Melt-in-Your-Mouth Buttermilk Chocolate Cookies

Written by Tad. Posted in Cookies

Recipe By:

My daughter-in-law, Elizabeth, sent this to me. It can be found all over the Internet

Ingredients:

2 cups all purpose flour
½ teaspoon baking soda
½ teaspoon salt
½ cup butter
¾ cup cocoa powder
2 cups sugar
1 teaspoon vanilla extract
2/3 cup buttermilk
2 cups chocolate chips

Directions:

  1. Heat the oven to 350F.
  2. Line a baking sheet with parchment paper.
  3. In a medium bowl, whisk together flour, baking soda and salt. Set aside.
  4. Melt the butter in a small, microwave safe bowl.
  5. In a large bowl, combine the melted butter (still warm) with cocoa powder and whisk until very smooth.
  6. Whisk in sugar, vanilla extract and buttermilk.
  7. Gradually stir in the flour mixture until no streaks of flour remain.
  8. Stir in the chocolate chips.
  9. Drop dough in 2 tablespoon balls onto prepared baking sheet, leaving about two inches between cookies to allow for spread.
  10. Bake for 10-12 minutes, until cookies are set around the edges.
  11. Cool for 2-3 minutes on a baking sheet, then transfer to a wire rack with a spatula to cool completely.

Notes:

Very chocolaty and rich. Don’t over cook them!

Two People Unhappy with My Explanations

Written by Tad. Posted in Kooks

One of the most important things I do as an emergency physician is reassure people. True, I occasionally do something that might save someone’s live. I frequently provide treatment to help people feel better and assist in a more rapid recovery from injury or illness. But most of the people I take care of don’t have a serious condition and can go home with little or no treatment. All they need is to understand they will be fine. They need reassurance.

Most people in this situation are glad to have an explanation and happy to be reassured. They are relieved to know their chest pain is not coming from a heart attack. They are thankful to know they don’t have a broken bone or appendicitis.

I get frustrated when I determine that someone has nothing worrisome but he or she refuses to accept my explanation and reassurances. I have found it nearly impossible to satisfy such a patient.

Here are two stories of people who were completely unsatisfied with my explanations and reassurances:

Fainted

A sixteen-year-old boy fainted after spraining his thumb. The most common reason for someone to faint after a sudden, painful event is what we call a simple faint. There are some bad things that can cause fainting but all of them are very rare in an otherwise healthy youngster. After asking this patient some questions and looking at him carefully, it was clear to me he had just fainted and would be perfectly fine.

I spent quite a bit of time with the patient, his mother and siblings. I explained how I came to a conclusion that he had only fainted and why I felt comfortable sending him home.

As I finished my explanation, the mother put her head down and shook it, apparently displaying some dissatisfaction with what I had said. I asked if there were some problem. She said, “No,” and resignedly added she would take him to be checked by his own doctor.

At this point, the sister got upset and angrily said if the patient left and became “comatose or died,” she was “going to come and get” me.

The brother then became irate and hollered that this was a “charity hospital and no one is going to do anything for you here.”

I tried to discuss the situation with these family members but they were not interested in any more discussion. They all stormed out without waiting for their discharge papers.

 

Nausea, Vomiting and Diarrhea

A fifteen-year-old boy came in by ambulance with nausea, vomiting and diarrhea. The paramedics had started an IV so I ordered some intravenous fluids and medicine for the nausea. I then continued seeing other patients who had been waiting longer and were more likely to be ill.

When I finally got to the room, the patient told me he started vomiting and having diarrhea after eating nachos for dinner. He had looked weak and his mother thought he was going to pass out, so she called the ambulance. However, after the IV fluids and medicine I had given him, he was now feeling fine and had no more symptoms. His examination and vital signs were normal.

I explained to the mother what I found and why I thought her son had food poisoning or stomach flu. I reassured her he would most likely be fine in a day. I promised to prescribe medicine for vomiting and diarrhea in case he needed it at home, and again reassured her that he was going to be fine.

This is my basic speech to reassure people when they have gastroenteritis. Most people are glad to have such an explanation. Not this mother!

As I spoke, she filled with angry indignation. He had almost passed out! How could I just look at him, not do anything and know he was going to be fine? I had not even done any blood or urine tests on him!

I started my explanation over again and reviewed my thinking with her. He was a young, healthy boy who was very unlikely to have anything serious the matter with him. He had symptoms that are really only consistent with one of two minor, self-limited illnesses. He had a normal examination and vital signs. He had responded to the treatment he got and was feeling and looking fine.

The more I explained, the madder she got. She was just not going to believe that her son, who almost passed out, could be sent home without any tests being run. I asked her what tests she would recommend running. Of course, she had no idea about what tests one might run and the fact that I asked her just seemed to make her even madder. If I had done some sort of tests and told her they were normal, she would have been happy. The irony completely evaded her that she would have had no idea if the tests were really able to find any problems in a patient like this.

At this point, she refused to talk to me. I asked if she had any other questions or if there was anything else we could do for them. She didn’t reply and fixed her steely gaze on the wall behind my back.

The patient did have a question but when he tried to ask me, she told him to just shut up. He tried again and again she told him to shut up and not say anything as they were going home.

I told her the nurse would bring the prescriptions. She said she didn’t want any prescriptions. I told her they were coming anyway and she could do with them what she wished. They left without the prescriptions or discharge papers.

Hershey’s Toffee Oat Cookies

Written by Tad. Posted in Cookies

What? Hershey’s with no chocolate? Yes, but the recipe uses the Hershey Foods name brands for toffee chips and coconut which can obviously be any brand.

Source:

hersheys.com

Yield:

About 40 cookies

Ingredients:

1 cup butter, softened
2 cups packed brown sugar
2 eggs
2 teaspoons vanilla extract
1 ¾ cups all-purpose flour
1 teaspoon baking soda
1 teaspoon ground cinnamon
½ teaspoon salt
3 cups oats
1 1/3 cups (8 oz. pkg.) HEATH BITS ‘O BRICKLE Toffee Bits
1 cup MOUNDS Sweetened Coconut Flakes (optional)

Directions:

1. Heat oven to 375°F.

2. Lightly grease cookie sheet or line with parchment paper.

3. Combine flour, baking soda, cinnamon and salt. Set aside.

4. Beat butter, brown sugar, eggs and vanilla until well blended.

5. Stir in oats, toffee bits and coconut, if desired.

6. Drop 2-tablespoon balls of dough about 2 inches apart onto prepared sheet.

7. Bake 8 to 10 minutes or until edges are lightly browned.

8. Cool 1 minute. Remove to wire rack.

 

Black Bag with an Orange Flower

Written by Tad. Posted in Trauma Strap Bags

Sue, a nurse in our ED, asked me for a black bag with an orange flower. I told her, “No way,” as there are no more black straps coming in. Well, I got some black together and made if for her. Turned out pretty nice, don’t you think?

You Were Bitten Where?

Written by Tad. Posted in Kooks

Not G-Rated
My patient was a 39-year-old man who presented in police custody. He wouldn’t talk to me but the police said he they had been called to the home of a twenty-year-old woman who said someone tried to rape her. The woman was drinking at her home with the man. She told police he put his hands around her throat to force her to engage in oral sex but she fought back and bit him. When police arrived at her place, they found her roughed up and upset. A testicle was sitting on her living room floor.

She told them who the body part belonged to and where he lived. Medics, who had been called to the scene, put the testicle in a plastic bag, placed it on ice and brought it to the emergency department in case it could be reimplanted.

When police got to the man’s house, they found him lying on the couch in pain. They brought him into our emergency department for care before he went into custody.

The man’s injury was very interesting in that none of the scrotum was missing. She had pinched the testicle so strongly that it literally popped through the skin, leaving a linear laceration on the front of the scrotum through which the testicle had been pushed out.

We numbed up his scrotum, irrigated the wound and stitched him up. He went off to jail with fifty percent fewer testicles than he had when he got up in the morning.

The woman was also brought in for evaluation. As the word circulated through the emergency department that a woman had bitten off a man’s testicle in order to keep from getting raped, the staff was impressed. Our immediate response was to be moved with compassion for her and pride that she had stood up for herself. She was kind of a hero.

Everyone there was on her side and wanted to be with her emotionally. However, she was just the nastiest person to interact with. She was drunk, dirty and smelly. She was so foul in body and personality that it was impossible, after interacting with her, to continue to have any fond feelings towards her at all.

Her evaluation showed she suffered bruises and scratches but was in no need of medical treatment. The police took her home.

We later found out the woman was a prostitute and the man was on parole after serving seven years on a prior conviction for forced oral copulation.

Here is a redacted copy of the article in the local paper about this event:

Man loses testicle, held in assault.
By XX, Paper Staff Writer
A 20 year-old Sunnyvale woman told police she reacted in self-defense when she bit off the testicle of the man who sexually assaulted her.

A  Municipal court judge on Tuesday ruled XXX, 39, must now stand trial on one count of forcible oral copulation.

The woman, who was drinking at her home with XXX on September 29, told police they may have kissed, but when XXX put his hands around her throat to coerce her to engage in oral sex, she fought back and bit him.

“She thought she was going to die,” said The Department of Safety Detective.

She suffered major bruises around her neck and on her shoulders, scratches and minor bruises on her back and arms, and abrasions on her knee, police reported.

After the woman called police, officers found XXX at his home and rushed him to The Medical Center.

XXX was paroled from prison in February after serving seven years on a conviction for forced oral copulation, according to state Department of Corrections. He remains in jail in lieu of $250,000 bail.

Chocolate Nutella Caramel Filled Cookies

Written by Tad. Posted in Cookies

 

These are a bit tricky and it takes some work to keep the caramel inside the dough. I don’t know what difference the Nutella makes as they didn’t taste too much like hazelnut to me.

Recipe By:

My sister-in-law sent this to me. She got it at http://barbarabakes.com

Ingredients:

2 ½ cups flour all-purpose flour
½ cup unsweetened cocoa
1 teaspoon baking soda
½ teaspoon salt
1 cup sugar
¾ cup firmly packed brown sugar
1 cup unsalted butter, softened
½ cup Nutella
2 eggs
2 teaspoons vanilla
36 caramels, unwrapped and frozen
1/3 cup granulated sugar for rolling, optional

Directions:

1. In medium bowl, sift together flour, cocoa and baking soda.

2. In large mixing bowl, beat sugar, brown sugar and butter until light and fluffy.

3. Beat in Nutella, eggs and vanilla until well combined.

4. Add dry ingredients and mix just until combined.

5. Cover bowl with plastic wrap and chill for 1 hour  or more so the dough is easier to handle.

6. Heat oven to 375º.

7. Shape a tablespoon of dough into a ball. Press a caramel into the center of each ball and reshape into a ball. Roll in granulated sugar and place on parchment-lined cookie sheets, then place the cookie sheet in the freezer for 15 minutes before baking.

8. Bake 10 to 12 minutes or until set and slightly cracked.

9. Remove from oven and cool on the baking sheet for 5 minutes before transferring to a wire rack to cool completely.

 Notes:

Don’t over bake.

 

Hip Bag

Written by Tad. Posted in Trauma Strap Bags

Again, inspiration from Montreal. When we were poking around in shops there, we were looking at various bags. One inspired me this week to come up with this one.

Hawaiian Turtle Cookies

Written by Tad. Posted in Cookies

Recipe Adapted from:

Home-Tested Cookie Recipes

Ingredients:

3 ½ cups flour, 15.75 ounces
½ teaspoon salt
1 teaspoon baking powder
1 ½ teaspoon soda
½ cup butter, at room temperature
½ cup shortening
1 cup sugar
1 cup brown sugar
2 large eggs
1 tablespoon vanilla
½ teaspoon coconut flavoring
½ cup caramel topping
1 cup macadamia nuts, chopped
1 cup chocolate chips
1 cup shredded coconut

 Directions:

1. Heat oven to 300 degrees.

2. Combine flour, salt, baking powder and soda. Set aside.

3. Cream butter, shortening and sugars until creamy.

4. Beat in eggs, vanilla, coconut flavoring and ice cream topping until fluffy.

5. With mixer on low, gradually stir flour mixture into butter mixture until just combined.

6. Stir in nuts, chocolate chips and coconut.

7. Drop in 2 tablespoon balls on parchment-lined baking sheets.

8. Bake 16 to 20 minutes or until just golden brown.

Notes:

The caramel sauce and cooking them at low temperature give these tasty guys a very nice texture and chew. The idea of adding coconut flavoring came from my Aunt Mabel June. Makes about 60 cookies.

Copyright © 2014 Bad Tad, MD