My wife, Shari, came up with this one while looking around the World-Wide Web. So good. Almost like eating candy.
14 tablespoons unsalted butter, divided
2 cups plus 2 tablespoons all-propose flour
1/2 teaspoon baking soda
1/4 teaspoon baking powder
1¾ cups packed brown sugar
1/2 teaspoon salt
1 large egg
1 large egg yolk
1 tablespoon vanilla extract
20-24 soft caramel candies, *Seen Notes
1. Melt 10 tablespoons butter in a 10-inch skillet over medium-high heat. Continue to cook and stir constantly until butter is dark golden brown, 1 to 3 minutes. Transfer browned butter to a large heatproof bowl. Add remaining 4 tablespoons butter (chopped) and stir until completely melted. Set aside to cool.
2. Meanwhile, heat oven to 350 F degrees. Line 2 baking sheets with parchment paper or non-stick mats. Set aside.
3. Whisk flour, baking soda, and baking powder together in medium bowl. Set aside.
4. Add brown sugar and salt to bowl with cooled butter. Whisk until combined. Add egg and yolk and vanilla. Mix until combined. Add flour mixture and mix just until completely combined.
5. Scoop 1 tablespoon of cookie dough and place a caramel on top. Add another tablespoon of dough on top of caramel. Pinch edges of dough around caramel and roll into a ball. Repeat until all remaining dough is gone.
6. Place cookies on prepared baking sheets, 3 inches apart. Sprinkle with sea salt. Bake at 350 degrees F for 11-13 minutes, until barely golden. (They will seem under-baked.) Let cool for 5 minutes before transferring to cooling rack.
Original recipe called for Kraft caramels. I don’t like Kraft caramels. I don’t know what they do to them to make them taste so nasty but I am such a caramel snob that I think it is worth it to get better caramels, even though it may be a pain. I buy a brick of Peter’s caramel from Cash and Carry. I cut off blobs about the size of a lousy Kraft caramel and envelope it with this wonderful cookie dough. Well worth the effort, in my opinion.
A telephone call came into the emergency department and was transferred to the charge nurse. The caller said that a coach for the US Olympic Tennis Team was on the way to our emergency department and that he should be given VIP service when he arrived. She told me about the call and we both wondered what this might mean.
A while later, a middle-aged man arrived who was complaining of flank pain. As I talked with him, I realized this must be the person referenced in the mystery call. I couldn’t make any sense of this because the patient was not what you would picture an Olympic tennis coach to be. He was weird, pale, obese and dumpy. He gave a disjointed story of being diagnosed with kidney stones at various different hospitals around the country as he traveled with his coaching responsibilities. I had a hard time tying this all together in a way I was comfortable with. Nonetheless, I proceeded to make him comfortable and evaluate his flank pain.
Sometime later, a man arrived who identified himself as a limousine driver. He had a bemused police officer with him. They were looking for our Olympic tennis coach-patient. The driver said that the patient had contacted him in Pismo Beach and agreed to pay for a ride to our fair city, a distance of about 200 miles.
The patient pulled out a wallet, showed that driver it was full of cash then asked the driver to hold onto the wallet as the patient said he would be drinking in the back of the limo and would appreciate the driver keeping an eye on it. The patient jumped in and the driver headed off, happy to be paid for the nice, long trip.
When they got here, the driver was directed to the Fairmont Hotel. The patient asked the driver to wait for him while he ran inside to see if the people he was to meet were there yet. The patient went into the lobby and the driver patiently waited.
When the patient didn’t come back, the driver went inside and asked the staff if they had seen his customer. They said he had come in, asked where the nearest emergency room was and had exited out the back door. The driver pulled the wallet out of his pocket and found it was full of paper: no money. His customer had pulled a switch after showing him a wallet full of cash.
The driver then realized he had been had and called the police to help get some justice.
I was too busy to appreciate much of the interaction between the patient, the driver and the police officer. I understand the cop took a report and the driver left, angry and with no money.
I eventually figured out that the patient had no history of kidney stones and everything he told me was probably a lie. I have no idea where he went or what he did next after he left our emergency department.
Kind of like snickerdoodles with coconut and lime! Easy to make, soft and chewy, exotic taste!
Here is our grandson, Hunter, enjoying one on the back deck.
My Baking Addiction
2 ¾ cups all-purpose flour
1 teaspoon baking soda
½ teaspoon baking powder
½ teaspoon salt
1 cup butter, softened
1½ cups white sugar
½ teaspoon vanilla extract
½ teaspoon coconut flavoring
zest of one large lime, finely minced
3 tablespoons lime juice
½ cup unsweetened toasted coconut, * SEE NOTE
½ cup sugar, for rolling dough balls
1. Heat oven to 350 degrees. Line cookie sheets with parchment paper. Put a layer of coconut on a cookie sheet and bake it at 350 degrees for 5-7 minutes. Watch out. It goes from white to burnt really quickly if you aren’t watching closely.
2. In a small bowl, stir together flour, baking soda, baking powder and salt. Set aside.
3. Using a mixer, beat together butter and 1½ cup sugar until smooth and very fluffy.
4. Beat in egg, vanilla extract, coconut flavoring, lime juice and lime zest.
5. Gradually blend in dry ingredients and toasted coconut.
6. Roll 2 tablespoons of dough into a ball and roll in sugar. Place balls on lined cookie sheets about 1½ inches apart. These do spread quite a bit.
7. Let stand on cookie sheet two minutes before removing to cool on wire racks
8. Bake 8 to 10 minutes in the preheated oven, or until edges are lightly browned.
I used sweetened coconut and it worked fine.
My patient was a thirty-five-year-old man who came in by ambulance. He had a condition called tardive dyskinesia. It is a movement disorder that can develop in some people, often a side effect of some psychiatric medications. He had the most terrible case I have ever seen. Whenever he was awake, he had uncontrolled movements of his entire body. Not just wiggling but actually thrashing. Every single minute, he writhed in bed, throwing his arms and legs around so much that we had to put pads on the side rails of the bed to keep him from injuring himself.
He was a Kaiser member, and sees a neurologist who specializes in movement disorders. He is also a regular visitor to their emergency department. He ended up in our emergency department because, when the medics were called to his house, he told them he was so sick of his constant movement that he wanted to die. That prompted the police to put him on a psychiatric hold and all patients in our county that are on a psychiatric hold must come to our hospital.
I had never before seen anything so severe. I ordered laboratory tests and got some information from Kaiser before I was comfortable that he didn’t have anything new or dangerous going on. I then formed a plan to help control his movements enough that he could go to the psychiatric emergency room. We did this by giving him injections of medications. One medicine, benztropine, is used for various types of movement disorders. We also give him lorazepam, which is a tranquilizer.
When he got enough medicine, he finally quit moving and fell asleep. However, as soon as the medicine started to wear off, he started moving again. A little at first, then as soon as he was wide wake, the thrashing would start again.
When he was settled down to what he said was his baseline, I sent him over to psychiatry. However, in a few minutes, we got a call from them saying they were unable to deal with his constant movement and were sending him back to us. I eventually had to admit him to the hospital to be seen by a psychiatrist as an inpatient.
I looked on YouTube to see if I could help you get an idea of what this poor man was living with. Here is one example, which is similar to, though very much milder than what my patient had:
The bin I used to hold rolled-up straps to return them to the paramedics to use disappeared recently. I decided to make it more clear that the bin I provided was to be used for that specific purpose. I bought a recycle can at Goodwill and decorated it with straps to make it clear that it was not a trash can.
We bought a Snickerdoodle from a woman selling cookies at the Fourth of July celebration in Blanding, Utah a couple of weeks ago. They were buttery and soft and inspired me to make some of my own. I went searching this site for my Snickerdoodle recipe, which I got from Peg, a nurse I worked with at Southeast Alabama Medical Center in Dothan, Alabama many years ago. I was surprised to see I had never posted it. I went ahead and made them and they were so good I decided to post the recipe. You can see from this that not every recipe I post has to have something weird like wasabi peas in it.
What makes this recipe different? The half butter, half Crisco ratio and cream of tartar give them a great texture. If you like them softer, use all butter and bake at a lower temperature.
Nurse Peg in Dothan
½ cup butter
½ cup shortening
1½ cup sugar
1 teaspoon vanilla
2¾ cup flour
2 teaspoons cream of tartar
1 teaspoon baking soda
¼ teaspoon salt
¼ cup sugar
1 tablespoon cinnamon
1. Cream together: butter, shortening, eggs, 1½ cup sugar and vanilla.
2. In a separate bowl, mix together flour, cream of tartar, baking soda and salt.
3. Blend both mixtures together.
4. Combine ¼ cup sugar and cinnamon. Form dough into balls and roll in cinnamon sugar.
5. Bake at 400 for 8-9 minutes.
If you like them softer, use 1 cup butter, omitting the shortening. Bake them at 350 degrees until just browning on edges.