PEARS MELBA (serves 4) 3 cups water 3" cinnamon stick 1 tsp vanilla 1 1/2 TBL fresh lemon juice, reserving 1/2 tsp One 1x3" piece of lemon zest 4 large pears, stems intact, peeled, halved & cored 1 TBL cornstarch 10 oz frozen raspberries, thawed, drained, reserve juice 1 cup low-fat cottage cheese 2 tsp sugar Mint leaves In large skillet combine water, cinnamon stick, vanilla, 1 TBL lemon juice & zest. Bring water to high simmer; add pears & poach, covered, 10 minutes. (Can be prepared up to this point, covered & chilled overnight.) Add cornstarch to reserved raspberry juice; heat until slightly thickenened. Add berries: cool. Puree cottage cheese, reserved lemon juice & sugar until smooth & creamy. Matching halves, fill each pear half with 2 TBL cheese mixture; stand upright on plate & press halves together. Level bottom, if necessary by cutting off thin slice. Spoon 2 TBL rasberry sauce over each pear. Place mint leaf at each stem. May chill several hours.~~Sounds Delicious FRESH AUTUMN PEAR BREAD (1 loaf) 1 stick unsalted butter, softened 1 cup sugar 2 eggs, slightly beaten 1 tsp vanilla 2 cups flour 1/2 tsp salt 1 tsp baking powder 1/2 tsp baking soda 1/8 tsp grated nutmeg 1/4 cup buttermilk or yogurt 1 cup coarsely chopped fresh ripe pears, skin left on Preheat oven to 350°. Butter a 9" loaf pan. In a large bowl, using a mixer, cream the butter & sugar together until light & fluffy. Add the eggs & vanilla. In a separate bowl, combine the flour, salt, baking powder, baking soda & nutmeg. Add the flour mixture to the butter mixture alternately with the buttermilk, mixing gently but thoroughly. Gently stir in the pears. Transfer the dough to the prepared pan. Bake 1 hour or until a toothpick inserted near the center comes out clean.~~More than a Tea Party PEAR CRISP (serves 6) 6 ripe pears, peeled, cored & sliced 1 TBL lemon juice 1/2 tsp cinnamon 1/4 tsp nutmeg 3/4 cup flour 1/2 cup butter, softened 1/2 cup quick-cooking oats 1/2 cup brown sugar Place pears in a greased 2 qt baking dish. Toss pears w/lemon juice, cinnamon & nutmeg. In a bowl, combine flour & butter until mixture resembles crumbs. Add oats & brown sugar. Stir well; sprinkle over pears. Bake in a preheated 375° oven for 20-25 minutes or until browned & pears are tender. Serve w/ice cream or whipped cream.~~Food for Thought

Elisa, My DH has health problems and we actually have a slightly lower target than your brother's. It seems insurmountable at first, especially when it can't be eased into. If you've got a low-salt diet order, and judging by the ICD implantation, kidney issues, etc., I can guess what you're dealing with, you need to get it in place ASAP. Or your brother will be right back where he started from. The need for rapid change is one of the biggest challenges because it takes awhile for a lowered-salt diet to taste good again. It will get better as you will adjust, but most people eat four or five times that amount, daily. So even thogh 1500 mg/d doesn't sound much less than official ideal for non-impaired people, it's a huge functional and taste change for most people. I know, because we've BTDT. OK, here's some quick tips: almost all prepared food will put you in trouble, unless you only eat once per day. And if he's got diabetes that won't work. By prepared food I mean almost all restaurant food, especially fast food. Almost all canned and frozen prepared stuff, including most stuff marketed as "healthy" prepared food. (There are exceptions, you'll have to read label after label to find the keepers.) Often the lowered sodium product isn't either truly low (300 mg, or less, per portion) or they make it up by loading it with carbs. Here are a couple of good things that are mainstays in our house for fast eats: some of the Imagine Organic aseptic packaged LOWER IN SODIUM soups (corn or sweet potato=140 mg/cup). Other lower in sodium aseptic packaged soups may or may not work for you. (We like some tomato, some roasted pepper, etc. you have to read the labels.) Muir Glen makes a good line of no salt added canned tomato products which are great, esp. the fire roasted ones. Most commercial low or no salt bread sucks, to put it plainly. This is where making your own really is better. But salt has a functional role in bread-making, in addition to its taste role, so you will need to expect to have some trouble adapting "regular" recipes simply by leaving out the salt. Try some of the specifically low-sodium bread recipes for starters. Also if you buy unsliced bread, you can slice it thinner than normal and work the total sodium down that way, at least a bit. No-salt cheese is mostly bad; swiss is naturally low (60-80mg/oz) so it's a my go-to cheese. I do use (sparingly) higher sodium cheeses (e.g. Piave cheddar which can be as high as 500+ mg/oz when all I want is to grate some up as a topping. Then the portion is so small it's OK, and the sharp, rich taste really makes a difference.) You can make good grilled cheese sandwiches with Swiss cheese, too. Use a sharper mustard, for extra taste. For cottage cheese get some no-salt added tubs and cut it 50% with the higher salted product. That produces an acceptable level. Watch frozen veg. products, even some of the un-sauced ones often have baking soda (aka SODIUM bicarbonate) added to preserve the green color, which turns a nearly sodium-free item into something you have to "count". If you need to eat out, go to a restaurant and ask for plain grilled chicken, never seasoned and grilled on a scraped grill. Ask if the veg. were precooked, if so ask that they be rinsed in a hot water and then briefly re-nuked. Most pasta is out because it often has been parboiled in salted water. (You don't need to add salt to pasta if you cook it at home. Never mind what the cook books say.) For nation-wide family restuarant chains when ttraveling, we've had good luck with Ruby Tuesdays. They are usually quite accommodating, and the big salad bar is good, too. There are many, if not most, recipes that you will read in cooking mags and books that will have a sodium content that's way out of your range. But you can always bring that salt way down by not adding it, or adding a lot less. You will have some big recipe failures this way but you will learn what works for you. Your brother's Dr. probably told him this: DO NO USE LITE-SALT or SALT SUBSTITUTES. These usually contain potassium "salts" instead of sodium and they will mess things up on the other end (as well as possibly interfere with some of his meds - ACE/ARBS, diuretics, etc.) These products are meant for people who are just "cutting down" salt, not for people at risk of CHF. It's no picnic dealing with a low-salt, most likely very low-fat, diabetic diet (And maybe also low Vitamin K, as well?). It takes a huge , constant vigilance to put it in place successfully. Your brother will need a lot of help, especially if these are sudden changes, in order for it to not become overwhelming. As JohnLiu says most things that are "too salty" can be made at home. But it's a completely different culinary regimen, because even many certifiably homemade dishes contain ingredients that are very salty to begin with. And it takes a lot more time and effort. Can you give me some idea what you're trying to accomplish, right now? What sorts of meals are you trying to prepare? I may be able to make some specific suggestions. In the meantime, you can't go wrong with broiled chicken or fish, steamed veg, small baked sweet potato and salad for dinner. For lunch a truly lower-salt soup (or big salad), and an egg or tuna or chicken salad sandwich, and fruit for dessert. And maybe regular oatmeal and fruit for breakfast. This would leave you some pretty useful lee-way to add some other tasty, higher-salt add-ons: cheese, lightly salted pop-corn, regular (not homemade low salt for the time being) whole-wheat bread, etc. Possibly some diabetic-OK cookies or icecream; prepared chocolate soy-pudding is a nice snacky-thing, but I'm not sure if it fits with diabetic diets. I remember standing in my supermarket when this was a new thing for me and feeling that nothing I could make would be safe for my husband. I actually cried right in the aisle, I was so upset. We ate pretty simple, even primitive, meals for awhile early on - and I've thrown out a lot of tried-but-turned-out-to-be ghastly recipes. But it does get easier when you learn how to cheat out the excess salt and still go for the familiar flavors. While the prospect of learning a whole new taste-profile can be interesting, in the abstract, familiar tastes and dishes are very comforting and even necessary, IMO for healing. You just need to keep tweaking it until you've got it right. It does get better. L

I made these, they're great. Cracker Barrel Old Country Store Dumplings Ingredients: 2 C Flour 2 tsp Baking Powder 1/2 tsp Salt 1 C whole Milk 4 Tbsp Vegetable Oil Preparation: Mix above ingredients, blend them well and turn out on to a floured surface. Knead 4 or five times and divide dough into two parts. Roll out one piece of dough to 1/8" thick and cut into 1"x1 1/2" strips. Place into a large sauce pan that you have place 8 cups of water and 3 chicken bouillon cubes that has been brought to boil and the bouillon cubes have been dissolved. Cook 1 half of dumplings until just about done and strain and set aside. Next finish the other half of the dumplings in the same way. While cooking the dumplings you can prepare the sauce. Dumpling Sauce 3 Tbsp Butter 4 Tbsp Flour 1/4 tsp Salt 1 C Whole Milk 2 Chicken Bouillon Cubes (crumbled) 1/2 tsp sugar 1/2 -3/4 C Dumpling Cooking Liquid (after dumplings have been cooked) Place butter in medium sauce pan and melt, add salt and flour, stir until thick. Mix sugar with milk, and add to flour mixture a little at a time and stir constantly with a whisk until thick and smooth. Remove from heat. Place cooked dumplings in dumpling sauce and add 1/2 cups of cooking liquid in which the crumbled chicken bouillon cubes have been added and stir gently, Simmer dumplings until blended on low heat. More cooking liquid may be added if needed.

This is a weightwatchers recipe, I haven't tried it yet but 2 of my friends have and really like it. macaroni and cheese Prep Time : 18 min Cook Time : 40 min Level of Difficulty : Easy Was : 9 POINTS Now : 6 POINTS main meals : Our rich, creamy macaroni and cheese explodes with flavor for two-thirds of the dish's usual POINTS. Ingredients 12 oz uncooked macaroni, elbow-type 1/2 cup fat-free sour cream 12 oz fat-free evaporated milk 8 oz low-fat shredded cheddar cheese 1 Tbsp Dijon mustard 1/4 tsp table salt 1/4 tsp black pepper 1/8 tsp ground nutmeg 2 Tbsp dried bread crumbs 2 Tbsp grated Parmesan cheese Instructions 1. Preheat oven to 350ºF. 2. Cook pasta according to package directions without added fat or salt; drain and transfer to a large bowl. While pasta is still hot, stir in sour cream; set aside. 3. Heat milk in a small saucepan over medium heat until tiny bubbles appear just around the edges (known as scalding). Reduce heat to low, add cheese and simmer until cheese melts, stirring constantly with a wire whisk, about 2 minutes; remove from heat and stir in mustard, salt, pepper and nutmeg. 4. Add cheese mixture to pasta; mix well. Transfer to a 4-quart casserole dish. 5. Combine bread crumbs and Parmesan cheese; sprinkle over pasta. 6. Bake until top is golden, about 30 minutes. Yields about 1 cup per serving. Chef Tips We renovated Macaroni and Cheese by:  Using fat-free sour cream instead of regular.  Swapping evaporated fat-free milk for regular milk.  Opting for reduced-fat cheddar cheese instead of the full-fat variety. POINTS  Serves 8  Points per serving - 6