doing the IDET procedure. The discogram involves inserting a needle into the disc and then injecting fluid into the disc. The discogram is considered positive if the patient’s symptoms increase when the fluid is injected. This is known as a “provocative” test in that it attempts to reproduce the patient’s symptoms.

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Other studies show that steaming or boiling spinach may actually increase the chlorophyll that reaches your body. Spinach also contains vitamins and antioxidants believed to prevent cancer.

The American Cancer Society recommends three to five servings of leafy greens a day. Raw, steamed or cooked, spinach can be a tasty part of your menu and a healthy helping of cancer prevention.