Monday, October 12, 2020

"Miracle" Soup Tastes Better Than It Looks

Friend R.E. shared this recipe for "Miracle Cauliflower Soup" on Facebook, and I decided to use her lazy bookmark as inspiration for dinner and a week of leftovers for lunch. Here's the FrDrDr version:

1. Send Dear Husband to the grocery store for supplies, namely a head of cabbage, a head of cauliflower, and enough boxed low-sodium chicken broth to juuust cover 20 cups (!) of vegetables.

2. Contemplate how different the final product would taste with the red cabbage DH brought home. (Apparently he initially picked out a green cabbage, then changed his mind AND PUT IT BACK to get a red one, and forgot that he had a communication device in his pocket with which he could have asked me what I needed.)

3. Go to the co-op for the first time since the pandemic started. Score a decent-sized green cabbage but get somewhat lost because the bulk-goods section has been rearranged.

4. Choose your cooking movie: Disney's The Princess and the Frog.

5. Chop the cauliflower: 4 cups. Chop half the cabbage: 5 cups. That math isn't even close.

6. Chop some garlic with which to saute the veggies. Remember that you don't have sesame oil like the one reviewer recommended, and that you will be flavoring the soup with the broth anyway.

7. Bring all the veggies and 2 boxes of broth to a boil, then reduce to simmer for an hour.

8. Look up Rotkohl recipes. Decide to make Asian chicken and cabbage salad with the rest of the cabbage.

9. Turn of the soup to cool while you have a Zoom meeting with an undergraduate student who thinks he wants to become a Herr Doktor Doctor in history of medicine.

10. Blend the soup in batches with the rest of a tub of blue cheese. Season with black pepper. Save 1/3 for dinner the next night and freeze 2/3 for later/lunches.

11. DH was pleasantly surprised by the result and told me I could serve him cabbage and cauliflower like this any time I wanted--it's a miracle!

P.S.--DH made it up to me by bringing home this adorably round little pumpkin AND a bag of candy pumpkins. Pumpkin earrings were made by my friend J.R.

Tuesday, October 6, 2020

Having a "Saturday"

When I showed up for an extra shift at work one morning and was assured they didn't need me, it was perfect timing to stop by the fancy bakery on my way home for second breakfast. Having just opened, it smelled heavenly inside. I opted for three pastries: a croissant aux amandes for me, a panier framboise for Dear Husband, and an extra pain au chocolat. The first two looked delightful (below) and were good to eat, but to be truthful, they tasted less than fresh. 




DH went off to church to practice, and I decided to study with my suddenly free morning. This was a relief after having spent the prior weekend "in" a conference. After lunch, I continued my "Saturday" with a couple household chores, such as reattaching the hinge to the cupboard island that had come completely off when I opened it to feed the cat that morning. This involved texting my dad for advice (a home repair consult, if you will), match sticks, wood glue, and a power drill. Success!

Then, because the weather was absolutely gorgeous, DH and I took a long walk through Frick Park. You can see how sunny it was by our squinty expressions in front of the tree that is changing colors behind our apartment. The fall colors have not really set in yet, but the foliage is still full. It was a restful backdrop for a prolonged discussion of our finances and the hope that we can afford to purchase a house in the spring. 

Everyone's experience of the pandemic will be different, of course, but one of the things I will remember most will be the long walks up and down those tree-covered hills. The green space in Pittsburgh really is one of its greatest assets. 

There was a lot of wildlife, even in the middle of the afternoon. In addition to the usual squirrels and chipmunks, a lithe garter snake slithered right in front of my feet and into the underbrush. We thought there were quite a lot of people around for him to be out and about--and he probably felt the same way! On our way home, we came across the mowing and pruning goats.

Then it was time to decorate the front porch for Halloween. Nothing ambitious, just some bones in the garden, a skull on the railing, some fake cobwebs with a large dangling spider, and the piece de resistance: a string of monster eyes that light up. Halloween is on a Saturday this year, and I am no longer seeing children in clinic, so I have to decide whether to dress up this year. If I do decide to wear something punny, now taking ideas!





Thursday, October 1, 2020

Conferencing in the Time of COVID

 

'Tis the season for conferences. They're pretty much all online these days, which is how I was able to attend the "Navigating Pediatrics to Adult Health Care: Lost in Transition Workshop" "at" the National Institutes of Health in Bethesda, MD. While the speakers talked about urological care of individuals with spina bifida and attempts to improve medication compliance among young adults with sickle cell anemia through apps, I darned the heels of three socks for me and patched two pants pockets for Dear Husband. If idle hands are "the Devil's," I rather suspect that keeping mine busy while I listened prevented me from "multitasking" by checking email or Facebook.

Monday, September 28, 2020

Pet peeves

Electronic medical records are great! They make billing so easy! All that information at your fingertips! But what if it's bad information?

Disorganized info in the EMR is a pet peeve of mine. One patient's Past Medical History was listed as the following:
Abdominal hernia
Esophageal Reflux
Hiatal Hernia
Irregular menstrual cycle
Migraine
Migraine
NO SIGNIFICANT MEDICAL HISTORY [all caps in original]
Unspecified disorder of skin and subcutaneous tissue
Varicose veins of lower extremities with complications

That's a lot of diagnoses to have "no significant medical history," even if "migraine" is listed twice. The varicose veins have complications, so the patient probably found those "significant." There is an old or external medical record that, when it interfaces with ours, generates diagnoses such as "unspecified disorder of the ...," and I honestly rather nothing were listed, as it conveys no useful information.


Thursday, September 17, 2020

My Middle Name Means "Grace"


You might be #blessed, if you have time between a Zoom meeting and your next patient for a snack, and your clinic has not only ice cream in the break room freezer but multiple toppings (featured here: peanut butter brittle and chocolate sprinkles; in the cupboard: 2.25 jars of caramel sauce). My clinical load is currently light, as I am still building up my panel. The few patients I see are a mix of new people establishing care with me and my colleagues' patients who need an ED or hospital followup, have an acute complaint, or want medications re-prescribed.


What with various hiccups in my on-boarding--from being allowed to bill in the electronic medical record to getting insurance for Dear Husband--it's been a somewhat anticlimactic start to my attendinghood. Thank goodness my colleagues have been kind and welcoming, and only one patient has wondered whether I'm a trainee so far.


I'm still spending significant time every day studying for my second, pediatric board exam in the middle of October. One of the question writers' favorite genres is "guess this child's age based on what she can/not do." I wrote a spoof:

A patient wakes up at 11am and spends an hour on her phone. She changes her pajamas before eating leftover potstickers and an ice cream sandwich at 2pm. She thinks about contacting the DMV to renew her license but does not. She watches 11.35 hours of Netflix before falling asleep on the couch. How old is this patient?

A. 16, not quite an adult
B. 36, adults well
C. 46, should know better
D. 76, doesn't care

The answer is, E. All of the above. We're in the middle of a pandemic, and most people are doing the best they can, so maybe change out of your judge-y pajamas and extend a little more grace to yourself and the people around you.

True story: I've mean meditating so much on this that if I were to get my first tattoo, I have been considering the word "grace" in script on the back of my right hand, so that I would literally be offering grace to everyone I meet. Except, I couldn't go to an ink parlor right now (see: COVID). And, who shakes hands now these days anyway? (See: COVID.)

Saturday, August 22, 2020

Monticello: Visiting the "Little Mountain"

Collonaded front entrance of Thomas Jefferson's mansion

One day of our family vacation by the lake, My Awesome Parents (MAP), Dear Husband, and I drove an hour from Lake Anna to Thomas Jefferson's estate, Monticello. I complained the whole way there that I was cold, and from the photo above you can still tell that the weather was initially grey and drizzly. However, by the time we had toured the mansion, the temperature had come up and the sun had come out, which is why so many of my photos ended up over-exposed and/or back-lit.

View from the front porch of the valley below

This is the view from the top of the "Little Mountain." I was impressed by the precautions taken to allow the historical site to re-open, including limiting the number of tickets and people allowed on the shuttle or inside the house. Masks were required, of course. Instead of guided tours, staff met visitors outside for short scheduled talks, and photographs inside are permitted for the first time. The only real disappointment was that we brought our own food for lunch, but the picnic area in the woods is closed, so instead of eating away from other people, we had to eat in the courtyard of the visitor center.

Wall display of Native American artifacts

These are reproductions of objects sent to Jefferson. Apparently there are also dual busts of him and Alexander Hamilton in the foyer, perpetually staring each other down, but I missed them.

A woman looks at portraits hung over curtained windows in a parlor

Small study with late-18th and early-19th-century furniture

Above is his study, with a contraption on the table to write two copies of a letter simultaneously. To the right is the alcove where Jefferson slept, presumably after his wife died. Very efficient. Below are his copies of Don Quixote and a rotating clothes rack.

Man points to old books on a shelfClothes hang on spokes from a rotating wooden rack

View of the garden through a window

White fireplace in a room with yellow walls
Dear Husband was particularly excited about this feature of the dining room he learned about in school: the wine "dumbwaiters" hidden on either side of the fireplace mantle.

Below is the tea room. Only the first floor of the mansion is open to visitors. After seeing it, we were just in time to grab seats under a tent on the lawn to hear a actor portraying the President give a little monologue and answer questions. He talked a lot about suffrage and leaned rather heavily on the idea that Jefferson would have expected society and laws to change over time to express support for the expansion of voting (e.g. to women, as the nation had just marked the anniversary of the 19th amendment). I thought it was a rather too-rosy feel-good retrospective interpretation of a man who pushed for religious freedom in Virginia but owned >600 human beings over the course of his life, including the mother of 6 of his 12 children, Sally Hemmings, who was half-sister to his wife, Martha. I learned that Sally accompanied him to Paris at the age of 14, was pregnant upon her return at 16, and negotiated freedom for her children...which was granted to the 4 who were still alive after Jefferson died on July 4, 1826. (The same day as John Adams.)
Small room set up for tea on china

Brick exterior of the building

A man and woman stand near an actor dressed as Thomas Jefferson

A large brick mansion and an expanse of green grass

Above is the side of the building that Jefferson designed that you might recognize from the nickel. Below is a reconstruction of a slave cabin on Mulberry Row, with a view of the working garden the on-site cafe uses, and the valley beyond. There is also a memorial to the Jewish family who bought the estate after Jefferson died--$100,000 in debt for living beyond his means--and preserved much of it for posterity.

A small log cabin overlooking a vegetable garden

Black and white photo of a fancy black wrought-iron gate in front of a marble obeliskWhite hydrangeas near old tombstones

To the left is the ornate gate in front of Jefferson's obelisk, to the right, a view into the private family cemetery. Below are my favorite gravestones, which read "A perfect gentleman" and "A talented lady" on their back sides. Below that is the slave graveyard. More than 40 graves have been identified by careful digging, but none have been opened. Jefferson's family freed Sally Hemmings, and she lived the rest of her life in Charlottesville, but no one knows where she was buried.

Two gravestones read "A perfect gentleman" and "A talented lady"

Many trees shade a fenced-in enclosure

A man stands back-to-back with a metal statue of Thomas JeffersonA dark, windowless room with a brick floor

To the left, DH sees how he measures up against Jefferson's 6' 2.5" stature. On the right, one of the two rooms historians think Sally Hemmings occupied with their children. It was a good trip, and I'm glad we went, but it does make you think where our priorities as a nation have been if schoolchildren have been taught about the architectural features of a Big House rather than the true nature of chattel slavery and the real reasons behind the Civil War. Hopefully with every generation we are doing a better job of handling our past.

Thursday, August 20, 2020

Lake Anna Excursions

Man smiles across a picnic table with boxes of food and little cups of ciderImage shows a fishing pole, wooden dock, and a lake vista

While on our family vacation to Lake Anna, we took a couple of excursions.

Left: One evening we went to a local cider manufacturer with a BBQ joint attached. They had tables set up outside for distanced eating, drinking, and trivia. We called ourselves "The Magnificent Six" and finished solidly in the middle of the pack. Here you can see my BBQ mac n cheese and a flight of 9 ciders. I eventually invested in two four packs that will take us all winter to finish. 

Right: Fishing off the dock. I didn't catch anything, but everybody else did. In fact, Mom caught a catfish big enough to eat the last night we were there, but since we already had more than enough food, we didn't ask Dad to clean it.

Woman holds a net with a large catfish in it

Below: One day we played miniature golf. The course was very good, not too crowded, although you can see that the skies were threatening. Not pictured: N's girlfriend, C.

A family smiles on a miniature golf course under cloudy gray skies

Over the week I read 2.5 books: I finished reading the book Dear Husband had given me for my birthday: Michelle Harper, The Beauty in Breaking, a memoir by an African-American ER physician, which I leant to C. I read from cover to cover the book that N. had given me for Christmas, Thomas Harding, The House by the Lake. It is a biography of his family's lake house outside Berlin and the families who owned or lived in it over 100+ years of German history. It was an easy read, and I could imagine assigning it in an undergraduate course. Finally, in the car on the way home, I read Melany Jackson, More Than Enough, a memoir about her calling to start a homeless ministry in Illinois. I can't remember the last time I had the freedom to do so much reading; it reminded me of the binge I went on in undergrad after finishing my thesis. The whole trip was good for my soul.