Archive for March, 2018
Tahini is like peanut butter made out of sesame seeds. I think that distinctive flavor of sesame goes great with the chocolate chips, added in with generosity in this fun recipe.
4 ounces unsalted butter, at room temperature
½ cup tahini, well stirred
1 cup granulated sugar
1 large egg
1 egg yolk
1 teaspoon vanilla extract
1 cup all-purpose flour, plus 2 tablespoons
½ teaspoon baking soda
½ teaspoon baking powder
1 teaspoon kosher salt
1¾ cups chocolate chips
Flaky salt, like fleur de sel
1. In the bowl of an electric mixer fitted with the paddle attachment, cream butter, tahini and sugar at medium speed until light and fluffy, about 5 minutes. Add egg, egg yolk and vanilla and continue mixing at medium speed for another 5 minutes.
2. Sift flour, baking soda, baking powder and kosher salt into a large bowl and mix with a fork. Combine flour mixture to butter mixture at low speed until just combined. Use a rubber spatula to fold in chocolate chips. Dough will be soft, not stiff. Refrigerate at least 12 hours.
3. When ready to bake, heat oven to 325 degrees and line a baking sheet with parchment paper or nonstick baking mat. Use a large ice cream scoop or spoon to form dough into 12 to 18 balls.
4. Place the cookies on the baking sheet at least 3 inches apart to allow them to spread. Bake 13 to 16 minutes until just golden brown around the edges but still pale in the middle to make thick, soft cookies. As cookies come out of the oven, sprinkle sparsely with salt. Let cool at least 20 minutes on a rack.
I skipped refrigeration and they were fine.
Cooking at this lower temperature, they really didn’t brown well for me.
Frequently people with complicated past medical histories come into the emergency department for care. If they have an organized list of their problems, it is really helpful. We want to keep their past history in mind as we evaluate the new problem that brought them to the emergency department today.
At other times, people are hypochondriacs or just weirdos and their list is really not helpful. It can be fascinating reading, however. Here is one such list. I reproduced it as exactly as I could.
Currenty told I have the following wrong
- Prostate Cancer
- Broken back and I spent 2 days in VA hospital and told nothing they could do due to many breaks
- Diabetes type 1 was on 12 units of insulin and now at 25 units. Started type 2 in 2003 and became type 1 in 2009. one injection in am and one in pm.
- Degenerative disc disease
- Peripheral neuropathy
- nerve neuropathy
- Osteoporosis vertebroplasty
- Both eyes operated on for cataracks
- Feet go numb and once turned blue due diabetes.
- Multiple age indeterminate compression deformities diagnostic code abnormality
- Several calcification within pelvis which likely represent phleboliths.
- Ureteral calculi cannot be excluded sub acute end plate deformity at L1, L2, L4, L5 with associated enhancement
- Enlargement of prostalic.
- L3 and L4 bilateral neroforaminal stenosis.
- Degenerative changes causing central canal and bilater neuroforamind stenosis at L4 and L5
- post operative changes of left laminotomy at L5 and Sl.ss
- Mild compression deformities at L5, L2, LI.
- cant walk too for before getting tired
- Right hand drops things. Left does it too but not as much as the right
- Very bad time going to sleep and sometimes have nightmares and wake up sweating around the neck.
- Side effects of meds I took caused me to loose my wife and son. Now separated.
- Anger sometimes very bad when I take the meds.
- Urinate a lot due diabeties and have to wear depends. Have to eat 5 to 6 meals a day due hunger pangs and get weak if I don’t eat to point I feel like I may faint.
- Diabetes started 5/13/03 type 2 and 2009 turned to type 1.
- Wife MS started 4/20/09 and had to spend a week in hospital
- ED since I got diabetes.
- new meds don’t work.
- Use cane to walk straight.
- Handwriting iffy to bad at times.
- compression at SI nerve root
- Somatoform disorders
- Lumbar spasms
- peroneal neuropathy
- Partial thromboplastin
- Spurs at C4, C5, C6
- disk ogenic end plate marrow signal changes at C5, C6and alio for a minal narrowing
- always feel tired and fatigued
- Incurable lymphedema
- Congenitial interbody fusion
- Bright flair signal in left frontal sub cortical whit matter in brain.
- Bulging at L4, L5 level of the ventral surface of the thecal sac.
- lumbosacrale spine
- 3 nodules in lungs
- Diffuse asteopenia.
- When I lose sleep for two or more days I become very weak and may take another day or two to get better. One week I got 7 hours of sleep for the whole week. Almost dropped dead from that series of lost sleep.
- Hit many times with hyperglycemia and hypoglycemia. Last 3 yrs none occurred.
- blood glucose once hit over 500 now average 90 to 200 no matter what I do Meds make the numbers all over the place.
- once slept for 24 hours another day 23 hours felt very weak and out of it.