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Seasonal Greetings and Best Wishes for 2015
From all the members of the LPC
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As another busy year draws to an end, I would like to wish our pharmacists, their teams and all their patients a very Merry Christmas and a Happy New Year.

It has been an eventful year.  The switch to EPS2 (Electronic Prescribing) in many GP practices, changes to our funding model, drug withdrawals (domperidone and metoclopramide), Controlled Drug (CD) changes and the Call to Action campaign has kept us all busy.

Pharmacies are ideally placed to help patients stay healthy this winter.
We will all be an active part of the local ‘Keep Calm and Ask Your Pharmacist’ campaign, being run, across the North East for another year.

I am delighted that community pharmacies have once again been involved in the delivery of flu vaccinations for all our patients. The NHS service this year has been more successful than ever. (Santa and any “at risk elves” you are responsible for, can call in at the pharmacy to receive your vaccination before you go off delivering presents all around the world! No need to spread anything else other them good cheer.

So enjoy our ‘ph-estive’ LPC Christmas News and have a healthy and happy Christmas and prosperous New Year.

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Something odd (and Ph'estive) has come over our
 Exec team! (Dave, Louise, Jonathan & Sami)

Merry Christmas.


If you can not see the above video click here.

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Did you know that you can keep an eye on Santa as he does his work.  The NORAD organisation and it's predecessor organisations have been tracking Santa for over 50 years.  

These days they use modern technology such as the Radar, Satellites, Santa Cam's, Fighter Jets and  to monitor and follow Santa's Journey around the world.

Whilst they can't tell you exactly when Santa will visit you (Only Santa knows his route!) you can countdown to Christmas at their site and then then follow Santa from Christmas Eve as he travels round the world.

Click HERE to access the NORAD HQ Website. 


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As with our yearly tradition we include an interactive festive crossword.  This year we are offering a prize for the first correct solution pulled out of a hat.
This year's prize – your own copy of 'Pills, Thrills and Methadone Spills' books 1 & 2 by Mr Dispenser 
This has generously been donated by the author himself.
You can enter your letters directly into the interactive crossword below and submit your solutions by clicking the submit button or alternatively click the "PDF" button  in the bottom right to download a paper version which can be sent back to Kathryn Featherstone .
'Pills, Thrills and Methadone Spills' is a humorous look at everyday life in a community pharmacy, 
written by Mr Dispenser, a working community pharmacist. If you don't manage to win your own 
copy it is also  available to buy at Amazon.   
The author donates some of the proceeds from the sale of these books to Pharmacist Support. - a very worthwhile charity which we would encourage you to support.
The LPC would also like to thank Kathryn Featherstone who tirelessly produces our annual crossword which has become a bit of an LPC tradition.

Error: Embedded data could not be displayed.
IF YOUR WEB BROWSER IS NOT ABLE TO DISPLAY 
THE INTERACTIVE CROSSWORD YOU CAN ALSO ACCESS HERE

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During the winter months many people suffer from colds and take comfort from modern medicines such as Hot Medicated Lemon drinks containing Paracetamol and a decongestant as well as soothing lemon.

A local contractor inherited this recipe book from her great grandmother which contained medicinal cough recipes for Hot  Lemon Drops.

An Extract along with the ingredients can be found below.

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Recipe
1/4oz Tincture of Rhubarb
1/4oz Laudanum
1/4oz Tincture of Cayenne
1/4oz Spirits of 
1/4oz Essence of Peppermint

Unfortunately these days pharmacies would be unable to obtain the ingredients to try out the recipe.  Our contract is convinced that she would  have had a lot of repeat sales if she could!!!

The nearest modern day equivalent would be Gees Linctus which is made with opium tincture. Laudanum was a 10% Opium powder and 90% alcohol it was widely used in victorian times as a pain killer but also as a sleeping draft and tranquilliser it and drank like you would drink whisky. It was also frequently given to babies to sooth them  when teething





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Sweet Chestnut (Castanea saliva)

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The sweet chestnut tree is native to Europe and Asia Minor and it is believed it was introduced to the United Kingdom by the Romans.

Fresh chestnut contains about 180 calories (800kJ) per 100g which makes it lower than walnuts, almonds and many other nuts and dried fruit. It contains no cholesterol or gluten and what little fat it does contain is unsaturated. Chestnut’s are the only nuts that contain vitamin C.

Sweet chestnut is listed as one of the 38 substances used to prepare Bach Flower Remedies and the leaves and bark are a good source of tannins. Tannins have an astringent action and are useful in bleeding and diarrhoea. An infusion has been used to treat fever and malaria but mainly it is used for convulsive coughs eg whooping cough.


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Mistletoe  has a festive association with Christmas time and snow.  Britain's commonest host for mistletoe is the apple tree but it can also be found on lime trees and hawthorns .
Mistletoe has distinctive forked branches, paired symmetrically evergreen leaves and pearlescent white berries primarily associated with midwinter. The shape of the leaves has linked it historically to the "fertility symbol".

It can often be seen hanging from doorways and know for the ritual of " Kissing under the mistletoe ". Ancient legends believe it also wards of evil spirits and acts as a "truce" symbol for warning tribes.

Not only is mistletoe associated with pagan festivals and kissing but it also has created medical interest.
Misteltoe was initially considered a herb in Celtic tradition used for centuries to treat high blood pressure, epilepsy, anxiety, arthritis, joint inflammation and vertigo.

In the early 20th century in European medicine mistletoe came into practise as anti-cancer therapy and still remains a source of great popular interest.

The most significant modern use of mistletoe apart from festive decoration is its use in herbal tea, drank widely in Europe to help relieve blood pressure and circulatory problems. Pharmacies sell it in tea-bag for or as loose leaves.

So whilst you're sharing festive greetings under the mistletoe , give a thought to the additional health benefits especially if you have flu immunity from the pharmacy.


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It's Christmas, the festive season.
Traditionally a time for mince pies, Christmas pudding, turkey, stuffing and Christmas cake.
What about a wheat free or gluten free Christmas?
Do you have to miss out because you have a wheat allergy, intolerance, or Coeliac disease?
Everything for a traditional Christmas dinner can be reproduced in a wheat or gluten free version. 
Nobody needs to miss out, and nobody will know the difference (if you don't tell them).

IMPORTANT: always check ingredients, manufacturers do change recipes without telling consumers, so don't assume the item you bought to eat last month will have the same ingredients this month, it may not.


GLUTEN FREE GRAVY.....

Ingredients
1 tbsp cornflour
250ml[1 cup]250ml water, stock or drained liquid from boiling potatoes or steaming vegetables4-6 tbsp[4-6 tbsp]
4-6 tbsp juices drained from poultry or meat being roasted
¼ tsp1⁄4 tsp[1⁄4 tsp] dried mixed herbs, thyme or sage (optional)
salt 
freshly ground black pepper 


Preparation method
Mix the cornstarch with a small quantity of fluid (preferably cold) from the 250ml, this will ensure that the cornstarch makes a smooth paste and avoids lumps when the rest of the fluid is added.

Add the rest of the 250ml of fluid to the cornstarch paste in a small saucepan, don't add the poultry juices at this stage. Add the optional herbs, the salt and freshly ground black pepper and stir well.

Stirring continuously bring the gravy mix to the boil, and add the poultry juices, making sure that you don't let the gravy get lumpy or too thick. If it appears to be thickening too much then add more fluid to thin it to the consistency that you want to serve it at.

Leave to simmer over a gentle heat while you sort out serving the meal, then decant the gravy into a preheated jug.

If you do end up with some lumps all is not lost, simply decant the gravy through a sieve into the jug and no-one will notice, and it certainly won't affect the flavour of the gravy.



Chestnut stuffing....

 Ingredients
100g dried chestnuts (soaked in hot water overnight)
200ml homemade stock (made from giblets and onion)
1/2 tsp freshly grated nutmeg
25g butter
pinch cayenne pepper
1 tsp grated lemon rind
2oz Gluten free breadcrumbs

Preparation method
Place drained chestnuts in saucepan with the stock (pop the onion in too). Bring the stock to the boil, turn down the heat and simmer the chestnuts for about 45 minutes or until they are soft. Drain the liquid into a jug for later.

Whiz the chestnuts and onion in a blender or food processor with the remaining ingredients. Add just enough of the retained stock to make the stuffing moist but not soggy.

Stuff the neck cavity of the bird or cook separately in a shallow, covered dish for 30-40 minutes.

You could use any remaining stock in the gravy.



Crunchy roast potatoes

Ingredients
Potatoes






Preparation method
Peel and cut enough potatoes into chunks for each person to have 3 to 4 pieces each.

Par-boil in salted water for 15 minutes until just tender. Drain and return to the pan. Place the pan back on the heat and shake vigorously for a few moments to roughen up the surface of the potatoes.

Meanwhile, heat some oil in a roasting pan in the oven.

Turn the potatoes into the pan and roll in the oil to coat. Return the tin to the oven and roast for 50-60 minutes. You may like to turn the potatoes over half way through roasting, to ensure they end up crispy and not soggy.




Gluten free mince pies.....

 Ingredients
125g unsalted butter, chilled and diced
200g gluten-free flour, plus a little extra for rolling
1 tbsp icing sugar
grated zest 1 orange
200g gluten-free mincemeat

For the crumble topping....
25g ground almonds
25g flaked almonds
pinch ground cinnamon
25g unsalted butter, melted
25g soft light brown sugar

 
Preparation method
To make the pastry, rub the butter into the flour until the mixture resembles fine breadcrumbs. Add the icing sugar and orange zest. Spoon in 4 tbsp water, mixing with a knife until the dough starts to come together. Knead lightly, flatten into a disc, wrap in cling film and chill for at least 30 mins.

Heat oven to 180C/fan 160C/gas 4. On a lightly floured work surface, roll the pastry out to a 2-3mm thickness. Using a 9-10cm fluted cutter, stamp out discs from the pastry. Re-roll any trimmings and stamp out more discs until the pastry is used up. Line two 8-hole muffin tins with the pastry discs, then fill each pastry shell with 1 heaped tsp mincemeat and spread out to smooth. Can be frozen, uncooked, in trays for up to 1 month.

Combine the crumble ingredients in a small bowl, then sprinkle a little over the top of each mince pie. Bake on the middle shelf of the oven for about 20 mins until the pastry is cooked and golden brown. Cool in the tins for 5 mins, then serve with brandy butter or crème fraîche.



Christmas Pudding........

Ingredients
Dry ingredients
100g/3½oz raisins
100g/3½oz currants
50g/2oz sultanas
50g/2oz prunes, chopped
50g/2oz apricots or figs, chopped
25g/¾oz fresh or dried mixed peel
50g/2oz flaked almonds or, if you cannot eat nuts, sunflower seeds 
150g/5oz fresh pear, puréed in a food processor, with the skin on
1 level teaspoon each of ground ginger and cinnamon
½ level teaspoon ground mace
25g/1oz gluten-free vegetable suet

Wet ingredients

2 eggs OR if you cannot eat eggs, 2 heaped tsp of wheat-free and gluten-free baking powder
150ml/5fl oz of apple or pear juice OR 100ml/3½oz apple or pear juice and 50ml/2fl oz brandy
For the flour
100g/3½oz gluten-free and wheat-free flour OR 50g/2oz each of gram flour and 50g/2oz of rice flour

Preparation method
Mix all the dry ingredients together in a large bowl. 
Beat the eggs (if you are using them) with the juice and brandy if you are using it and stir it into the dry mixture.
Sieve the flours together with the baking powder (if you are using it instead of the eggs).
Fold the flour very thoroughly into the fruit.
Spoon the mixture into a pudding basin, cover with doubled greaseproof paper and tie with a string or rubber bands.
Put the basin in a deep pan, pour in water to halfway up the bowl, cover the pan tightly and simmer for 4-5 hours, checking the water level periodically.
Remove basin from the pot, discard the greaseproof paper and cover it with new. Allow to cool, then store in a cool larder.
To serve, re-steam for 1-2 hours or reheat in a microwave for 3-5 minutes.

 


So eat and drink in moderation and the New Year resolutions to lose weight won't hit so hard!!

Gateshead & South Tyneside Local Pharmaceutical Committee 2016