I have recently been so inspired to cook/bake all kinds of things. I stumbled upon this awesome blog while looking for homemade taco seasoning mix. Now I know what youre thinking "homemade taco seasoning mix" but Adam has become very serious about totally organic food. It has gotten a little more serious in the past month - we know only buy grass fed animals stuff, organic veggies, and eliminated all food with seasoning packs - rice roni, taco mix etc. ESSENTIAL food items in my diet I might add. So I went looking for taco mix that I could make because those who know me, know that tacos are a staple in my diet and one of my favorite foods.
I did my typical search on food network and then did a Google search and found Annie's Eats. Wow the girl that does this blog post a new recipe every day - most are from recipe books that she tries. I used her taco seasoning and I will say I need more of a kick so I will be adding more cayenne to my mixture next time but overall okay.
Since then we have made homemade ravioli, grilled pizza, homemade teriyaki grilled pork chops and steak kabobs. I know what you are thinking really extra ordinary sara but I bought ginger and rice vinegar something I have NEVER bought. This week we having honey chipotle glazed chicken and steak fajitas. For the chicken I bought coriander seed and chipotle peppers in adobo sauce-which I have to puree. I had to go to the "hispanic" section for this so we shall see how it turns out.
The blog also has TONS of homemade ice cream recipes from the book "The Scoop" which I need to buy soon. I LOVE ice cream and make some great mint chocolate chip if I do say so. I am making peanut butter cup ice cream this weekend and really excited - If I dont eat all the reeces cups. LOL
She also has lots of cupcake recipes and ideas. It is killing me not being able to try some of these but the oven is broken (has been since May, hence the grilled pizza) BUT its supposed to be fixed next week per the new owner so cupcakes here we come.
I guess because I am not working, I have lots of time on my hands but the recipes havent taken too much time to prepare plus Adam loves to cook. He has been equally excited adding a little spice to our weekly meals.
Tuesday, July 13, 2010
Wednesday, July 07, 2010
Internal Medicine Outpatient - April 10
Wow did this time fly by fast, my last rotation is finally here. My plan was to do this rotation in Rome Ga in hope to find a job. Adam and I have decided to move up the the Calhoun area. Adam would be able to do all the work in Dalton and not have to travel anymore. I would work in Rome and we could start our family together. HOWEVER, this plan did not work out as we had planned. I agreed to work at this office in hopes to take the open PA position, but to my surprise they hired a nurse practitioner a week before my arrival. AND the doctor never knew that I was interested in the position. The human resource lady seemed to not like me very well. I went to Rome, moved into a house with 8 other girls and 3 bathrooms. The good part of it all was the doctor was really nice and found a great GI doctor for me and tried very hard to find me a job.
I went to the GI guy and he agreed that I may have an ulcer and scheduled the upper GI for 2 weeks. He again changed my protonix to Nexium - 3rd PPI. Adam came up and took me to the procedure, and as promised I dont remember a thing. AND no ulcer just gastritis. 2 more months of PPI and hopefully it will get better was the doctors orders after I went back for my followup. It did finally ease up my last week of the rotation AND I lost like 5 pounds bc I could not eat anything.
Well back to the rotation, the patients were mostly followup patients and social interaction that put us WAY behind every single day. Everyone was depressed and if they were not already she discussed the possibility.
The craziest experience I have EVER seen happened in good ole Rome. I had a patient come in drunk. That is correct she was drunk, she had an appointment and she drove herself to it drunk an all. When the nurse called her name in the waiting room, she stood up and said thats me, Im an alcoholic and Im drunk". The nurse took her to a room and then came and got us. Dr. Ammons told me to go in and talk with her and she would be in in a few minutes. I was like ugh okay I got this - yea right. I went in and the woman was hysterical she was crying and just kept holding my hands. We finally got her to agree to go to an outpatient clinic, but after following up she never went. I guess I should tell you why she was drinking, she found out her son (high school teacher/coach) has been doing and selling METH!! She was upset and stopped her Antibuse and started drinking. This only happens in Rome!!
Most of my patients were very similar to the alcoholic with the exception of the alcohol. Not the brightest, but very friendly and open to me seeing them.
thats it no more rotations, now back to school for a month for graduation. No job offers in Rome so I guess that plan fell through.
I went to the GI guy and he agreed that I may have an ulcer and scheduled the upper GI for 2 weeks. He again changed my protonix to Nexium - 3rd PPI. Adam came up and took me to the procedure, and as promised I dont remember a thing. AND no ulcer just gastritis. 2 more months of PPI and hopefully it will get better was the doctors orders after I went back for my followup. It did finally ease up my last week of the rotation AND I lost like 5 pounds bc I could not eat anything.
Well back to the rotation, the patients were mostly followup patients and social interaction that put us WAY behind every single day. Everyone was depressed and if they were not already she discussed the possibility.
The craziest experience I have EVER seen happened in good ole Rome. I had a patient come in drunk. That is correct she was drunk, she had an appointment and she drove herself to it drunk an all. When the nurse called her name in the waiting room, she stood up and said thats me, Im an alcoholic and Im drunk". The nurse took her to a room and then came and got us. Dr. Ammons told me to go in and talk with her and she would be in in a few minutes. I was like ugh okay I got this - yea right. I went in and the woman was hysterical she was crying and just kept holding my hands. We finally got her to agree to go to an outpatient clinic, but after following up she never went. I guess I should tell you why she was drinking, she found out her son (high school teacher/coach) has been doing and selling METH!! She was upset and stopped her Antibuse and started drinking. This only happens in Rome!!
Most of my patients were very similar to the alcoholic with the exception of the alcohol. Not the brightest, but very friendly and open to me seeing them.
thats it no more rotations, now back to school for a month for graduation. No job offers in Rome so I guess that plan fell through.
Friday, July 02, 2010
Dermatology Feb 2010
I am finally writing about my elective rotations and the one I had been waiting on forever!! I knew from the very beginning of my clinical year that I wanted to do a derm rotation. I also wanted to do it at Marietta Dermatology - the place I went during the didactic year. I requested this rotation in like october and talked with shana (preceptor at marietta derm) to discuss the best dates to come. However, Mercer Clinical coordinators waited till the last minute to ask and luckily shana knew me because she was not happy with how the school handled setting up the rotation. They waited until the week before I came to send her the info and were kinda rude about it all.
Owell I got the rotation none the less and was so very excited my first day. Shana let me do soo much. In the first week I was doing shave biopsies and freezing all kinds of stuff. She taught me so much and one day we went to the samples closet and went through all the drugs in the closet. Of course I got a goody bag of random things to try,smell and feel. I was like a kid in the candy store - acne meds, steroid foam, antifungal cream, and tar. Not to mention other random lotions. I knew then that this was going to be the BEST rotation. No pimping just teaching and LOTS of hands on stuff. By the end of the rotation, I was doing things by myself while shana was with another patient. The scariest thing was using the electric cautery. I was so nervous with it - it sends electricity to an area to stop bleeding. I was afraid to go to a high setting and would work my way up to it. I also did a punch biopsy by myself - way different than on a pig foot. I even closed it and thought of a different way to close the hole. Just in case you are curious, I think horizontal mattress would do great instead of simple interrupted!!
I saw all kinds of things and enjoyed every single day - well with the exception of the snow days. During this rotation it snowed crazy on 2 occasions. The first one was the biggest snowfall I have seen in GA - nothing compared to Ohio snow but lots. I left the office an hour into the snow and it took FOUR HOURS to get home - Oh Georgia!!
As the rotation came to an end, the GERD symptoms started to get really bad. I tend to stress about things and dont even realize I am stressed until the symptoms start. Normally when the symptoms start, I start my Kapidex & Gaviscon and I am normally cool in a few days. But on day 4, I still had the pain to the extreme and added Zantac to the mix. And 2 hours later I vomited once - AND blew all the blood vessels in my face. When it comes to going to the doctor I am the CALM one, but when I saw all these purple dots ALL over my eye lids, cheeks, and chin I was FREAKING out and heading to the ER. Adam informs me he thinks its blood vessels and I relaxed. After a week and LOTS of make up the spots disappeared. Sadly the reflux had not, after 2 solid weeks of pain Shana made me an appointment with her doctor. We were worried that I may have an ulcer. Since I have never had my cholesterol/glucose checked and dads EXTENSIVE cardiac history, the doc checked EVERYTHING!! He changed my kapidex to protonix to see if that worked better. Another week passed, labs came back completely normal and I still had no relief. Next step- GI doctor and upper endoscopy. But I was heading to Rome in a week so I decided to wait till then to get some GI doc up there.
Onto the next rotation uncomfortable and hoping I could just stay at Marietta Derm. I am also a little concerned that I may actually have an ulcer - stupid PA school.
Owell I got the rotation none the less and was so very excited my first day. Shana let me do soo much. In the first week I was doing shave biopsies and freezing all kinds of stuff. She taught me so much and one day we went to the samples closet and went through all the drugs in the closet. Of course I got a goody bag of random things to try,smell and feel. I was like a kid in the candy store - acne meds, steroid foam, antifungal cream, and tar. Not to mention other random lotions. I knew then that this was going to be the BEST rotation. No pimping just teaching and LOTS of hands on stuff. By the end of the rotation, I was doing things by myself while shana was with another patient. The scariest thing was using the electric cautery. I was so nervous with it - it sends electricity to an area to stop bleeding. I was afraid to go to a high setting and would work my way up to it. I also did a punch biopsy by myself - way different than on a pig foot. I even closed it and thought of a different way to close the hole. Just in case you are curious, I think horizontal mattress would do great instead of simple interrupted!!
I saw all kinds of things and enjoyed every single day - well with the exception of the snow days. During this rotation it snowed crazy on 2 occasions. The first one was the biggest snowfall I have seen in GA - nothing compared to Ohio snow but lots. I left the office an hour into the snow and it took FOUR HOURS to get home - Oh Georgia!!
As the rotation came to an end, the GERD symptoms started to get really bad. I tend to stress about things and dont even realize I am stressed until the symptoms start. Normally when the symptoms start, I start my Kapidex & Gaviscon and I am normally cool in a few days. But on day 4, I still had the pain to the extreme and added Zantac to the mix. And 2 hours later I vomited once - AND blew all the blood vessels in my face. When it comes to going to the doctor I am the CALM one, but when I saw all these purple dots ALL over my eye lids, cheeks, and chin I was FREAKING out and heading to the ER. Adam informs me he thinks its blood vessels and I relaxed. After a week and LOTS of make up the spots disappeared. Sadly the reflux had not, after 2 solid weeks of pain Shana made me an appointment with her doctor. We were worried that I may have an ulcer. Since I have never had my cholesterol/glucose checked and dads EXTENSIVE cardiac history, the doc checked EVERYTHING!! He changed my kapidex to protonix to see if that worked better. Another week passed, labs came back completely normal and I still had no relief. Next step- GI doctor and upper endoscopy. But I was heading to Rome in a week so I decided to wait till then to get some GI doc up there.
Onto the next rotation uncomfortable and hoping I could just stay at Marietta Derm. I am also a little concerned that I may actually have an ulcer - stupid PA school.
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