Today from the Bay.
Health Care
Sole Meunière
Picky eater or a problem feeder?
with Balsamic
Brown Butter Sauce • • • • • • • • •
4 (6-ounce) sole fillets, skin removed 2 cups milk SECRET INGREDIENT 2 tablespoons olive oil 1 cup flour Salt, pepper 4 tablespoons finely chopped parsley 6 tablespoons butter 1 to 2 tablespoons balsamic vinegar, or to taste • Lemon slices, for garnish
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Soak fillets in milk for 20 mins. Remove and pat dry. Season fillets with salt and pepper. Heat 1 tbsp. oil over moderate heat in 2 large pans. Put flour into shallow dish; season with salt and pepper. Dredge fillets in flour, shake off excess, dip back in milk and in flour. Place fillets in pan and cook over medium heat for 2 to 3 minutes per side. Place fillets on platter, sprinkle with parsley. Wipe skillet, add butter. Heat until it begins to brown. Remove from heat, stir in balsamic vinegar. Pour sauce over fish and serve. Garnish with lemon slices.
e partner with Virginia fisherman for fresh seafood. This is one of our favorite recipes, but we’ve left out one ingredient.
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Josh Adler by Josh Adler, OTR/L, ATP, Adler Therapy Group
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ediatric occupational therapists and speech therapists often receive referrals from physicians with children that have been diagnosed with feeding delays or oral aversion. They range from newborns to toddler/school age and generally do not have any other diagnoses and an unremarkable medical history. Many parents of these children are told by doctors that these feeding issues will get better on their own and to let their child eat what they want whenever they want. The problem, however, is that when these problems are untreated by a professional they tend to get worse over time and start to effect the child’s everyday encounters with food. Some parents report they don’t know when this oral aversion started to
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22 | Jewish News | Health Care | May 23, 2016 | jewishnewsva.org
take place, whereas others report problems since infancy. They report inter-conflict in the home where one spouse does not believe there is a problem and the other spouse feels strongly that a problem exists. Occupational and speech therapists are specially trained to treat children with oral aversion and can quickly help parents turn the corner and assist their child learn how to accept new foods whether it’s a texture, taste or smell aversion. Picky eaters do not generally warrant outpatient therapy, as they generally like one or two foods in each food group. They don’t exhibit negative behaviors that impact their ability to participate in everyday activities when food is presented to them, regardless if they like that particular food or not. Problem feeders, on the other hand, are not a normal part of child development. Children who are problem feeders often have inadequate caloric intake, poor weight gain and growth, as well as vitamin and mineral deficiencies. If left untreated, children who are problem feeders can suffer from malnutrition, dehydration and impaired intellectual, emotional and academic development. Children with this condition have completely eliminated food groups and commonly have food jags where a once commonly eaten food is no longer acceptable and they outright refuse it. These children exhibit negative behaviors with a strong fight or flight mechanism in place and meal times become highly stressful. Children that struggle with oral aversion will avoid being in the same room with certain foods and it can easily affect the entire family dynamic. Often times, pressure from parents or other family members to “just try it” leads to more resistance and creates behavioral issues. The bright side, however, is that children with oral aversion generally can successfully be treated by specially trained occupational and speech therapists who can educate the family and give the child the tools they need to overcome this very serious feeding diagnosis. These checklists can help identify picky eaters vs problem feeders.