Your best tips for raw food safety post transplant.

Posted by jolinda @jolinda, Aug 3, 2019

Does anyone have good guidelines for eating raw food post transplant. I am specifically interested if anyone remembers the things you were taught about raw fruits and veggies. As an example I was told it is ok to eat prewashed lettuce if you rewash it or that fruit with bumpy skin, like cantaloupe can't be washed well enough to avoid contaminating the fruit when cutting through it.

@genocurt

Hello, my husband received his new lung exactly 3 months ago at the Mayo Clinic. We may be going home tomorrow. Yeah! We had our last appointmenti with the infectious disease doctor yesterday and were told the vinegar method was not necessary at all. Who recommended you this method? Or where did you read about it? We are trying to follow evidence- evidence-based best practices; otherwise it can get overwhelming. Thanks

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@genocurt Congrats on the successful transplant. Great news!
Can you clarify the statement by the infectious disease doc please… can we eat berries because I thought they were off limits like @rosemarya suggested. Or are you saying they are not safe even if washed in vinegar?

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@jolinda

@genocurt Congrats on the successful transplant. Great news!
Can you clarify the statement by the infectious disease doc please… can we eat berries because I thought they were off limits like @rosemarya suggested. Or are you saying they are not safe even if washed in vinegar?

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@jolinda @genocurt I don’t think I was ever told to not eat raw strawberries but now I’m going to check! I’ve been eating that salad – greens, chicken, and strawberries— for lunch just about every day for over a year. I used to put crumbled goat cheese in too but now I’m lactose intolerant. I will be very upset if I have to give up my delicious lunch. It’s the best.
JK

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@jolinda

@genocurt Congrats on the successful transplant. Great news!
Can you clarify the statement by the infectious disease doc please… can we eat berries because I thought they were off limits like @rosemarya suggested. Or are you saying they are not safe even if washed in vinegar?

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I have submitted a question to MGH on their portal about berries, and I checked this site:
https://www.fda.gov/media/83755/download
It simply says to make sure fruits are well washed, which now that I think about it is what I believe I was told after my transplant, along with not eating any fruits that show any indication of being spoiled.
I will post when I get a response from my transplant team. This being a food question may have to go to the dietician.
JK

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@contentandwell

@jolinda @genocurt I don’t think I was ever told to not eat raw strawberries but now I’m going to check! I’ve been eating that salad – greens, chicken, and strawberries— for lunch just about every day for over a year. I used to put crumbled goat cheese in too but now I’m lactose intolerant. I will be very upset if I have to give up my delicious lunch. It’s the best.
JK

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@contentandwell I have been encouraged to eat a lot of fresh fruit and vegetables. Berries included!! Just no grapefruit or pomegranate. I rinse everything in cold water. I do not rinse bananas. I don't eat the peel lol..
Sometimes it doesn't help to become paranoid as you'll miss out on the goodness and health benefits of delicious fruits.

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@contentandwell

@jolinda @genocurt I don’t think I was ever told to not eat raw strawberries but now I’m going to check! I’ve been eating that salad – greens, chicken, and strawberries— for lunch just about every day for over a year. I used to put crumbled goat cheese in too but now I’m lactose intolerant. I will be very upset if I have to give up my delicious lunch. It’s the best.
JK

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I was never told not to eat them (strawberries) either. And I do rinse, rinse, rinse, the strawberries and blueberries. Yummy. It is the fresh raspberries and blackberries that I am concerned with because they are hard to rinse.

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@gaylea1

@contentandwell I have been encouraged to eat a lot of fresh fruit and vegetables. Berries included!! Just no grapefruit or pomegranate. I rinse everything in cold water. I do not rinse bananas. I don't eat the peel lol..
Sometimes it doesn't help to become paranoid as you'll miss out on the goodness and health benefits of delicious fruits.

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@gaylea1 That’s pretty much what I was told also. In fruits that you cut through the skin or rind you should wash them because the knife can cut through and introduce bacteria to the fruit.

Something I don’t think was mentioned to me by my transplant group is to wash the top of cans before you open them. There can be bacteria that will get into the contents. This is especially important if you are not cooking the contents or bringing them to a high temperature. I’ve been doing that for years.
JK

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@rosemarya

I was never told not to eat them (strawberries) either. And I do rinse, rinse, rinse, the strawberries and blueberries. Yummy. It is the fresh raspberries and blackberries that I am concerned with because they are hard to rinse.

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@rosemarya I rarely eat raspberries and blackberries for that reason too. I feel much more confident with the white vinegar wash.
JK

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@contentandwell

@gaylea1 That’s pretty much what I was told also. In fruits that you cut through the skin or rind you should wash them because the knife can cut through and introduce bacteria to the fruit.

Something I don’t think was mentioned to me by my transplant group is to wash the top of cans before you open them. There can be bacteria that will get into the contents. This is especially important if you are not cooking the contents or bringing them to a high temperature. I’ve been doing that for years.
JK

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@contentandwell yes I always wipe tins before opening and I don't drink directly from a can. I use a glass or a straw.

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@rosemarya

I was never told not to eat them (strawberries) either. And I do rinse, rinse, rinse, the strawberries and blueberries. Yummy. It is the fresh raspberries and blackberries that I am concerned with because they are hard to rinse.

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@jolinda I heard back from my transplant team, this was their response:
“Fruit is fine for you to eat at this point. We recommend not eating fresh fruit/veggies only if your WBC level is very low (which yours in continually ok).”

I had included berries in my question. I think you may have misinterpreted something that @rosemarya said since she also was told she could eat them. Always better safe than sorry though.
Enjoy some luscious strawberries. It was sure a relief to me to know that I was not doing something that could be bad for me.
JK
.

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@jolinda

@genocurt Congrats on the successful transplant. Great news!
Can you clarify the statement by the infectious disease doc please… can we eat berries because I thought they were off limits like @rosemarya suggested. Or are you saying they are not safe even if washed in vinegar?

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Hi Jolinda, during our last meeting with the ID specialist, we were told we could eat any berries SO LONG as we clean them well by a 1-2 minute cold water wash. We specifically asked about using vinegar and she said it was not necessary. I hope this helps.
On another note, we were told by a transplant patient that she makes everyone take their shoes off when they enter her house. Has anyone heard this advice from a transplant team staff? As we said in a previous post, we want to follow evidence-based practices and not hearsay.
Thanks.

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@contentandwell

@jolinda I heard back from my transplant team, this was their response:
“Fruit is fine for you to eat at this point. We recommend not eating fresh fruit/veggies only if your WBC level is very low (which yours in continually ok).”

I had included berries in my question. I think you may have misinterpreted something that @rosemarya said since she also was told she could eat them. Always better safe than sorry though.
Enjoy some luscious strawberries. It was sure a relief to me to know that I was not doing something that could be bad for me.
JK
.

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@contentandwell what is the WBC cut off mine is low a lot and now im curious

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@genocurt

Hi Jolinda, during our last meeting with the ID specialist, we were told we could eat any berries SO LONG as we clean them well by a 1-2 minute cold water wash. We specifically asked about using vinegar and she said it was not necessary. I hope this helps.
On another note, we were told by a transplant patient that she makes everyone take their shoes off when they enter her house. Has anyone heard this advice from a transplant team staff? As we said in a previous post, we want to follow evidence-based practices and not hearsay.
Thanks.

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@genocurt Hi on the subject of taking shoes off. We have done that for years and its interesting that my wife was just reading an article that suggests most bacteria comes in the house on your shoes to include a virius that put me in the hospital recently. Cdiff is its short name. It attacks the bowel and you get major diarrhea for weeks. Mine lasted a full month. The virus can only be killed with bleach and can live on untreated areas like outside dirt for up to 2 years. That part i found out from Mayo. So now besides taking my shoes off i sweep the floor near the doors at least daily.

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