Doctors Are Poorly Trained in End-of-Life Care, but That Can Change – Scientific American

http://www.scientificamerican.com/article/doctors-are-poorly-trained-in-end-of-life-care-but-that-can-change/

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Might Alzheimer’s Disease Be “Foodborne”?

alzheimers

Why do so many people in America get Alzheimers disease?  Could it be related to factory farmed confined feed lot animals?   Could it be related to the “garbage” we feed these animals that they would never eat if free roaming?   The article below, by Joseph Mercola, explores such a possible cause and what you might do to protect your family and yourself from this horrible death, if this assumption is correct.  At least it is a case for grass fed, free roaming organic beef and chicken,  which is something that most of us can do.

Story at-a-glance (read more at Mercola.com)

  • Alzheimer’s, Parkinson’s, and Lou Gehrig’s disease appear to be linked to the presence of a protein, TDP-43, which behaves like infectious proteins called prions, responsible for Mad Cow and Chronic Wasting Disease
  • TDP-43 pathology is detected in 25-50 percent of Alzheimer’s patients; autopsies show Alzheimer’s patients with TDP-43 were 10 times more likely to have been cognitively impaired at death than those without it
  • Alzheimer’s may be a slower moving version of Mad Cow disease, acquired by eating contaminated meats, and Mad Cow is created by a CAFO system that “cannibalizes” herbivores

http://articles.mercola.com/sites/articles/archive/2015/06/04/alzheimers-disease-cafos.aspx?e_cid=20150604Z1_DNL_art_1&utm_source=dnl&utm_medium=email&utm_content=art1&utm_campaign=20150604Z1&et_cid=DM76249&et_rid=980316948

Antibiotic Alternatives Rev Up Bacterial Arms Race – Scientific American

http://www.scientificamerican.com/article/antibiotic-alternatives-rev-up-bacterial-arms-race/
Finding good bacteria to combat bad bacteria may be lots smarter then antibiotics.……does this reminds you of probiotiçs? You can teach science new tricks!

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Imagining Jesus Christ As The First Drug Company – Forbes Announces His Second Coming!

ValiumBefore  Hoffmann-La Roche created Vailum, healing the world’s fears forever, there was Jesus, who like Valium (but with no side effects) could take away pain and offer hope!  Valium, as with all new “religions”,  spawned  other denominations  such as Pfizer, Astrazeneca, and the endless drug companies  who preached the new “religious dream” of mental (not spiritual) healing.

Remember,  as long as science does not say “spiritual”  but uses the word “mental”  they are not trampling on the grounds that Galileo pretty much did and as such will not be burned at the stake or imprisoned.

Thanks to chemistry, a knowledge of religious liturgy  and careful marketing by big pharma, the church was soon no longer the only temple of hope and salvation!  It was now possible to find hope and salvation’s dream in a pill! Of course Hoffmann-La Roche made it clear they were re-balancing brain chemistry, that was out of kilter (even with no proof of such a thing)  and as such enabling you to see the truth of your coming religious salvation. Voila! No trampling on boundaries between science and religion!  (Not to say the Mafia’s heroin business did not decline).  Such is the beauty and grace of the marketing man, the ad men or neighborhood drug pusher. Far better than the politician, who like Clinton, redefines sex,  the ad man takes us on a journey to lands never born  with visions of endless possible futures. It is a big bang born from something more concrete like gold and silver.

Before drug companies there were Shaman’s, Medicine men and Healers who were able to find herbs, given by God,  for our salvation. Oddly enough they often learned from “less spiritual” beings like dogs, cats and other animals whose instinctive knowledge lead them to find and consume just the right amount of herbs to heal their illness and not die from its toxic overdose (in most cases).  Keep in mind that “instinctive” downplays any intelligence so we don’t trample on the holiness of man who is “above” all animals.

SnakeOilThe rebirth of hope in any advertising package, of course, does not deny the validity of a claim. So be still and clear in your knowledge that I am not questioning Jesus or his blessings upon mankind; but, let us say I have been inspired by Forbes’ clear vision of a profitable future in flipping nascent drug companies that don’t cure any illness that Derivatives, Fannie Mae or Freddie Mac did not.  With bugles sounding, flags unfurling and fourth of July celebration, Forbes has defined the coming era of drug innovation and its investment opportunity in company’s like Tony Coles’ new darling Yumanity!  After all Tony Coles “flipped”  Onyx to  Amgen for 10.2 Billion, clear evidence that the Amgen’s newly acquired drug will cure cancer. If that is not clear to you, then how about this:

“Onyx Pharmaceuticals Inc. said the U.S. Food and Drug Administration approved its drug carfilzomib for a form of blood cancer called multiple myeloma, providing a new option for a disease that afflicts nearly 22,000 new patients in TonyColesthe U.S. a year.  The agency cleared the drug, known by the brand name Kyprolis, largely on the basis of a single 266-patient study, under the agency’s accelerated approval program that is intended to provide patients with earlier access to especially promising new drugs. The approval is for patients who have relapsed on at least two prior treatments, including Takeda Pharmaceutical Co. ‘s Velcade and a drug such as Celgene Corp.’s Revlimid. The company said the price for the drug, which is administered intravenously, will be $9,950 per 28-day cycle.”read the whole text here……… According to the Wall Street Journal.

I did some mental math for you to help you understand the monetary value of buying stock in Amgen (ask the guy how helped build your fortune for you in 2008, he is sure to know). The math overflowed my calculator but not my pencil! The prices profit projections are  $220 million a month or about 2.6 Billion a year (renewable income as long as we are careful not to find any real cures); however, that is based on the “initial” recommended usage!  Remember drug marketing men (the drug company representatives who bring your local doctor KFC or  50 Yrd line seats) can easily turn that into 10 – 100x more profit by “recognizing”  the off label benefits!

In spectacular complexity, that might even vaguely lead to unseen benefits, comes the opportunity for inspirational advertising. The financial world’s darling of Derivatives proves this point.  Though it helped impoverish most of America it still lives high and mighty on Wall Street and in the hands of investment bankers, whose untold wealth need the reinvigoration of new blood (possibly yours).  Forbes’ is excited about the future of companies like Yumanity. With Coles’ record and the power of the word “Alzheimer’s” they are likely right.

However, we already know how to drastically reduce cancer. There is no question we know how to cure diabetes.  What PowerAttractswe don’t really know is how to bring back the values that Jesus Christ taught.  What we don’t know is how to put God’s name back up upon the walls of Congress. What we don’t known is how to re-create the God-Fearing nation that once inspired all the people on Earth, America!  The Chemical illusion of re-creating God’s potential blessings are a deal with the devil (know as side effects). This pre-arranged fate is offered in each and every ad we read for each and every drug. We learn how it will cure us and what the price is we will likely pay in side effects.  But like the drug deal on the corner, investors see the profit in the short term and ignore the pain and death in the long term. So I define the market as Forbes does….a  good short term opportunity with no real medical miracle needed. Just ad men and people who have no belief in God or eternal values.

A Health Care Fix – Outsource Labor For Free!

API News, Warsaw, Poland. October 8th 2014,  Cabinet for Reform, Organization and Open Cooperative Services meeting,  by Janr Ssor

The American health Care financial dilemma turns  a new corner as the results of a covert experiment to provide basic health care to unemployed Americans proves successful!  The meeting,  last Friday night, of the Obama supported Cabinet for Reform, Organization and Open Cooperative Services weekend was kicked off by keynote speaker, Bill McQuire. Bill is Bill-McGuirethe past CEO of United Health Care.  Bill reviewed how his leadership of  UHC turned the company around from lack luster performance to strong profitability.  Bill explained how his powerful managed care policy was so successful that he was allowed to receive a 2.5 Billion dollar bonus after just 5 years of work and still able leave UHC far more profitable than when he arrived.  Mr McQuire, who now lives on his own Island near Fiji, explained how restricting unlimited access to health care for those who are inevitably terminally ill can produce enormous profits while allowing for greater respect for the normal cycle of life and death. He reminded the group that one percent of the population accounts for 30 percent of the nation’s health care expenditures. Nearly half of those people are elderly. Bill assure us that, under the political and financial pressures of our era,  it was possible to push these “reform”  changes on the senior American population with out expectation of significant resistance.

Outsourcing At No Expenses!  Presentations at the gala event were mostly financial. A team of Wharton  MBA’s demonstrated the clearly repeatable profit growth of current health insurance companies achieved by outsourcing company data gathering, input and analysis to unpaid employees.  The chief speaker for the Bureau of Accountable Statistics on Health (BASH),  Weehl Getsworth, from South Carolina, graphically illustrated the value of outsourcing by demonstrating the significant growth in net insurance profits (before executive and CEO salaries) by showing 4 huge timeline surges in profits.  The profit peaks first occurred in Bill McQuire’s era as denial became a clear policy and subsequently when ICD 9 coding worried_physicianbegan,  EMR medical records were forcefully required of American health care practitioners and finally have again begun an upward trend with the inception of ICD 10 coding and ACOs.   Speaking on behalf of of the Bureau,  Mr. Getsworth explained that the industry had been able to move a huge volume of its employee paper work out to India at first where salaries, at the time, were viewed as slave labor. However with the rise in India’s salaries another source had to be found. Thanks to the research mostly catalyzed via  Obama’s cabinet, the work done by indian factory employees has now moved directly into the doctor’s offices via EMR.

As part of his program for health care reform, Mr. Getsworth  showcased the early research demonstrating that doctors were easily twice as qualified as the best staff trained employees for doing insurance data entry.  By forcing doctors into EMR,  the full work load of data entry, was moved from the insurance company Indian staff (now greatly reduced) to the doctors computers during their examination process. He reminded the audience how years earlier no one could conceive of busy doctors taking almost 30% of their patient time to do data entry.  He reiterated his 10 year earlier prediction that not only could legal pressure make this possible but forced health care “reform” would make doctors do it and even have them pay for this “opportunity!”  The verification of this earlier prediction brought down the house with applause as it was clear that health care providers all over America were indeed doing all the data entry for insurance companies and even paying out of their reduced fees for that opportunity.

The final presentation, by Dan Warbucks, described the vision for the rapidly growing number ACO’s in  America. Mr Warbucks described the plan to use regulation and the reform platforms momentum to make physicians of all types accountable to organized medicine.  Insurance companies, using the managed care model, would now not only be more profitable via appropriate denial of service and outsourcing but now could shift all the financial risk over the service providers, if they could be sold on the ACO model.  It was clear that the well paid leadership of ACOs and PCMHs could enthusiastically motivate providers to join in the common risk pool by rosy predictions for positive financial outcomes.  This development could be assured as long as the top ACO  executives could be paid on a guaranteed salaried basis and adequate yearly bonus,  which they could name for themselves, while the providers would have to rely on the capitated risk pool and denial of services as Bill McQuire has so well demonstrated.

In a closing statement, Bill McQuire, shared exciting motivational information!   Bill described a historical opportunity to purchase unique lavishly furnished homes, on your own private island, from a chain of islands available for purchase through his Fiji real estate company, B. Movement island realtyOpportunities.   He said, BM Opportunities is awaiting the next generation of Health Care CEOs whose good fortune, to profit from the new health care reform, would make his financial achievements pale by comparison.

Janr Ssor, reporter for API News.

API News is a subsidiary and product of research and development via TIC news (Tongue In Cheek). API is also a creative work of JanrSsor.com  on behalf of the medical community, whose doctors, as nerds, are unable to see outside the box they live in. 

Root Beer, Ethics, Profits, Economics and Cancer

I was looking for the ingredients in Root Beer when a Google search result made me see how Root Beer was connected to  America’s current economic and political challenges.

A&W Screenshot from 2014-09-18 08:42:25How can this all be connected? The idiocy of corporate America and the Oligarchy it has created in America became  clearer to me in this “proud” ad for A&W Root Beer. I began to think of Marie Antoinette’s casual elitist statement, “let them eat cake!”  How confident she was that the average person should live in poverty and misery while she from her “untouchable” palace might simply laugh at them. Do American’s understand how history has repeated itself again?

To understand America’s challenges, just read the ingredients (in their arrogant ad at the left)  and you should be able to quickly see that nothing in this bottle is safe for human consumption*. Everything is artificial, unhealthy and geared towards profits with no respect for humanity.  PLEASE,  don’t have the audacity to tell me that they don’t know and are just trying to make a better soft drink!  Al Capone said,  when convicted of heinous crimes,  “All I did was try to provide the lighter pleasures for my countrymen and for that I live the life of a hunted man!”

A&W was once a name that meant real root beer.  Years ago we were likely ignorant of the dangers of sugar.  Today we know all about sugar’s connection to cancer and that artificial chemicals are likely causes too; however, they are the cheap, profitable byproducts of petroleum manufacture.  Here are the ingredients, as in the ad to the left: A&W Root Beer. Ingredients: Carbonated water, high fructose corn syrup and/or sugar, caramel color, sodium benzoate (preservative), natural*and artificial flavors. By the way, the caramel color (from burnt sugar) is also a known carcinogen.

When corporations are now (thanks to legislation) considered people but do not have the same legal restraints as people (In essence they are Royalty),  they can chose to have no ethics and no concerns as they are above the law!  This lack of ethics that is so prevalent in America today, should cheer ISIS who wants to decapitate our countrymen to create horror.  Why should they bother when corporations are already doing their work without concerns?

Where there is no ethics, and only the economics of profit, your death by ISIS or CANCER is of no concern.  A loss of ethics in the search for profits, grows systemically like a cancer.  In the  “food” industry, as each competitor substitutes one cheap chemical for something real, to out do their competitor, so may the next do the same. The race to the bottom ensues and all those trusting souls, who are deceived, suffer.

The Opium of The Masses: It is said that man lives his whole life in search of  “completion,” knowing a purpose for his existence. Despite the promises of marriage, completion is not a spouse but unity with  an ethical, caring, loving God.  The MEDIA of modern society has connected us all in an illusion of completion.  It’s evolution is clear, first print, then radio,  TV,  Internet, Email, Text…..  It is an illusion of completion, of joining with others in search of truth,  but twisted and poisoned by advertiser unethical manipulation.  It lets advertisers manufacturers and politicians, lie cheat and steal with impunity.  It is true the A&W would rather not publish the chemicals that it calls food but is forced to by government regulation. However it is the control of your mind, knowing that you will not complain, even as your loved ones die from cancer,  that lets them continue with confidence!  If Marie Antoinette had this power, she would have certainly been reassured!

Janr

*natural flavors:  this word does not mean it is something safe for human consumption. It means something hard to define and in one case it means the crushed anal gland extracts of an Beaver put in food as a flavoring!

 

Why Are U.S. Health Care Costs So High?

todd hixonIN RESPONSE TO TODD HIXON,  FORBES CONTRIBUTOR’S ARTICLE:  Why Are U.S. Health Care Costs So High?

Todd, it is amazing how you can collect numbers to justify nearly anything. I am not saying you did that but I wonder why your numbers add up so poorly from my perspective as a doctor and specialist?  Lets look at it from my perspective.

40 years ago when I started my practice as an eye doctor, I made an income a bit above a PCP but only because my practice offered exceptional services and attracted patients from as far away as Sweden (though not many).  With the advent of “Hillary’s” managed care things changed. Little by little,  year by year my income receded, even though my responsibility grew under the pressure of managed care!  However, the prosperity of insurance companies and the size or their staff grew enormously on the profits sucked out of doctors practices.

health-insurance-profitsNothing has changed!  Doctors incomes have drastically fallen when measured on PROFITABILITY rather than GROSS.  I suspect you used gross income,  which is, in my opinion, smoke and mirrors!  When I started practice (very competitively priced always, despite the excellence of my care) I used a box with a crank handle and IBM triple copy paper to write a receipt.  Believe it or not, I could do this “high tech task”  by myself!

Today, my office and that of all other doctors is filled with staff who WE MUST PAY but who really work for the insurance companies!! One person spends an entire day on the phone fighting for crumbs off the table of fees,  another is a data entry specialist who deals with the intermediate companies that transfer data from our software to the insurance companies (so that they may deny payments as often as possible).

We have Tech Staff, sometimes full time or part time,   who provide IT support so we can run the computer systems that the INSURANCE companies outsourced to our offices at NO FEE (How nice for their profits!).

 

We do and must practice defensive medicine as Liberal Courts pay millions when we are proved to be less than God (never noted that designation in my degree by the way). Thanks to Obama and congress we now have EMR,  which surveys show slow the doctor down about 30% (how efficient!).  EMR is updated regularly and creates havoc so severe that doctors take home records and must work late into the evening to fix the crap that bad code dumps on them. Surely with yearly bureaucratic recommendations and insurance company demands, there will no lack of bugs crashing and confusing our work.  We have ICD 10 (the world standard we are told)  to add to our current very complicated system.  This should “really”  speed up exams by adding levels of frustration the already formidable task of reporting everything we do to our overseers at the insurance companies.

 

Oh, yes this is America and we have freedom of choice!  We can pick another EMR vendor….. not on your life!  We have devoted hundreds of thousands of dollars and thousands of hours of training to use the EMR we purchased.  It is a marriage made in hell but mandated By Congress!   This is just a little of Reality that your numbers are blind to!

The newest attack on us, other than your words,  are ACOs and PCMHs. These wonderful tools,  to reward Insurance Companies,  take all the risk out of their business and dump it squarely aco-scared-doctoron the shoulders of doctors who are now supposed to become  actuaries in addition to everything else!  In essence it is HMO’s revisited using Capitation to cut services to patients.  Okay,  supposedly the “big difference” is that we will share records (another layer of expense doctors will pay that will “obviously reduce costs”  as it comes out of the doctor’s pocket).  Doctors dropped out of  capitation years ago, as fast as they could.  Why?  They were tied in for a year, lost money and had to deny care to make it work.  Now it is ” improved”,  the government mandates that doctors get tied in for 3 years.  I wonder why this is motivational?   I always thought Russian Roulette, with one bullet was dangerous but are you telling me it is safer with 3 bullets?

If  business really want to control health care costs and was made of conservative businessman rather than someone who gets elected from insurance company coffers, as congressmen just might, you might create a new accountable care model that made sense to doctors not insurance companies and the congress they help elect.   For Example:   NO EMR,  No insurance billing by doctors, No corporate payments for insurance. Re-Create the doctor/patient relationship and get big corporations out of the middle!   Instead put responsibility in the place where it creates  Real Accountability at the doctor patient level, the patients hands!   Go back to the 80% insurance payments with 20% copays.  Let companies rate patients fees based on how fat the patients are, how much they smoke…etc!  If the child throws up after eating a box of candy, they will learn prudence.  A big insurance bill because you like to eat chocolate truffles, smoke Havana Cigars, and have two Brandies every evening might deter some.   Accountable Care as designed today, is a JOKE!  It makes the doctor accountable for the OBESE patients, who eat FAKE FOOD, made by mass food processors.  People are SICK!  One Third of all Americans are projected to be diabetic in the next 20 years! When 15 year olds come into my office with arteriosclerosis, and diabetes that their parents never had,  THIS IS THE COST OF HEALTH CARE  as well as the OUTSOURCING OF INSURANCE COMPANY TASKS to doctors offices for free!   Fix Health Care Costs?   ASK DOCTORS AND STOP SHOVING YOUR ARM CHAIR THEORIES DOWN AMERICAS THROAT!

Janr Ssor

 

Accountable Care or The Accountants That Took Out Windows To Improve GM Cars?

OBAMACARE /ACCOUNTABLE CARE:  A doctor with years of success and experience told me that “Accountable Care,” the center piece of ObamaCare, is a name created by congressmen who sit live in palatial royalty while their constituents clamor for crumbs! Is that true? The elderly doctor reminded me that theories of healthcare management are nothing but, dreams and hype to sell at election time!  He reminded me to follow the money trail and notice that it paid off those who elected the congressmen, the insurance accountable-care-organizations-lights-cameras-article-3759companies. It did so by putting all the “financial risk” of the experiment on doctors while guarantying the financial rewards to ‘insurance companies.” It was,  he said,  “like legalized gambling in a Casino that rigged the tables.”   It ruined many nights of my sleep because I knew this man and he had credibilty.

CHANGE AS OF 2014: As of the year 2014, a large percentage of ObamaCare is affecting medical practices of all types. The majority of doctors are no longer writing on paper but using EHR (Electronic Health Records).  Tedious, often slow and unreliable for now, it is quickly becoming the legally required standard.  If a doctor doesn’t  use it they will certainly not get paid easily for insurance claims, if at all!  Is this the dreamed of efficiency that saves us money?  Most doctors surveyed said it made their exams 30% slower. They were clearly less efficient!

RUSHING INTO DATA EXCHANGE, THE NEXT PHASE?:   The imagined economy of ObamaCare is an  exchange of data that prevents the current very real duplication of testing that at times exists in medical care.  Not a bad “idea;”  but,  is it likely to work?   Since I am an eye doctor in addition to being a writer, I chose to look at my profession and get a view from my colleagues eyes.  It was not encouraging, at least at this point in time.  Why? It is simple to explain.

EHRs do not contain the full information of complex testing and technology print outs, they currently contain the summaries. So much data of importance is lacking.  On the other hand,  they are bloated with  miles of garbage produced to satisfy the demands of courts and lawyers rather than patient needs!

If a patient has a test that produces many pages of data with images (such as repeat vision fields, which is a tedious and somewhat unreliable test for Glaucoma),  all the pages are almost never stored in EHR records.  Much is stored in the testing machines memory. Furthermore the quality of the  test (as with many tests) may frequently be questioned as the patient may have a bad day,  the technician may have been preoccupied with other issues, and the doctor may have missed something in reading them (they too are human).  If ONE test is the requirement and its detailed pages,  test environment, other related events are not available,  is the currently available “essence” of this whole process all we need to share? Will this create better out comes or more frequent law suits?

There are many other tests used by eye doctors that meet this criteria for failure such as:  OCT (Optical coherence tomography),  HRT (Heidelberg Retina Tomography) all complex imaging tests. Even simpler tests such as: An extended opthalmoscopy,  Biomicroscopy, or Fundus photography! Almost never is the full data store in EHR. As a result, sharing the data between doctors means sharing and duplicating and error becomes highly probable!

ACO AimIn the future as data storage and retrieval becomes more encompassing this significant challenge may be overcome, but for now, rushing into data exchange is only likely to be unreliable and dangerous to doctors and patients!

EXAMPLES FROM A REAL WORLD:  Years ago accountants told GM to take out the operable rear window in their passenger cars and make its opening an “option.” GM mindlessly did this and it cost them a significant bit of their reputation.  Just recently a patient in my office, told me a story of Government Vision and Success!  I was excited to hear this as I felt landing the moon over 40 years ago with no progress of significance since was what I expected of our government.  He told me our congressmen had spent BILLIONS of dollars creating a water treatment plant for NYC.  He told me it would create the best quality water the world had ever seen!  He was enthusiastic about the technology they employed and the excellence his workers had provided in building it.  I was amazed! He then said, “there is one caveat doctor.  After we take this water and make it into the most pristine water the world has ever seen,  it flows out into an open pond on its was to NYC,  where birds shit in it each day.”  Now this is something I can believe comes out of congressmen whose financial liability is nothing like that of private business. They don’t worry about if it works;  but,  they do concern themselves with  who gets paid off!  Does anything work for data exchange?  Sure!  For now if you have the same software in the same facility, yes; with the caveat that you have access to off-line storage in the same machine (that is not on ehr).  So, if you are a hospital or a large medical group, your doctors could exchange some data and get the rest of machines they can access.

What about doctors not in the same group or in a hospital?  Well faxed reports are still viable and work!  When an eye doctor faxes a report to a pcp regarding diabetes or atherosclerosis that information can be incorporated in the PCPs records. This provides better management and better fees as it meets the needs of HEDIS scoring.  It provides better care possibly and in this case the specialist’s input is all the PCP really wants.  Should doctors rush into data exchange software?

Just imagine all the bugs in a doctors EHR software and the I would tell a  doctor, ” ask yourself  two questions:   1) Do you need more bugs and more complexity?   2) If you are in a ACO that will bet its medical outcomes to be enhanced by data exchange, would you tie your financial future into this for 3 years?  Remember capitation?  ACOs are really capitation with not just the very scary dangerous 1 year contracts that doctors dropped like a hot potato years ago  but a much longer 3 year contracts that could do more than burn your fingers!”   The lesson may be:  Don’t rush into anything congress has just blessed or someone is peddling for profit!  Let it prove itself first before you Literally bet your house on it!  We have enough people in bankruptcy in America today!

Janr Ssor.

 

 

 

Lower Carb Dark Chocolate (not sci-fi)

I do believe in mystical mushrooms and more…. one of those more is Cholate almonds raisnschocolate.   Unlike my favorite herb for depression and insomnia, Valerian, which smells like “don’t go near it,”  chocolate smells good and makes you feel good like “do go near it!”

 

Well chocolate usually has lots of sugar, which is incredibly bad for you so here is my favorite recipe… skip the raisins and it is even lower carb.

Ingredients:

  • 1 bar of baker’s sugar free chocolate
  • 4 rounded tablespoons of Trader Joe’s Organic peanut butter
  •  3 tablespoons of  coconut oil (more for softer chocolate)
  • 2 heaping tablespoons of Caco Powder (Navitas brand)
  • 1 full baby teaspoon of Pure Stevia (no fillers) … to taste
  • 1 tablespoon of Bourbon Vanilla  (Trader Joe’s)
  • 2 handfuls of organic raisins
  • 2 handfuls of almonds (raw)
  • 1 handful of salted roasted peanuts

Preparation:  melt the chocolate in a Pyrex dish at low to medium heat. Add the peanut butter and the coconut oil.  When melted lower the heat and add the Vanilla and Stevia stirring well.  The add the Cacao powder and mix again. Finally add the almonds, raisins and peanuts, mixing it all well.

Put this in the fridge until it gets hard and keep it there.  Cut and serve when desired.

Janr