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Better Than Doubletree Chocolate Chip Cookies

Written by Tad. Posted in Cookies

 

If you Google Doubtree Cookie Recipe, you will find many different, but similar versions of the same. I got this from our son’s mother-in-law, Sandy. Can’t say how it might compare to the many other versions out there. I also have NO IDEA what the heck a tiny bit of lemon juice might do to a good-sized batch of cookies.

Recipe By:

Crazy for Crust via Sandy Obreza

Ingredients:

½ cup old fashioned oats
2¼ cups all-purpose flour
1 teaspoon baking soda
1 teaspoon salt
¼ teaspoon ground cinnamon
1 cup unsalted butter, melted
¾ cup brown sugar, packed
¾ cup granulated sugar
1 tablespoon vanilla extract
½ teaspoon lemon juice
2 large eggs
3 cups chocolate chips
  cups walnuts, coarsely chopped (optional)

Directions:

1. Place oats in a small food processor or blender and grind until they turn powdery. Place them in a medium sized bowl and whisk in flour, baking soda, salt, and cinnamon. Set aside.

2. Stir together melted butter, brown sugar, and granulated sugar until smooth. No mixer needed – just use a wooden spoon or spatula.

3. Mix in vanilla, lemon juice and eggs. Stir until smooth.

4.  Stir in flour mixture.

5. Stir in chocolate chips and walnuts.

6. Line a cookie sheet with parchment paper or a silicone baking mat. Scoop ¼  cupsful of the dough into balls and place on the cookie sheet. You do not need to space them. This is just for chilling. Cover well with plastic wrap and chill at least 4 hours or overnight before baking. Heat oven to 350°F. Place cookies well-spaced on cookie sheets lined with parchment paper or silicone baking mats. Slightly depress each ball with the palm of your hand.

7. Bake for 13-17 minutes.

Notes:

I didn’t refrigerate them and scooped them in 2-tablespoon balls. They were very good, baked for a shorter time, of course.

The Insanity of My Addiction

Written by Tad. Posted in Kooks

The Insanity of My Addiction

Paramedics were called to a house where a twenty-six-year-old man was having a severe allergic reaction after injecting methamphetamines. He told the medics he didn’t think it mattered what he mixed the meth in before injecting it. So, since he had some handy, he had used grape juice. Soon after injecting the juice-meth mixture, he started to feel terrible and called 911.

The medics found him in severe distress with fast heart, low blood pressure, swollen face and diffusely red skin. They correctly diagnosed a severe allergic reaction resulting in anaphylaxis and appropriately treated him for the same. By the time he got to the emergency department, he was feeling a lot better.

When I talked with him, he confirmed he had injected meth mixed with grape juice and he didn’t seem to think there was anything strange about having done so. He said he had done the same in the past, and he was sure the problem that day was caused by dirt in the cup he used to make up the mixture.

When I asked how often he used meth, he answered, “How often do I not use meth?” I asked him if he wanted to be smart with me or if he wanted to give me serious answers so I could take good care of him. He said he was not being smart. He used all the meth he could get ahold of.

Since a severe allergic reaction like this can be life-threatening, we watched him for several hours. None of his worrisome symptoms came back, so I went to talk to him before he was discharged. I pointed out that most people would not think it was a good idea to inject grape juice into their veins. He reiterated that he thought it was contamination that caused his problem. I pressed him, again, that it was unwise to inject things not designed for that purpose. He thought for a moment and then agreed, saying, “That’s just the insanity of my addiction.”

Fireballs of the Eucharist

Written by Tad. Posted in Kooks

Fireballs of the Eucharist

Early in my emergency medicine training, a woman came in screaming because of severe abdominal pain. She told the nurse she suffered similar pains in the past because of “fireballs of the Eucharist,” which we interpreted as fibroids in her uterus. She said she had not had a period for three months but was sure she was not pregnant as her periods were always irregular. She was so upset by her pain that we had a hard time getting more information from her. From the way she looked, I thought she was dying from a ruptured ectopic (tubal) pregnancy or something terrible.

She said she needed to move her bowels but was unable to do so after the nurse helped her onto a bedpan. By then, we had an IV in but she was not responding to pain medicine. In fact, she seemed to be getting worse. She screamed, “Somethings coming out down there!” I slipped on gloves and slid my fingers in her vagina. What I felt puzzled me so much that I was startled and pulled my hand back. “What?” I asked myself. I put my fingers back in to reevaluate. Now I was sure. A head!

I hollered for help and, just as I had the baby delivered, the pediatrician and obstetrician arrived to take over care of the mother and the baby. The baby was probably about two months premature. However, it was pink and crying, which is very good news for a newborn. I told the lady that she had a baby and she cried, “Oh, no! I don’t want a baby!”

At the time, my wife was at about the same stage of pregnancy with a baby that we very much wanted. That made me all the sadder for the lady and the baby.

 

A Wild Night in the Accident Room

Written by Tad. Posted in Kooks

A Wild Night in the Accident Room

I did my emergency medicine residency training at Charity Hospital in New Orleans. It was a big, inner-city teaching hospital that was always very busy with lots of sick people to take care of. Most of the surgical and traumatic problems were taken care of in the part of the emergency department known as the Accident Room.

One night, while I was on duty in the Accident Room, gunshots blasted out followed by screaming. People scattered in all directions. Others froze, too afraid to go anywhere. Soon, there was a swarm of police pressing in with guns drawn. I was kind of freaked out but also very curious about what was going on.

As it turned out, a prisoner who was there for medical care had asked his guard to let him go to the bathroom. When one of his hands was free, he jumped the guard, got his gun, pistol whipped him, fired off two shots and ran away with the gun. One of the bullets wounded an innocent bystander who had only come into the hospital to poop.

After things settled down, I took care of the injured cop who felt really bad about having let the guy get away. I also took care of three people who were trampled in the stampede that followed the gunshots. It took several hours before people were not afraid to leave the hospital as they thought the escapee might still be outside somewhere. That was a wild night.

 

Guittard’s Molten Chocolate Cookies 

Written by Tad. Posted in Cookies

When I saw how much these Guittard baking wafers cost, I decided to make them with the Ghiradelli chocolate chips I usually use. After refrigeration, the dough came out so stiff I could hardly form it into balls. After baking, they were great. I repeated with the real Guittard and they scooped beautifully and were delicious. So, I guess you are stuck paying almost a dollar a cookie just for the Guittard chocolate. They are amazingly rich and wonderful with a scoop of vanilla ice cream. (Breyer’s All Natural is my favorite.)

Recipe By:

San Jose Mercury News

Yield:

16

Ingredients:

2¼ cups Guittard semisweet chocolate baking wafers, 12 ounces
3 tablespoons unsalted butter
1 cup all-purpose flour
½ teaspoon baking powder
½ teaspoon salt
2 large eggs
½ cup sugar
1 teaspoon vanilla extract

Directions:

1. Heat the oven to 375 degrees. Line two baking sheets with parchment paper.

2. Using a hot water bath or microwave, melt the chocolate wafers and butter together. Stir until completely melted and smooth. Set aside to cool.

3. In a small bowl, combine the flour, baking powder and salt. Set aside.

4. In a large bowl, with a hand mixer, beat together the eggs, sugar and vanilla until pale yellow and slightly thickened, 2 to 3 minutes. Stir in the cooled melted chocolate mixture. Gradually stir in the flour mixture until just incorporated. Cover the dough with plastic wrap and refrigerate for at least 15 minutes or up to overnight. (I would skip this step and just scoop them out.)

5. Scoop 2-inch mounds onto the prepared baking sheets. Mine didn’t spread out at all.

6. Bake for 12 minutes, or until crusty on the outside but soft in the center. Leave the cookies on the baking sheet for 3 to 5 minutes to firm up, then serve immediately. Store in an airtight container at room temperature for up to 1 week. Reheat to achieve the molten chocolate gooeyness by microwaving them for 10 seconds.

Meagan’s Cat

Written by Tad. Posted in Trauma Strap Bags

Meagan is a paramedic who asked me for a Tad Bag. She shared this picture of her cat sitting in the bag. She shared this picture with me and I share with you.

 

Add a Strap

Written by Tad. Posted in Trauma Strap Bags

I don’t always make whole bags. A friend came over and asked me to put a strap on her computer bag. This is what I came up with. Though it was a pain to sew down inside the bag, it turned out very well.

Salted Tahini Chocolate Chip Cookies

Written by Tad. Posted in Cookies

 

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.

Recipe By:

cooking.nytimes. come

Ingredients:

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

Directions:

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.

Notes:

I skipped refrigeration and they were fine.

Cooking at this lower temperature, they really didn’t brown well for me.

Fifty-Three Things Wrong

Written by Tad. Posted in Kooks

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

  1. Prostate Cancer
  2. Broken back and I spent 2 days in VA hospital and told nothing they could do due to many breaks
  3. 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.
  4. Degenerative disc disease
  5. Peripheral neuropathy
  6. nerve neuropathy
  7. Osteoporosis vertebroplasty
  8. Both eyes operated on for cataracks
  9. Fatigue
  10. Feet go numb and once turned blue due diabetes.
  11. Multiple age indeterminate compression deformities diagnostic code abnormality
  12. Several calcification within pelvis which likely represent phleboliths.
  13. Ureteral calculi cannot be excluded sub acute end plate deformity at L1, L2, L4, L5 with associated enhancement
  14. Enlargement of prostalic.
  15. L3 and L4 bilateral neroforaminal stenosis.
  16. Degenerative changes causing central canal and bilater neuroforamind stenosis at L4 and L5
  17. post operative changes of left laminotomy at L5 and Sl.ss
  18. Mild compression deformities at L5, L2, LI.
  19. cant walk too for before getting tired
  20. Right hand drops things. Left does it too but not as much as the right
  21. Very bad time going to sleep and sometimes have nightmares and wake up sweating around the neck.
  22. Side effects of meds I took caused me to loose my wife and son. Now separated.
  23. Anger sometimes very bad when I take the meds.
  24. 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.
  25. Diabetes started 5/13/03 type 2 and 2009 turned to type 1.
  26. Wife MS started 4/20/09 and had to spend a week in hospital
  27. ED since I got diabetes.
  28. new meds don’t work.
  29. Use cane to walk straight.
  30. Handwriting iffy to bad at times.
  31. Spondylolysis
  32. compression at SI nerve root
  33. Somatoform disorders
  34. Lumbar spasms
  35. peroneal neuropathy
  36. Partial thromboplastin
  37. Spurs at C4, C5, C6
  38. disk ogenic end plate marrow signal changes at C5, C6and alio for a minal narrowing
  39. always feel tired and fatigued
  40. Incurable lymphedema
  41. Cellulitis
  42. PTSD
  43. Congenitial interbody fusion
  44. Bright flair signal in left frontal sub cortical whit matter in brain.
  45. Bulging at L4, L5 level of the ventral surface of the thecal sac.
  46. lumbosacrale spine
  47. 3 nodules in lungs
  48. Diffuse asteopenia.
  49. 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.
  50. Hit many times with hyperglycemia and hypoglycemia. Last 3 yrs none occurred.
  51. blood glucose once hit over 500 now average 90 to 200 no matter what I do Meds make the numbers all over the place.
  52. once slept for 24 hours another day 23 hours felt very weak and out of it.
  53. PTSD

Three Penises

Written by Tad. Posted in Kooks

The other morning, I had to take care of three penises before lunch. That was an unusual concentration of penis problems so I decided to share them with you.

The first was a thirty-year-old man with a “drip” or discharge from his penis. Of the three penis complaints, his was the most common for us to deal with in the emergency department and, as a result, the easiest. For about a day he had been having a thick, green discharge from the end of his penis with some burning when he urinated. He admitted to having unprotected intercourse with someone he was sure had passed this little present on to him. This sort of discharge is usually caused by gonorrhea so I treated him for that as well as chlamydia, because they so often travel around together. He was advised to notify all of his sexual contacts and a report was sent to public health.

Penis number two was a twenty-year-old who came in saying he caught the end of his penis in his zipper. This had caused a little cut that would not stop bleeding. Sure enough, he had a little cut and it was still oozing but it was clear he was lying about how he got it. An uncircumcised man who catches the end of his penis in his zipper will almost always catch the end of the foreskin. Most of the time, this just causes a painful pinch but it can cause a small laceration. The end of the foreskin can also get caught in the zipper so deeply that the patient is unable to get it out. I have seen more than one man come in with the zipper, cut free from the old pants, caught on the end of his penis and tucked down into the pants he was then wearing. We have little tricks to get the foreskin out of the zipper without doing any more damage and such a patient is always quite appreciative once he is extricated.

It was immediately clear that this man had not caught his penis in his zipper at all. His laceration was in the frenulum of his penis. This is a thin connection between the bottom of the glans (head) and shaft. It is down underneath the foreskin and very protected from any errant zipper. The frenulum is frequently damaged from too exuberant sex, which is most certainly what happened to this man, though he persistently denied it.

There are several tricks for getting a pesky little cut like this to stop bleeding. Most will stop with just some good pressure. When this doesn’t work, the next thing I try is a little injection of local anesthesia with epinephrine (adrenaline.) This causes constriction of the blood vessels, which helps stop the bleeding. If that doesn’t work, I put one or two little stitches into the cut. That always fixes the problem. This guy didn’t need the stitches and went off happy that his penis was no longer bleeding. Makes me wonder if he thought we still believed his zipper story or not.

Penis number three is saved for the last because his was the most unusual and difficult to care for of the three. He was a seventy-year-old who was unable to pee. His doctor recently told him he was passing a kidney stone. In the past, he had a kidney stone stuck in the end of his penis and he had to go to the emergency department to have it pulled out. He said he could now feel a stone half way down the shaft of his penis and that that was probably the reason he couldn’t pass urine.

Evaluating his penis was difficult because he had a small penis and was quite obese. The shaft of his penis was almost covered by the fat of his mons pubis (hair-covered skin above the penis.)

The most straight-forward way to fix a penis plugged by a stone is to pass a Foley catheter through the penis and into the bladder. The catheter pushes the stone back into the bladder so the patient can pee. Then, the patient can then follow up with his urologist to have the stone removed.

A while after I asked the nurse to pass the catheter, she came back saying she was unable to do so. The patient had phimosis, which is a scarring of the foreskin so it cannot be retracted off the glans. With a combination of the patient’s obesity, small penis and phimosis, there was no way the nurse could get to the opening of the urethra to pass the catheter into it.

This kind of situation is a urological emergency. The patient is unable to void and he needs to empty his bladder. However, because I was working in a small-town emergency department with no urologist on call, I had to do something. One option I had was to poke a needle through the patient’s lower abdominal wall and pass a catheter straight into his bladder from there. The other option I had was to do a dorsal slit of the patient’s foreskin. This was more aggressive effort to gain access to the opening into the urethra, and it was the approach I decided to take.

First, I used a local anesthetic to numb up his entire penis. I then cut back through the foreskin, trying to expose the glans and find the opening to the urethra.  This ended up being much more difficult than I expected it to be. It had been so long since his glans had seen the light of day that the foreskin was scarred down completely to the underlying glans. I had to insert a forceps a little way, make a small slit in the foreskin, then repeat, all the time controlling the bleeding and making sure not to cut anything but the foreskin. Eventually, I was able to identify the urethra and, with quite a bit of difficulty, get a little catheter passed up into the patient’s bladder. His relief was immediate.

By this time, I was convinced that his scarred down foreskin was the real cause of his inability to void. However, to be sure, I sent him for an ultrasound of his penis and bladder. No stone was detected which confirmed my diagnosis.

The patient went home with the catheter in place and a referral to a urologist. He will need to have a circumcision to fix his problem for good.

Copyright © 2014 Bad Tad, MD