Friday, November 29, 2013

Thankful

I don't come from a very big family and in our many years overseas, my parents and sister were the only family with which to celebrate holidays. Due to the parents living overseas, medical school in MN, the craziness of residency, marrying a Californian and living on the "best" coast 3,000 miles away, I don't get back to Virginia very much at all or see them more than once or twice a year (the last time I was here was about a year and a half ago).  And while it generally takes a lot of maneuvering to be able to come "home" for holidays (coordinating with a working husband and his family, asking for days off clinic and making it up by working extra clinics on my traditional days off, asking [with quite a bit of guilt] for call coverage for a good stretch, driving 5+ hours to an airport, and flying 5+ hours [this time on a red-eye]), it is totally worth it. I'm jealous of everyone that lives close to their family and for whom this coordination is unnecessary, but I'm incredibly thankful to have been able to spend Thanksgiving Day this year at "home" with my parents, future brother-in-law Marco (in town from Albania), and godparents John and Inara. 

Mom and Dad cooked a wonderful spread of turkey, stuffing, yams, corn casserole, brussel sprouts, cranberry sauce, and pumpkin pie.

Marco (who will now have many more American Thanksgivings to look forward to!)
 gets ready to load up his plate

the dinner spread (sans Dad and K, the photographer)
 

Sistahs

 (Pepper obviously came along to visit the mid-Atlantic!)

 

Pep seems to like her Virginia guesthouse


 Inara, the best Godmother in the world

with Inara and John

Duncan ("Uncle") took over Pepper's bed-- he and the niece are getting along quite well!

 Feeling blessed.

Saturday, November 23, 2013

(That banana is definitely still good!)



As the title of my blog points out, I am a known food-rescuer. I eat way-black bananas, I don't really believe in expiration dates, and I rarely throw out food (of note, I treat most medications the same way [I recently took some tylenol from 2010!] and I also hardly ever have an upset stomach). It has been interesting being married to a man who doesn't really like leftovers, but who has, in the spirit of married compromise (especially because more leftovers means less cooking for/by me), humored me in eating things that, as a single person, he would not have touched. Here is a recent Time magazine article by Joel Stein, who I love as a writer, which hilariously (as usual) puts into words what I strongly feel.

 'Til Mold Do Us Part, by Joel Stein

You make a lot of compromises in a marriage, such as being married. We permit behavior from our spouses that we wouldn't tolerate from anyone else, such as throwing out our food. Doing this just one time to a co-worker causes a barrage of Post-it notes more vitriolic than anything Tupac would have stuck inside Biggie's fridge. Like "To the thief who ate half of my tuna sandwich: I have mouth herpes. Now you do too. I'm anonymously e-mailing your wife to warn her about your mouth herpes. And your tuna breath."


But when my lovely wife Cassandra dumps all the food that's past its expiration date, I just take it. I use the balsamic vinegar I keep in the back of the pantry quickly and stealthily, before she sees the use-by date on it, which is 2010. I feel certain, though, that vinegar can't go bad, since vinegar is something else that's already gone bad. The worst thing that could happen to vinegar is that it would be more vinegary.


I've been emboldened, however, by a new National Resources Defense Council (NRDC) and Harvard Law School study that recommends eliminating sell-by dates on food because they're so misleading. The dates were created by local and state organizations in the 1970s merely to help people know when the products are freshest--not safest--and even that is basically a guess. In fact, they never say expiration, instead using words such as use by, best before, sell by, enjoy by and, in the case of kale and quinoa, won't be trendy after. This confusion is one of the reasons the average American family of four tosses $1,560 of edible food annually. It's also part of why we waste 10 times as much food as Southeast Asians. And that's despite the fact that they mostly eat with chopsticks while we mostly eat with our hands.


Dana Gunders, a staff scientist at the NRDC who worked on the study, told me that 15% to 25% of the food we buy isn't consumed, which means that by tweaking our behavior slightly, Americans could be 15% to 25% more obese. Alternatively, we could save a lot of water and energy. Food poisoning, she said, comes from contamination, not spoilage. Sure, in the 1970s people may have needed some help figuring out if food turned, but we use a lot less drugs now.


Gunders suggested I try to win over Cassandra slowly, first by keeping yogurt for an extra couple of days and then by explaining that eggs are good a month after their date and tortilla chips (which can be refreshed in the oven) for years. I asked Gunders what the last item she tossed was, and she said it was a jar of pasta sauce that she scraped the mold off of only to find a thicker layer of mold underneath it. This was the kind of talk I would pay a woman $1.75 a minute for.


For advice on talking to Cassandra, I called my dad to find out how he failed to persuade two wives, my sister and every guest he's ever had to eat food in his house without multiple-party inspection. I have reconstructed--one aluminum-foil-wrapped slice at a time--multiple complete pizzas from my dad's refrigerator, along with half my sister's bat mitzvah cake when she was already in college.

Before I could find out his methods of nonpersuasion, my dad got excited that this new study might finally uncover the corruption of both the food and pharmaceutical industries. He said he's never gotten sick from food in his own home and that during the Vietnam War, the Army gave him perfectly effective aspirin that was left over from the Korean War. He suggested I call cereal companies and ask them their scientific process for arriving at their dates, which he doubted existed. Then he changed his mind. "You're touching the third rail, pal," he said. "You've got to be careful about how strong you make this argument." Never before did I realize just how little real journalism I do.
Kellogg's did not return my e-mail, and General Mills, afraid of giving away "competitive information," would say only that its "better if used by" dates are "based on sensory evaluations" by "product developers and expert tasters," which, admittedly, would seem a lot less suspicious without all those quotation marks. Still, I think I've got a good chance of winning some kind of journalism award.

Finally, I told Cassandra about the study, and to my great disappointment, she agreed. "O.K.," she said, "Now that I know eggs are good a month after, I'll keep them." I felt an emptiness you get when a boxing match has been canceled and you also don't get to go on and on to your wife about your superior logic, ability to set economic priorities and love of our planet.

Then, a few days later, Cassandra said she wanted me to smell something to see if it had gone bad, since those sell-by dates were not to be trusted. It was buttermilk, a food that always smells bad. I kissed her and thanked her. She cared enough to fight after all.


Monday, November 18, 2013

Snake and a Brace

On Monday afternoons, Kelvin has admin time and usually picks me up from clinic in McKinleyville to walk Pepper at the nearby Hammond Trail over lunch.

Today, while on a parallel unpaved portion heading back to our car, I was surprised by a skinny garter snake right on the path and freaked out. 

I'm not sure how the dog (who was trotting ahead of us) and my husband managed to miss the reptile; however, when I saw it, I jumped straight up in the air, tried to hurdle the thing, landed on my left ankle, twisting it impressively, and landed with my butt on the ground (luckily, not on the snake). Nice. Needless to say, I don't like things that slither or crawl.

We hobbled back to the car, and I then returned to clinic for the afternoon.

It sucks to be a doctor and be injured (or sick, for that matter). On the other hand, it's nice to head back to "work" where an ice pack and ACE wrap could be easily obtained and where I knew all about "RICE" (rest, ice, compression, elevation) therapy and the Ottawa Ankle Rules which suggest that I didn't break it this time (I did sustain a fibula fracture on this same ankle when I was 14, jumping over a ditch in New Zealand, and have sprained it numerous times since, on some occasions quite badly).

Let's hope it is only a mild sprain and doesn't swell on me tomorrow, as there's only so much "elevating" that can be done when working full-time. No one wants a gimpy doctor or surgeon :)
So averse-to-taking-medication doctors are we that I don't think we even have ibuprofen in our house (frozen peas it may have to be)!!!
 

Tuesday, November 12, 2013

For Love of Frisbee



 

I do love a game of pick-up Ultimate Frisbee. Starting from my med school days at Mayo, where we played Frisbee most (non-frigid) Saturdays at Soldiers' Field, I have been happy to be able to "continue the tradition" now through two other subsequent cities.  Kelvin and I (well, he more than I) organized Ultimate on Tuesday afternoons after residency didactic "Block Time" in Sacramento (even in 100+ degree temps), and now, we are trying to get co-workers and friends together about monthly (North Coast weather permitting) to play at the Arcata HealthSport Field.

We had a great, competitive afternoon with a good turnout this past Sunday. Thank you to Lori who took all of the photos!

 Kickoff



Craig misses, barely


Emily Anne, poised

Elise, all smiles




Josh and Craig battle it out


Josh goes long







 

Peggy controls the disc
 





Pepper relaxed on the sideline


Rob heads for the grab


Until next time... (if the rains hold off!)


Monday, November 4, 2013

Amazon Promise

Colin Powell, Patty Webster
 “There is joy in transcending self to serve others.”
Mother Teresa
 
I know there are many worthy causes to which to donate your well-earned money. However, as we approach the "season of giving," I have to mention and make a plug for one organization (Amazon Promise), which greatly touched me during the early years of my long course of medical training and which I continue to support.
I still get updates from the president, Patty Webster (pictured above), who is the founder and President of this great organization, whose mission is to serve the residents of the Peruvian Amazon. Patty was recently chosen as a recipient of a 2013 Caring Award for her service, in the spirit of the award/Mother Teresa, "to transcend self and devote their life to serving the disadvantaged, poor, disabled, and dying."  Senators Bob Dole and Tom Daschle recently announced the 2013 winners, who were honored last week at a ceremony in Washington, D.C. (where the above picture was taken), and who will be inducted to the Hall of Fame.

As a third-year medical student in 2006, I spent a few weeks with this amazing woman and her "AP" crew in and around Iquitos, Peru (the Amazon Basin), doing clinics for the severely underserved, and Peru will always hold a dear place in my heart for this reason. I hope to go back with the organization sometime to serve again in a (more experienced) medical capacity; however, for now, my financial support will have to do. 

Patty recently sent out this letter; please read it and consider donating to this very worthy organization in its 20th year of outstanding service.


Dear Friends,
 
In 1993, a promise of hope, health, and healing was made to the people living in the Peruvian Amazon. It was a commitment to change the lives of thousands — one person, one family, and one community at a time — to create a healthier future.

Twenty years later, Amazon Promise, together with its dedicated volunteers and friends, has fulfilled that promise and more. Thousands of volunteers from across the globe have given their time and resources to support our mission in over 50 villages. We have helped over 100,000 individuals, many of whom have no other access to health care; no one is turned away.

By showing our compassion, friendship, and support to communities in need, we have helped to bring newfound optimism for those living with disease and extreme poverty in Peru. Our dedication was recognized in October, when I was awarded a 2013 Caring Award by the prestigious Board of Trustees of the Caring Institute, a nonprofit organization inspired by the example of Mother Teresa that honors and promotes the values of caring, integrity, and public service. I am humbled and honored to receive this recognition, but I could not have done it without you—our dedicated volunteers and friends. Thank you for your support.

In honor of Amazon Promise’s 20th anniversary and our continued efforts to build a healthier global community, please make a tax-deductible donation to Amazon Promise today.

Your gift can support our ongoing health and education programs in remote villages; regular clinics in the sprawling river community of Belén; the ¡Soy Capaz! HIV-prevention, education, and patient care program; the distribution of mosquito nets to combat malaria; a new women’s well being education program, which provides cervical cancer prevention and interventions; and medical, nursing, and dental student internships.

Each day, I am driven by the belief that every life is important and that every human being has the right to health and happiness. Seeing a person carried into one of our clinics, and then walking out after receiving good treatment, is like no other feeling in the world. You know you’ve done your job.

However you choose to give, together we can continue to invest in a healthier Peru. Please make your gift today through our website at http://amazonpromise.org/index.php/donate or send a contribution to P.O. Box 1304, Newburyport, MA, 01950.

Thank you.

Sincerely,
Patty Webster
President

Friday, November 1, 2013

A "Super" Halloween


I am not into Halloween. While I appreciate all of your kids' cute Halloween photos, and while many of our people/coworkers got into the spirit and donned (workplace-appropriate) costumes for work, I did not. I'm not creative enough to craft anything remotely cool, nor do I enjoy getting dressed up.

However, we did have a themed-costume family plan this year, because we (mistakenly; oops on the flight calculation from Africa) thought we'd be back in Humboldt for Mandy's Halloween Party last Saturday, and thus needed to have something in which to dress up.

It started with Kelvin's covert Superman t-shirt which was already in the family.

We then had to find a costume for Pep (which she hates, by the way).
  
 

But doesn't this picture make your whole day better? I love the little flappy arms!
 
 (K first sent it to me when I was having a bad day at work. The getup also includes a cape!).
You can also see more cute pets' Halloween costumes here (note the SuperHusky!)

I then purchased a Supergirl costume on e-bay to match the hubby and pooch...




 

... however, despite having the costume, I didn't actually wear it except for these photos. Kelvin dressed for work, and Pep wore her costume during the trick-or-treating hours to greet the children who came to our door; however, I was too busy snoozing in preparation of a night of labor-management to get into the Halloween spirit.

Perhaps we'll wear these costumes *for real* another year...