Friday, March 2, 2012
What's new
I have fairly good reasons for not blogging - I feel like life has just been non-stop. Good, but not enough hours in the day or days in the weekend. Since my last post, where I announced my "changing season", I did indeed leave my employer of almost 5 years and started work at a competitor doing marketing. That lasted for about 3 weeks. I hated what I was doing. I took the clinical liaison job initially to change things up - I was tired of the headaches of my dietitian job with the building, but didn't really want to leave. So when I was ready to leave that company, I thought it was natural to do the same thing. Nope, bad idea. I just really didn't know what I was getting into... or maybe I just wasn't ready for a new mess and wanted to just go back to working in my field as a dietitian. I cried probably every day and after about a week into the new job started applying to other jobs! 2 weeks after I started the new job, the food and nutrition director from a hospital in the same proximity as my old/current job called because I had sent her my resume. I had sent it thinking the pay would not be adequate and hours would likely not be enough, but was desperate. She called me thinking they wouldn't be able to meet my salary requirements but thought I would be a good fit for the job... and she was desperate to find the right person. So, I went in to meet with her that day and everything fell into place. She offered me the job at the end of our meeting and the next day I accepted. Once paperwork was taken care of, I resigned from the very short-lived job and started the next day. I didn't want to be someone who quit a job so early but I realized it was probably better to get out early on than be miserable for a year. Even though I felt bad about it, I don't regret it for a minute.
I've been there now for about 3 months and I am still so happy to be there (even if I did stay way too late today for a Friday). The hospital is a long term acute care facility, which is for patients who need an extended hospital stay (usually 3+ weeks). The acuity is high so I get to do a good amount of nutrition support, which is my favorite area of nutrition. I'm the only clinical dietitian so I have a lot of ownership of the clinical piece and my boss is over food service so for the most part, that's not my headache! (Food service is my least favorite area of nutrition). I was familiar with several staff members and physicians because I used to assess patients from there to go to my old facility so it was a much easier transition than it would have been otherwise. My boss is wonderful. She is a great resource, extremely supportive, and just a nice person in general. Oh, and she's a Christian. Bonus. The only other Christian boss I've had that I can think of was when I worked on a church staff... and she has yet to make me cry, which is more than I can say for the other one (even though I liked him)! My schedule is flexible, I wear scrubs and sneakers to work, free breakfast and lunch... what more could I ask for?+ If you've known me for long, you know how long I tried to leave the old place... and then all of a sudden, God dropped this in my lap. It is such a testament to me to how much he is involved in my life and is in control. He has been perfectly capable of doing this all along, but for many reasons I can easily identify, it just wasn't the right time. This verse comes to mind when I consider how blessed I am:
Now to him who is able to do immeasurably more than all we ask or imagine, according to his power that is at work within us, to him be glory in the church and in Christ Jesus throughout all generations, for ever and ever! Amen. Ephesians 3:20-21
So, the job transitions really kept me busy, then we took a fantastic trip right before Christmas to New York for a belated celebration of our first wedding anniversary. Then came Christmas, including my brother being home for a nice extended visit, which was wonderful. We had various members of R's family staying with us for about 2 weeks after Christmas, which kept us busy but was a great time for me to get to know them better. We decided to start training for a half marathon and that went well for about a week - then R started back to school and reality set in. I've been trying to keep up with my running (but not training for anything) and some weeks it goes really well and some weeks there is just too much going on.
We started going to another new church... yes, we are church hoppers, apparently, and signed up to take the "Alpha" course, which is a non-denominational foundational class which we've really enjoyed on Tuesday evenings. It is really a challenge to juggle R's schedule but we are trying to make it work and hopefully find a more permanent church home. About a month ago, some friends started meeting at my house on Monday evenings for Bible study, which has been a great opportunity to have girl time while wrestling with spiritual issues and praying for each other. (Anyone is welcome to join us! Well, girls only, of course.) I was part of another ladies' Bible study and had really missed this time so it has been something I look forward to each week again. R graciously retreats to our bedroom when the girls are over and watches The Bachelor to unwind from his day before hitting the books... haha! We're so hooked on that dumb show. Thank goodness we have DVR so I can catch up.
Is that enough rambling for now? I have some future blogs brewing, so stay tuned! Our trip to NYC, great books I've read and want to share, and of course, I have got to get back on the ball with cooking/recipes!
Much love, B
Tuesday, September 27, 2011
Changing Seasons
Fall brings with it football - and no, I am not a hardcore fan, but I have actually grown to enjoy it over the years... in small doses, that is. Richard has forced me to watch enough games that I have a better understanding of the plays and all that jazz. We had the good fortune to randomly receive free A&M tickets from a stranger at Buffalo Wild Wings a couple weekends ago and got to watch TAMU BTHO Idaho... whoop! From the 1st deck, 27th row at the 30 yard line - amazing seats. It was so fun to be back on campus and point things out to Richard. I educated him and the LSU fan on my other side about the yells, wildcats, corps of cadets, etc and it renewed my love for the school and its traditions. I felt old as I couldn't recall where things were and saw the students run around (looked like junior high kids!) I took him to the Dixie Chicken because really... isn't that where all Aggies hang out? Oh wait... not me - I think I had been there twice as a student, but R enjoyed the atmosphere and our greasy burgers. I also managed to get us a little lost on the way home - just like old times ;)
Friday also marked the changing of a season in my career... I resigned at my job of the last 4 1/2 years and officially accepted a new position with another company. I have said many times that life has been so good, I was fearfully waiting for the other foot to drop, so to speak... just waiting for when God was going to reign in all the blessing and give us a trial or two. Well, He certainly has not stopped blessing us but he has begun to throw a few wrenches in our plans for where our perfect lives are heading. R decided to step down from his full time managment position with our company and work on the floor as needed so he could focus on school with less stress - which meant taking a significant pay cut. Eek! We've been holding on to that so tightly but I tried to be cool about it - well, God provided a really sweet 24 hr/week job for him as a clinical instructor on the weekends that Richard loves and is absolutely thriving in, not to mention is a great add to his resume for the future. He is making up the remaining hours with prn work which can be inconsistent and is a little hard for me to just take as it comes, but I'm learning. It was a great reminder that the companies we work for are not the ones who provide for us... God is. He often does it through employers, but He sees our needs and feeds and clothes and shelters us. We'd pretty much been acting as though we were providing for ourselves and left Him out of the equation. Our situation could be so, so much worse - I thank God that he is merciful to only throw us small problems to deal with because plenty of people don't have jobs at all, or are dealing with far worse things - death of loved ones, terminal diseases, that make slightly less steady income seem so insignificant.
So that was a little inconvenient... then R's school got pushed back a semester. We were both so focused on the craziness ending in December, willing ourselves to get through it. Circumstances changed and this was not in our plans - again I think God wants us to realize that He is in charge, not us! Another opportunity for Him to prove Himself faithful to us.
Then all hell began to break loose at my job with changes in our corporate structure and a crazy administrator... people quitting left and right, patient care suffering, finally my boss resigning and my position being put under above crazy administrator. Not many people read this blog, so if you are close enough to me to know that it exists, you have probably heard me complain about my job many times over the years. It's not an easy place to work - but it has been an incredible growing experience for me professionally and personally. Professionally, I have developed many new skills and personally - I met my husband! I love many people there and have ridden out many storms (figuratively and literally - Hurricane Ike!)... but God in his loving kindness orchestrated dropping a job in my lap at the same time it became abundantly clear to me that now was the time to leave. So, over the next 4 weeks I will be transitioning out of my current position and preparing to start a new, exciting season in my career. It should be a relatively smooth change - I am in the same territory with several people I have worked with in the past and I am excited about working for this administrator. The new job actually pays less and has less time off - but I've had to realize that my sanity, my marriage, my physical health, my good conscience are all more valuable than a few dollars. Remember, Beth, God is the one who provides... not your employer!
R and I are quickly approaching our one year anniversary - and I am thankful for God putting him in my life every day. He makes my life more complicated sometimes, but so much more happy and complete. We're learning so much about how the other works, how to communicate, how to fight, how to love and support each other well... This is a great season of life to be in. A year ago, I was going crazy over the last details of wedding planning, so glad to be past that! Two years ago, we were newly dating and marathon training... three years ago, I was single and convinced God was never going to end my misery of singleness! Can't wait to see what God has in store for us over the next year - we are certainly going to have to trust him to see us through it.
Much Love,
B
Friday, May 13, 2011
Have you hugged a nurse lately?
For someone who at home and socially is extremely non-chalant and at times, oblivious to what's going on around him, R has impressed me from day one in his ability to assess a nursing type situation, identify the problem(s) and formulate and execute a plan. He is not only extremely knowledgeable about medical conditions and medications, he also has excellent bedside manner with patients and families. He is respected by physicians, his supervisors, his co-workers, and the people he supervises... plus all of us ancillary people. He's calm, he's cool, and he means business. He finds a way to create rapport with the most difficult patients and families.
There is an 95 year old woman who has lived at VW for several years and I have always greeted her by name when I see her around the building, but she has never acknowledged me, except one time to tell me not to touch her when I patted her on the shoulder. I thought maybe she was too hard of hearing or demented to have a conversation with me (why else wouldn't she talk to me? I am very lovable!)... until R told me she had given him hugs AND a kiss! He is the only one besides her son who can get her to take her meds when she goes on a streak of refusing.
My 11 year old cousin tried to tease me a while back saying "Your husband is a nurse!" Of course, R wasn't around, because he would be way too scared to actually attempt to make fun of him in person. I told him proudly "yes, and he's the best one I know". It's funny how many people told me they were just sure I'd meet and marry a doctor... yeah, not so much! Thank you Jesus for giving me a nurse instead with a less demanding schedule and much smaller ego. (Sorry for the stereotype! That is certainly not true of all doctors.) Men are rare in healthcare, and even more rare in nursing although the percentage seems to be increasing all the time. Almost all of the male nurses I have worked with have been well above average... I don't know if going into nursing was more of a deliberate choice for men than women, who may choose it by default, so they enjoy it more or what... (NOT to say men are better nurses than women, I am not sexist against my own gender! I know, love and respect many excellent female nurses as well!)
Since it is nursing home week, I want to touch on that topic too. I never thought I'd end up working in and loving nursing homes. Granted, VW is not typical, but it is a nursing home nonetheless. When we used to go visit my great great grandmother and then great grandmother in nursing homes in East Texas, I would hold my nose the whole time because I couldn't handle the smells. When we used to go with church or Girl Scout groups to sing and talk to the residents at local nursing homes, I was scared and tried to stay at the back of the pack.
Things have changed! I hated working in the acute hospital where I'd do a one-time nutrition assessment and have no opportunity to follow up with the patients or see that my recommendations were implemented. In the nursing home/long term care setting, I've gotten to know darling (and not-so-darling) patients and families and see my work pay off!
At the same time, there are many challenges of working in that setting, which is largely seen in a negative light. People don't want to be "put away", nor do families (usually) want to leave their loved ones in a "home". Nursing homes are one of the most regulated industries, if not the most, in the United States, largely due to a sad history of neglect and abuse. Nursing homes are primarily funded by the government (Medicare - short term skilled nursing and Medicaid - long term care) and often take very sick patients who no longer meet criteria to be in the acute hospitals. Payment from medicare or private insurance companies obviously decreases as the level of care decreases (acute hospital is more than long term acute care which is more than skilled nursing/nursing home). As a result, the number of patients per nurse and nurse aide increase to contain costs. And while I'd like to say "it shouldn't matter how expensive it is, we should have as many nurses as it takes that no one ever feels that their needs aren't met", realistically... facilities have to stay in the black to keep their doors open. VW is cutting-edge to have one full-time dietitian for 115 patients, where an acute hospital would have at least 4 full-time RDs. Per Medicare guidelines, a facility ony has to have a dietitian in a facility 8 hours a month per 100 residents.
Like schools and churches, the majority of press nursing homes receive is when something negative happens, despite how disproportionate the bad is to the good. Although I think 85%+ of our patients leave happy, and many return for repeat short term stays, the majority of comments you would see posted on the internet is the bad stuff (that is often exaggerated or misrepresented) because people who are mad are the ones who speak up. So, on that note... look for the good, and when you see it, say THANK YOU! Give a hug, write a positive review, tell someone's supervisor how great they are.
I have cooking and exercise updates to write but this is long enough for now :) Have a happy weekend!
Love, B
Sunday, April 24, 2011
He is Risen!
I have no room to pass judgment, as I so often forget even during the season of lent and even on Easter weekend what Easter is all about (not to mention how many times I "cheated" during lent), but it always amazes me the way Easter seems to be celebrated more and more in the United States... big spring parties and picnics or brunches - but no church? The Easter bunny but no Jesus? Even by people who "believe". It is heart breaking to me to see families, especially with children, out on the town on Sunday mornings. Man, it's tempting to sleep in on Sunday and have a second Saturday! I've been guilty of it many times myself but as much fun as it can be I know ultimately I'm missing out. God deserves my worship and devotion but He certainly doesn't need it - He'll still be God whether I acknowledge it or not! I'm thankful that faithful church attendance has been ingrained in me since I was a child. Yes, I know plenty of people show up at church with a totally cold heart, only out of obligation or tradition, so there's nothing magical about occupying a seat on a pew. But God uses it to work on my heart so many times! Anyway, I hope that doesn't sound self righteous, I just can't say enough how vital being a part of the church body is to the growth of a Christian! I've had this conversation with many people - and until you've experienced being part of a church the way I've been blessed to - its so hard for others to fathom that its not some dreadful obligation! In no way is my salvation or any one else's determined by how many times I've showed up at church - its irrelevant! That's the beautiful thing. Richard and I are going through what is essentially a "new members" class at the church we've been attending and we were talking about what sets the Christian faith apart and the pastor pointed out something I'd never realized: Christianity is the only faith where the "higher power" comes down to us - in all other religions, earning salvation or a ticket to heaven is all about climbing up to reach some unattainable or unquantifiable goal of being worthy, and there is no certainty of the future. Christianity is not at all about what we can do to earn salvation, but all about what Christ did for us on the cross - praise God for that! The pastor compared it to a parent jumping into the pool in their backyard to rescue the child who had wandered outside and had fallen to the bottom. The parent pulls the lifeless child out and performs CPR - resuscitating the child, breathing life back into him.
Paul explains it very succinctly in Romans 3:21-25a "But now a righteousness from God, apart from law, has been made known, to which the Law and the Prophets testify. This righteousness from God comes through faith in Jesus Christ to all who believe. There is no difference, for all have sinned and fall short of the glory of God, and are justified freely by his grace through the redemption that came by Christ Jesus. God presented him as a sacrifice of atonement, through faith in his blood." I hope your Easter Sunday was joyful!
Now on to cooking! I made a couple fun things last week and a salad that has become tradition at Easter lunch. About a year ago I first attempted what sounded like a daunting task: Risotto! I followed the directions carefully and it turned out so well, the guy who came to the door to sell the Chronicle commented on how good it smelled while I was cooking it so I lightly said if he came back in 30 minutes I would give him some (Richard was there, don't worry I wouldn't invite someone in my home if I was alone!) not expecting him to return - but sure enough, 30 minutes or so later, there was a knock on the door... so I shared some of this goodness with him.
Risotto with Asparagus and Shrimp (Filippo Berio website)
1 can (14 oz) chicken broth
2 1/2 c water
2 1/2 T olive oil, divided
1 sm onion, chopped
1 1/4 c Arborio rice (important! must use this type of rice!)
1/2 tsp salt, divided
1/2 c dry white wine
1# thin asparagus, trimmed and cut into 2" pieces
1# medium shrimp, peeled
1/2 c (2oz) Parmesean cheese, grated
1. Heat the water and broth in a pot, reduce heat to low.
2. In a dutch oven set over medium heat, warm 1 T olive oil. Add the onion, and cook, stirring for 3 minutes or until golden. Add the rice and 1/4 tsp salt. Cook for 2 minutes, stirring until coated with oil. Add the wine. Increase the heat to medium high and cook for 5 minutes, or until the wine is absorbed. Reduce the heat to medium low. Start timing your cooking. Add 1/2 cup of the broth mixture and stir until the liquid is absorbed. Continue adding the broth, 1/2 c at a time and stirring frequently.
3. Meanwhie, in a large saute pan, heat 1 T oil and 2 T chicken broth mixture. Add the asparagus and the remaining 1/4 tsp salt. Cover and cook, tossing occassionally, about 4 minutes or until the asparagus is bright green. Add the shrimp and cook, stirring frequently for about 2 minutes or until the shrimp is opaque. Remove from the heat.
4. After 18 minutes of cooking, start testing the rice which should be tender but hold its shape. When it is cooked (which for me takes at least 30-40min), remove from heat. (You probably won't use all of the broth mixture). Add the shrimp, asparagus, and any pan juices. Add the cheese and remaining 1/2 T oil. Stir.
The risotto gets progressively thicker - kind of like old fashioned oatmeal. I think it has to do with the starches coming out. It gets frustrating waiting for it to be an edible texture - just keep adding the broth and cooking. I sometimes end up turning the heat up a smidge toward the end.
I made this Sunday afternoon to eat Monday night - it makes a ton! I made it for a dinner party last time, and this time I was able to give about half to a friend. You could also freeze them for a future meal! I didn't put the sauce on until right before putting them in the oven.
Spring Pea and Asparagus Panzanella Salad
1 # medium asparagus, trimmed
1 c. fresh basil leaves
4 T. olive oil, divided
3/4 tsp salt, divided
1/4 tsp freshly ground black pepper
1 (5oz.) box seasoned croutons
1 c. fresh or frozen green peas, boiled until tender and drained
1/2 c. thinly sliced green onions
1 1/2 T fresh lemon juice plus another 1/2 tsp for dressing
1 head thinly sliced radicchio (looks like a small head of red cabbage)
1 cup arugula or baby spinach leaves (I used a whole 6oz bag of baby spinach)
2 oz wedge ricotta salata or Parmesean cheese for garnish
1. Cut off the tender tips of the asparagus, reserving both the tips and the spears.
2. Bring a large pot of water to a boil over high heat. Add asparagus tips and cook briefly until the color brightens. Lift the tips out with a slotted spoon and allow to cool. Add asparagus spears and cook until tender, about 5 minutes; drain well.
3. Put the asparagus spears in a food processor or blender along with the basil leaves, 3 T olive oil, 1/2 tsp salt, and pepper. Puree until smooth.
4. In a large bowl, combine croutons, asparagus tips, peas and green onions. Add the asparagus puree and toss to coat. Add 1 1/2 T lemon juice and toss well. Taste and adjust seasoning as needed. (Note: this should not be done until very close to serving time because the croutons get soggy!)
5. In a separate bowl, combine the radicchio and spinach or arugula. Dress with the remaining 1 T olive oil, remaining 1/4 tsp salt and and remaining lemon juice. Toss well.
6. Mound the greens on a serving platter. Arrange asparagus and crouton mixture on top of the greens.
7. With a cheese plane or vegetable peeler, shave some cheese over the top for garnish, if desired.
8. Serve immediately.
For each of 8 servings - 257 calories (from Health magazine)
Sunday, March 27, 2011
Back in the (proverbial) saddle...
Wednesday, March 16, 2011
Catching up...
Last Sunday I made Steph's Roasted Lemon Rosemary Chicken that is delicious! I made the gravy per her recipe (I added 1/2c of leftover chicken broth to make the gravy go a little further) and served it on the chicken and over some WHITE rice... With pasta, I can't tell the difference between regular and whole grain, but with rice I can... and its not that I dislike the whole grain, but sometimes the plain old white kind is a welcome change, especially if I know I got a good serving or two of whole grains already that day. To up the nutrients, and make my plate more colorful, I made this yummy veggie medley that I saw Giada make (yes, we're on a first name basis) - "Asparagus, Artichoke, and Mushroom Saute with Tarragon Vinaigrette".
This Sunday I had planned to make charro beans again and Jiffy cornbread muffins (so cheap, so delicious!) for dinner which worked out well because they do take a while to cook so I was able to leave them cooking while we worked in the yard and just come in to stir periodically. I did use a little olive oil in place of the bacon. Richard said he preferred it, it was closer to his mom's (she doesn't put anything besides beans, water, and salt in the pot) and I liked it too, but it was understandably not as tasty as the batch with bacon! This coming from someone who doesn't really care for bacon.
Saturday, March 5, 2011
This week's Cooking Highlights
As I wrote last week, my charro beans were much more successful than previous attempts. I googled "how to make charro beans" and came up with this article. It called for 8 pieces of bacon, I used 6 and still thought that was too much and so did Richard. Next time, I think I'll try just using olive oil to cook the onions, cilantro, and garlic. Also, it took longer than it said. I soaked the beans for more than 12 hours overnight, but instead of only having to cook for 1 1/2 hrs on low, I had to turn up the heat to get the beans to finish. Richard chided me, telling me "you have to cook beans all day!" I was just going with the instructions. After eating the beans a couple times for leftovers his comments actually got more complimentary and he requested than I keep the beans on hand at all times.
Sunday night I made Thai Curry Shrimp with Basil Lime Couscous from a Rachael Ray recipe that I found. Thankfully, it was just as yummy as the first time I made it! In case you can't make out the ingredients, there are shitake mushrooms and roasted red peppers in there with the shrimp. Light coconut milk makes it creamy and the curry gives it a little heat (depending on how hot you get the curry paste). Its a little annoying to get the ingredients, but it was worth it. I didn't bother with the peanuts garnish (just one more thing to buy and I'm not crazy about peanuts). The leftovers were super delicious!
Love, B