Archive for July 2013

Chicken Enchiladas


Chicken Enchiladas
These chicken enchiladas are SUPER simple, cheap, and great for feeding the multitudes or just a small family. One recipe can make between 20-24 enchiladas so they are wonderful for freezing and pulling out later on a night when time is limited or you just don't feel like cooking :) I definitely have those nights!! They have been a hit at "potlucks" we have done at church and with friends, and are my "go to" meal when taking dinner to folks who have recently had a life event such as surgery or a new baby and don't have the time or abilty to be on their feet cooking. New moms oftern worry about spicy foods if they are breastfeeding, but these enchiladas are not spicy at all, yet folks can feel free to add additional seasoning if they desire. Every time I make them for friends, I double the recipe and make some for my family and put the leftovers in the freezer. We have a freezer full as we speak!! They are wonderful served over a bed of lettuce and topped with sour cream, guacamole, salsa, and maybe even a little queso. We like to "build our own" here at the Fowler household and get creative with the "toppings"!
  • 1 rotisserie chicken (feel free to cook your own chicken, but this is GREAT for a night when time is limited!!)
  • 1 bag of shredded cheese
  • 16 oz of sourcream
  • 1 can of cream of chicken soup
  • low carb tortillas (any flavor or brand as long as they are low carb) 2-3 packs
  1. Pull chicken off rotisserie and shred
  2. Mix all ingredients in a large bowl (chicken, cheese, sour cream, cream of chicken soup)
  3. Spoon mix evenly onto low carb wraps (avoid putting too much mix in wraps because they will over flow and spill out of the tortilla into the oven- still yummy to spoon out of the baking dish though :)) I typically get approx 20-24 enchiladas. I spread the mix in a straight line on the far left side of the wrap so it is easy to keep all ingredients inside as I roll them up before baking. If choosing larger tortillas you may get 10-12, just depends on how full you want them!
  4. Place wraps in a 13x9 dish
  5. Bake 25-30 minutes on 350, last 5 minutes sprinkle cheese on top
  6. May freeze leftovers and reheat OR freeze before cooking (you do not have to cook them before freezing so this is something you could prepare in advance)
My favorite low carb wraps are the Ole' Extreme Wellness Wraps and they can be found at almost ANY local grocery store typically in the taco section or ethnic isle. However, if you are avoiding ALL wheat including low carb products, you can take the enchilada mix and spread in a greased 13x9 pan, top with cheese and bake as a casserole. Super yummy! These enchiladas are a GREAT hit in our family, EVEN with those that are NOT health conscious! They have no idea they are getting a low carb dish, yet they love every bite! Don't forget to add your favorite low carb toppings such as sour cream, salsa, or guacamole. And by serving over a bed of lettuce you add bulk and fiber to your meal! Also a great way to get our mexican food kick without the added carbs from flour tortillas, rice, and chips. What are your favorite mexican dishes? What creative ways have you been able to make them healthier? Please share below, I love new ideas!! More recipes to come using these low carb wraps including ways to make homemade chips and appetizers! Feel free to use any low carb wrap you desire, but make sure it is low carb, check the label and don't choose one above 5-7 net carbs (total carbs- fiber= net carbs)


Reflections on Nigeria

So we’re back from a ten day medical mission trip to Nigeria. The images in my mind are numerous. Not surprising, since instead of seeing twenty-some people a day (as in my practice here), we would each see a hundred and twenty-something there – less thoroughly, of course, just trying to identify something with which we could help. There were the legions of patient, respectful elderly with the common complaints of “body aches” and “headaches”. No surprise given the hard physical work of farming by hand that many of them had done for decades. Their “bad vision” was usually caused, at least in part, by obvious dense cataracts needing surgery that was mostly out of reach for them.

The cases of malaria were so common that instead of saying they had “fever”, the person would say they had “malaria” since that was the most common cause of fever for them. Likewise, typhoid fever, which I never see here, was a regular on the list of diseases seen or suspected. Less severe, but still debilitating, were the frequent parasitic worm illnesses from unsanitary food and water. Frequent prescriptions of a de-worming medicine were administered to at least temporarily knock down the person’s worm burden.

As always on such trips, there are the more profound illnesses and maladies for which little can be done. There was the woman with an obvious advanced cancer of her salivary glands, far past the point of surgical cure. She had been informed of it six years before but didn’t have the money for surgery. Now it wouldn’t really help even if we somehow could arrange it.

Or the ten year old smiling boy who could barely walk. Further questions revealed that two weeks previously he had had a high fever, neck pain and severe headache. Nigeria is in the “meningitis belt” and in all likelihood this boy had survived untreated meningitis but had been left with a walking debility that will probably be life-long. Yet both he and his father repeatedly smiled at us thankfully for the little we could do.

Then there were the several young men with jaundice (yellow) evident in the whites of their eyes. This indicated liver disease, but what kind: hepatitis, cancer, parasite, yellow fever, malaria? With no access to an ultrasound, CT scan, or even blood work we were left to guess.

Perhaps most heart-tugging were the young women who would come in and with profound sadness explain that after several years of marriage they had not been able to have any children. In Nigeria, children are a particularly valued part of life and marriage. When we would explain that we were not equipped to work-up or treat this problem, their look of hopelessness would deepen. Yet, when we would pray with them it was always striking how their whole countenance revived.

At such times it would be wonderful to have the healing touch of Jesus. Our medicines and tools are so much less potent. But, at the same time, the rest of our team was presenting the good news of Jesus Christ to those eager to hear it. And one should not be quick to dismiss the impact and potency of this remedy for the soul. All in all, it was a very blessed trip and a reminder of how laden we all are in terms of resources and opportunities. Yet somehow, in the midst of all their unmet needs and difficulties, it was remarkable how content and even happy so many of the Nigerians were. As always on such trips, we learned and received more than we taught or gave.

Andrew Smith, MD is board-certified in Family Medicine and practices at 1503 East Lamar Alexander Parkway, Maryville. Contact him at 982-0835