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.
We frequently have to decide if an elderly patient has an altered mental status. This can be a bit tricky because the patient might be a little “off” at baseline so sometimes, we have to try a little bit harder to determine if the patient is altered or not.
The other night, the intern (doctor in training) told me an eighty-year-old woman was confused because she was not able to give the exact date. After meeting her, I asked her if she knew where she was and she named, exactly, our hospital.
I asked her if she knew the date. She said, “No,” without even trying. When I pressed her, she gave the year, off by only one.
I then asked her who was the President of the United States. “Obama,” she answered confidently.
“Who is going to be the president next year?” I then asked.
“I have no idea.”
Well, who are you going to vote for, Trump or Clinton?”
“Trump.” Again, with confidence.
“You are the first person I have ever met who supports Trump. Why do you think he would make a good president?”
“Because he is very rich and has a beautiful wife.”
Since my purpose was not to delve into her politics, I stopped the interview there. If she knew those two facts about the man running for president, it was hard for me to believe she might have any significant confusion.
A 23-year-old non-English-speaking Vietnamese man came in with a scalp injury. Through an interpreter, he said he was playing basketball earlier that evening when he ran, head-on, into the basketball standard. He careened off and ran into a nearby fence, which he also hit with his head before landing on the ground.
His friends took him home, shaved the area around the cut and made a compress of tobacco, which they placed in and around the wound. They then decided he should get it checked out and brought him to the emergency department.
When his laceration was numbed and explored, a piece of metal was felt in the wound. X-rays and a CT scan showed a bullet embedded in his skull. He also had underlying brain damage. I called a neurosurgeon to take him to the operating room to repair of his injury.
When confronted with evidence that he had actually been shot, he stuck firmly to his basketball story. I noted that he didn’t exactly fit the profile of a basketball player. He was just over five feet tall and was wearing flip-flops.
Could he have been shot while playing basketball and not realize it? More likely, he was involved in some sort of shady activity that resulted in his being shot and just didn’t want anyone to know about it.
It has been fun to try to think of ways to combine trauma straps with firehoses to make new bag designs. Here is what I came up with recently.
This bag accentuates that printing that is interspersed on the firehoses:
This one is striped. It matches Shari’s shirt!
This one is striped with blue trauma straps:
My friend, Judd, has 80 gigabytes of digital cookbooks he has collected online. He culled from them the dozens that were cookie cookbooks and shared them with me on a thumb drive. Here is a simple but fun recipe I tried that made a different take on a chocolate chip cookie.
Field Guide to Cookies
6 cups all-purpose flour
2 teaspoons baking powder
2 teaspoons baking soda
2 teaspoons cream of tartar
1 teaspoon salt
2 cups softened unsalted butter
2 cups light brown sugar
1 cup white sugar
4 large eggs
4 cups semi-sweet chocolate chips
1 cup sugar
2 teaspoon ground cinnamon
1. Sift the flour, baking powder, baking soda, cream of tartar, and salt into a bowl and set aside.
2. In a stand mixer, cream butter and sugars on medium speed for several minutes until light and fluffy.
3. Add the egg and mix well.
4. Add the flour mixture and mix on low speed just until combined.
5. Add chocolate chips and mix just until they are mixed in evenly.
6. Make dough balls 1 tablespoon, roll in hands, then roll in cinnamon-sugar mixture.
7. Place on a plate, cover tightly with plastic wrap and refrigerate dough for at least 30 minutes. (See Notes)
8. Preheat the oven to 350ºF. On Silpat- or parchment paper-lined cookie sheets, place dough balls 2 inches apart.
9. Bake for 8 to 10 minutes, rotating sheets halfway through, until golden brown.
As in most cases, I am not sold that chilling these made any difference. First, even after almost an hour, they balls were really not chilled all the way through. Also, I baked one not chilled and it seemed no different than the chilled ones. Chilling, especially after rolling them out, really makes it a lot more hassle to make these.
I was not too convinced of their “puff.”
I recently made these cookies again and they were so good, I wanted to remind you about them and challenge you to give them a try. They sound pretty weird but they are, really, some of the best cookies I have ever made. And they are not at all hard to make.
Here is a picture of our son, Philip, and our grandson, Hunter, showing off a plate of them they made for Fathers’ Day.
The other night, we had a serious trauma patient come in. She was eighteen-years-old and crashed her car off the freeway into a ditch. She was unconscious and severely injured. The whole team moved together to try to save her. I helped an emergency medicine resident pass a breathing tube as the surgeons put in IVs, gave her blood and stabilized her for CT scan and the ICU. I read in the paper two days later that she had passed away. This is what the floor looked like in the trauma room after she left:
“Housekeeping to the Trauma Room” is a pretty common page heard overhead.