“It is much more important to know what sort of a patient has a disease than what sort of a disease a patient has.” - Sir William Osler






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An Excellent Chicken Recipe

I'm going to post a favorite of mine, which I found on a website called Deep South Dish (a blog with incredibly good and fattening recipes). I have made this many times. The leftovers make excellent work lunches. Here we go:

- three lb chicken pieces, on the bone with skin (yes. Trust me on this.)
- 1/2 tsp garlic powder
- 1/2 tsp onion powder
- 1/2 tsp paprika
- 1/2 tsp Cajun spice mix (if you don't have access to this, omit and add a pinch more of everything else)
- 1/2 tsp dried rosemary
- 1/2 tsp dried parsley
- 1 cup water (I generally use more like 1 1/4 cup)
- 1 cup rice
- 2 cans cream of something soup (chicken, celery, mushroom)
- 1/2 tsp salt, or less

Preheat oven to 350 degrees F. Combine the seasonings (leaving out the salt for now) and then mix the soup, water and 1/2 tsp of the mixed seasoning. Set the rest of the seasoning aside for later. Set aside also one cup of the the soup water mix. Add the rest of the soup/water mix to the rice and place this on the bottom of a greased 9x13 inch pan. Place the chicken on top, sprinkle with the seasonings and the salt, and spoon the rest of the soup mixture on top. Cover the pan with two thicknesses of aluminum foil and bake for 1 hr 15 minutes; then remove foil and continue baking for another 20 minutes. Serve with salad or green vegetable.

This may sound ghastly, but trust me it is delicious and tastes a lot like Thanksgiving dinner. Even if you use chicken breast - as I usually do - the chicken stays moist and does not overcook. If you have leftovers, strip the chicken meat from the bones and skin and pack it in storage for lunch or dinner later (the leftover rice is good, too). Yum.

Labels: Ingestion

posted by Dr. Alice at #

 
The Miasma of Work

I went to work this past weekend, early on a Sunday morning.

Here's the scary part: I don't work Sundays.

The scarier part: I sat down in my chair at my desk and thought Thank God, no patients are here. I can get some work done.

I had to finish several clinic notes from last week, review labs, log on to the state disability website and complete some forms. Oh, and go through emails, review my clinic schedule for the coming week, look at my calendar and see if I had any personal appointments and figure out when my parents were going to the doctor this month. It took me about four hours (but I was not in a hurry).

Over the past few years work has taken over my life chunk by chunk, weekend by weekend. I have not made much effort to fight it. Sadly, I have noticed that when I am on vacation I actually become twitchy after a day or so of not being online. Partly, I must admit, it is easier in some ways to spend time on patients and lab results than to

- run errands
- get dressed and go out to see friends
- exercise
- do any of the hobbies I have been meaning to do
- etc.

It seems that every time I make time for something other than work, I pay for it later by getting avalanched with emails, phone calls, test results, etc.

But things are about to change. A few months ago I sent an email to my medical director telling him that I wanted to resign my job. It's something I have been thinking about for over a year. But now, with three elderly and ill relatives who need a lot of help, I have finally made the decision to quit.

It won't be a complete retreat from medicine. After discussion with my medical director we reached a compromise whereby I would work one week per month as an hourly employee, basically a locum. ('Locum' is Latin for 'temp worker' and is a term applied to certain professions; we also still use 'curriculum vitae' instead of  'resume' in medicine. Not sure why.)

I can actually travel again. I can go out to see friends. But most importantly I have to figure out how to restructure my life around something other than work. My aunt, one of the relatives I mentioned above, has offered me a lot of valuable advice. She has said more than once that after retirement it took her a year to figure out what she enjoyed and what she wanted to do. So I will start with a few basic projects and keep going from there.

I will blog again. Brace yourselves.

Labels: Medicine, The Doctor's Life

posted by Dr. Alice at #