My Mom's Cornbread and Sausage Dressing Recipe.

Okay DoctorDiva Fans.

I am going to give you the "secret" recipe for my Mother's Dressing.

Consider yourselves blessed.

This is the best southern cornbread dressing recipe in Chicago.

(We always called it DRESSING, not STUFFING)

I just figured it was DRESSING because my mother was from down South and it was  more fancy there than good ol' New Jersey STUFFING.

Turns out, STUFFING is cooked in the turkey and DRESSING is cooked in a baking dish.

Weirdly, we always stuffed the turkey with Mom's dressing, with some left over to put in a casserole to cook outside the bird.

We never got Salmonella. Not. Even. Once.

My husband INSISTS on cooking the dressing outside of the bird.

I usually get the bird in the oven before he wakes up and Muuhhaaawwaaww....stuff the bird.

And guess what?
We've Never. Gotten. Salmonella. EVER.

Part of the reason we've never gotten sick is that my Mother and I both obsessively checked the temperature of the bird in multiple spots, away from the bones (which conduct heat very well and may falsely elevate the temperature near the thermometer).  165 degrees Farhenheit internal temperature, baby!

That said, my family members are often heard to say things like, "Oh, it's okay if you dropped the turkey on the floor. The heat will kill any germs."

Personally, I have washed the turkey with soap and water first and THEN said those words. BTW, if you do that, please rinse it really, really, REALLY well. Soap tastes terrible. Just sayin'.

Okay. so here goes. And remember, measurements are approximate. Taste it as you go.

Mom's Cornbread and Sausage Dressing
 (along with words of caution and admonition from my memories of making it with Mom)

• 2 boxes of  Jiffy Cornbread Mix (NOT Martha White. It isn't sweet enough).
• 1 tube of Jimmy Dean Mild breakfast sausage and 1 tube of Spicy/Hot Jimmy Dean breakfast sausage
• (and another tube of sausage because the family will raid the sausage and if you want to have enough to make the dressing, you have to make enough to satisfy the hoarding Mongols)
• Stale Italian bread or white bread--one loaf
• 1 cup of chopped celery and 2 cups of chopped onion. (don't put too much celery in--my Mom said it is too overpowering if you do.)
• chicken broth (canned/boxed is fine) usually about 2-3 qts if you like it moist.
• Poultry seasoning. LOTS of it.
• Sage (My Mom hated sage. She said it tasted like soap. We weren't allowed to use extra, but frankly, she smoked and I don't know how she tasted anything. I LOVE sage and grow a ton every year for just this purpose.)
• salt
• white pepper
• red pepper flakes
• eggs --but it increases the risk of salmonella. I use pasteurized eggs, myself.

Instructions:
Cook the cornbread the night before and let it sit out overnight to get stale. (Not if you have mice though--Put it in the fridge then. Seriously. It could be a disaster otherwise.)

Partially freeze the sausage. Cut right through the plastic tubing and make patties of sausage and cook 'em up in some vegetable oil.(of course take them out of the plastic rings you've cut!)
 Drain on paper towels.

Slap marauding hands vigorously as they steal the cooked sausage. Make a good show of it and don't let on that you made enough for them to steal. It helps with getting them to do the dishes later. Guilt. My secret ingredient.

Brown the onions and celery in the oil from the sausages. Drain the oil off the onions and celery (unless you want wicked heartburn).

In a vat (we use an old Tupperware Cake thingy-- It's huge):

crumble the cornbread and the white bread.
Crumble and add the sausage
Add the drained onions and celery
Cover the entire top of the dressing mix with a layer of poultry seasoning. (It should look greenish brown from all of the poultry seasoning. Add extra sage here if you want. There is sage in poultry seasoning already, though)
Add salt and pepper and red pepper flakes.

Now. Take off your rings, roll up your sleeves and get ready.

Pour chicken broth over and mix it up with your hands.(This is a good job for the kids)
Keep adding broth until it's moist (for stuffing) or really moist for dressing. It will get more moist in the bird, and dry out in the casserole dish.
TASTE IT before you add the eggs.
Adjust seasonings.
(Add the eggs if you want.)

IF you put it in the bird, stuff the neck cavity as well as the chest. Use skewers or twine to close it up.
If you put it in a casserole dish, then cover it tightly with aluminum foil to bake so it doesn't dry out too much.
Bake in a 350-375 degree F oven for about an hour.
Bake to an internal temp of 165 degrees F in the bird. Check in multiple spots with an instant read thermometer.

You're welcome.

DoctorDiva 11/18/14

Hypothermia and Early Motherhood

I went camping recently with the Boy Scouts and it was  freezing. I thought I'd better brush up my knowledge of hypothermia, since I was the resident expert on the trip.

As I started reviewing the symptoms of hypothermia, I realized the symptoms are very similar to the first several months of motherhood. And the last couple of months of motherhood. Heck, Motherhood.

Here is from the MayoClinic's website:

Moderate to severe hypothermia

As your body temperature drops, signs and symptoms of moderate to severe hypothermia include:

• Shivering, although as hypothermia worsens, shivering stops
• Clumsiness or lack of coordination
• Slurred speech or mumbling
• Confusion and poor decision-making, such as trying to remove warm clothes
• Drowsiness or very low energy
• Lack of concern about one's condition
• Progressive loss of consciousness
• Weak pulse
• Slow, shallow breathing"

http://www.mayoclinic.org/diseases-conditions/hypothermia/basics/symptoms/con-20020453

Treatment of Hypothermia:

• call 911
• Warm the person up by getting them indoors.
• Put the person in dry clothes and blankets.
• Warm their bodies/trunks, not the hands and feet. that can put them into shock.
• Don't immerse in warm water -that can cause arrhythmias.
• Give warm fluids to drink-not coffee or alcohol
• If the heart stops, start CPR and keep going until Assistance arrives in the way of paramedics.

We have a saying in medicine when referring to cardiac arrest in a hypothermic patient:

A hypothermic person isn't good and dead until they're warm and dead.



Cold persons can maintain brain function for a lot longer than a warm person and the cold temperature may prevent the CPR from working right away. You need to warm the person up and keep doing CPR before you call the code off.

*******************************************************

Motherhood is not so different from hypothermia:

• Confusion
• Exhaustion, fatigue and low energy
• Slurred speech
• Loss of concern about one's condition 
• Loss of consciousness (at every opportunity available--few and far between)
• Clumsiness and lack of coordination (usually from trying to carry a baby and perform activities of daily living at the same time)

The treatment however, is often the exact opposite of the treatment of hypothermia.

• Call in every favor ever owed you and get out of the house and away from the baby for a while
• Get outside into the sunlight
• Take a long, long, LONG HOT shower. Shave and groom and do it all in PRIVACY. 
• Take in coffee, alcohol, or whatever your favorite beverage is. Add in chocolate and all the foods you've been avoiding while breast feeding. 
• If your heart stops in shock of some actual private time, don't worry. It won't happen again for a long while. 

And remember Moms:

Mothers are never TRULY asleep until their child decides Naptime is over. It never fails.
GAH!


November 11, 2014
DoctorDiva


 photo credit:
http://www.howtogetridofstuff.com/how-to-get-rid-of-hypothermia/

Why Teens Need Parents

Recently a company that provides In-Home Care slipped a brochure into my mailbox at the hospital.


It was a beautiful 4 color pamphlet with an explanation of all the services they provide. They provided a helpful list of questions to ask to help determine whether or not you needed the services they provided.

As I read through this list, I realized how many of these applied to teenagers.
Teenagers want their independence in the worst way. Older people who need help will do anything to maintain their independence.  It struck me that maybe teenagers need more help than we give them.

These were some of the questions they posed:

• Has there been a recent emotional or medical crisis?

There is ALWAYS some kind of crisis with a teen. Not a day goes by that they're not  having some emotional melt down or needing stitches, or physicals

• Does the individual bathe less often or not at all?

Any mother of a teenager will tell you what a battle it is to get them to shower.

• Are pills left over or running out too soon?

Getting teens to take their medications is like pulling teeth. Asthma, allergies, depression, ADHD, etc.  It's a daily battle. We resorted to pill boxes and checking.

• Does the individual need help walking?

Okay, Do all mothers feel like glorified chauffeurs, or is it just me? Oh, and walking the dog? That is a battle royale.

• is he/she verbally or physically abusive?

Well, calling your parents "lame," "stupid," "fat," etc., seemed like normal teen behavior to me. Not necessarily abusive. Besides, I just ignore them..

• is he/she becoming more forgetful?

  "I didn't KNOW I had homework!"  "I didn't know I had a TEST today!"
  "I forgot it was my turn to empty the dishwasher!" 
 "You didn't TELL me that I had to do my laundry!"

• Have there been recent falls?

Read my blog post on concussions. Scared the bejeebers out of me. http://doctordivagetshealthy.blogspot.com/2013/12/my-son-concussion-story.html

• Is your loved one having problems sleeping?

If staying up until 2 a.m. playing MineCraft and then arguing about being too tired to get up in the morning is problems sleeping, then yes.

• Has there been recent weight loss?

Okay, NOT in my household. My kids eat  me out of house and home. My food bill is 1/4 of the GNP.

• is his/her hearing or vision affecting the ability to function?

 "I didn't hear you call me" (for the four thousand six hundredth time).
 "I didn't SEE the garbage all over the kitchen floor from the dog knocking over the can!"

• if he/she smokes, are there burn marks on clothes or bedsheets?

 Thank God for this=NO. Their father is a pulmonologist and there would be hell to pay if they started smoking.

• is your loved one able to do errands alone?

Able is a relative term.  Willing? There's the crux of the question.

• is clothing being changed daily?

HAH!!! Seriously? Not.

• are there scorch marks on the pot holders or dish towels?

Teenagers learning to cook require a working smoke alarm and team parenting.

• are there signs of burnt pans on the stove?

  Um, Yes.  But that was MY bad. (Looking down embarrassed.) I was trying to dry the cast iron skillet, and forgot it was on when I went to binge watch something on Netflix.

• Is routine house cleaning not being done?

They do it. Under duress. Badly. I just close the door to their rooms. I insist they "re-do" if they don't do a good job in the family areas though.

• Have social activities stopped or diminished?

We have a rule. No screens when family is over. Period. It helps.

If you checked even one of these questions, perhaps it is time to consider in-home care. But before you select your care provider, make sure you ask the right questions.

                        

• When is cocktail hour in this place?

• Did I really sign up for this?

• What was I thinking?

                         

 

I deserve my portion of the Halloween candy. It's a parenting tax.

                         
                         
                         
photo credit:
http://www.guitarworld.com/guitar-girld-evidence-you-re-never-too-old-rock

Ebola.

Okay, so EVERYBODY is talking about Ebola. 

Nobody is talking about influenza. 

I had a patient yesterday who refused to take the flu vaccine because she said, "I don't know what shit the government is putting in those vaccines. I might get Ebola from it. Nuh-Uh. I am NOT getting Ebola from the flu shot." 

NOTHING I said would change her mind. She really believed this. 

I am sorry, but this is the stupidest thing ANYONE has ever said to me. EVER. 

I have heard a lot of excuses for not getting the flu vaccine. 

• "My next door neighbor's cousin's son got sick from the flu shot." 
• "I get sick EVERY TIME I get the flu shot." 
• "Nothing you say will convince me to take it." 
• "I never get sick." 
• "I've never gotten the flu. I don't need it." 

Okay people. You are freaking out about 3 cases of Ebola and yet you don't want to protect yourself against something that is WAY more common and can also kill you? 

Few of us have been in car accidents. We all hope that we won't be, and we wear our seat belts to protect ourselves from dying in a car accident-- EVEN IF WE'VE NEVER BEEN IN A CAR ACCIDENT.  Seatbelts PREVENT death in a car accident. 
Accidents aren't predictable. 
NEITHER IS THE FLU. NEITHER ARE OTHER VACCINE PREVENTABLE DISEASES.  

We take the influenza vaccine to PREVENT OURSELVES FROM GETTING SICK ENOUGH TO DIE FROM FLU. 

MORE IMPORTANT. If you have any sense of caring for those around you, get the flu vaccine. 

You are contagious the day before you get sick with the flu. 

That means that when you visit your elderly mother or father, or your cousin on chemo, or your best friend whose sister had a bone marrow transplant, you've JUST EXPOSED THEM AND PUT THEM AT RISK OF DEATH FROM INFLUENZA, YOU SELFISH JERK! 

Children, old people, diabetics, asthmatics, people with emphysema or autoimmune diseases, and people who are on chemo, radiation therapy or who've had bone marrow transplants:

OFTEN DIE  FROM INFLUENZA. 

You don't know who you are affecting by making the decision not to take the flu vaccine. 

You could infect someone at the grocery store. They go home and a couple of days later infect their baby, spouse, cousin, best friend. They die. YOU JUST CAUSED A PREVENTABLE DEATH. 

Yes, it's harsh. 
Life is not fair. 
You live in a society and have an obligation to it's members to keep them safe. 
There's a reason they call it "public health."

Do you realize how freaking lucky we are to have safe and effective vaccines? 

Do you think the people in Africa would refuse an Ebola vaccine if it were available?

Moms of Teens: I'm Good Enough....

 Teenagers:  The Battle Lines Have Changed.

I read a lot of blogs written by Mothers of babies and toddlers. Not as many are out there by Mothers of Teenagers. I think it's because teenagers are like another species. They make us feel like we've lost our "cool" factor--- Our "je ne sais quoi." 

I don't know about you, but according to MY teens, I'm fat, out of shape, out of touch with what's cool (just using the word "cool" is an illustration), and embarrassing to be seen with.

 I think that's why Moms of Teenagers don't blog as much. Teens infect you with Low Self Esteem as a human being, much less a parent. Who wants to blog about THAT?

Having teens is a whole new parenting paradigm for me.
I am accustomed to the paternal/maternal decision tree method of parenting. 

I tell them what to do. 
       They (theoretically) do it. 

Now, with teens, I'm learning there is a subtle shift in the power arc. 

I tell them what to wear to stay warm/dry. 
       They refuse and tell me "I've got this, Mom." Or they lie about the umbrella/poncho/sweater they
       have in their backpack for later.

I tell them they have to get up to go to school, if they want a ride. 
       They ignore me and I have to call them four hundred zillion times to get them out of bed.

I tell them I want the dishwasher emptied and the dog walked before I get home so I can cook dinner as soon as I get home.

       They have learned to be passive aggressive and "forget" that I told them this (every single day
       for the last year and a half) and I scream until they do it.. Then I make dinner after they do the     
       chore. 
       When called to eat: "I'm not hungry, Mom. I ate a sandwich before you got home."
     

Clearly, a new tack is required. 

My husband is a champion at this. He is the eldest of five. His responses are more of the "give them enough rope to hang themselves" sort. Learn by screwing up. Make mistakes and live with them. 

He also knows what motivates a teenager. I have a lot to learn. 

He puts his iPad with LOUD OBNOXIOUS Classical music/Marching Anthems/Peruvian Dance Music on the stairs after he calls them to get up, until they get mad, get up and turn it off on the way to the kitchen.

He leaves and lets them take the bus or walk to school if they don't get up.

He tempts them with a yummy breakfast like french toast or bacon, and then threatens to eat it if they don't get up RIGHT NOW! Then, he follows through. 

He lets them get wet/cold/hungry if they decide our safety/dressing "advice" is stupid and unnecessary. (unless personal safety is at real risk-like camping in 30 degree weather with no long johns, extra layers, etc.)

He yells much less frequently than I do so that when he does, it's more effective.

I asked him his philosophy on raising teens. He said: 

     Lead by Example

AND

     Teens JUMP on hypocrisy or inconsistency and throw it back into your face. 

     (You have to obey your own rules which is difficult to do at times)

     Then he sighed. 

     "Survival. That's what it really is. You simply have to survive their teen years (and so do they). Once they become young adults, they metamorphose back into pleasant beings."

So there you have it. 

Lead by Example. Be Consistent. Don't be a Hypocrite. Follow your own rules. 

And don't drink the Kool-Aid of teenager's insults. 

 I AM cool. 

I AM hip,

 and as Stuart Smiley says:

"I'm good enough, I'm smart enough and doggone It! People Like Me!"

Okay, there's a lot more to it than this. There are leadership skills, faith, kindness and compassion, etc. BUT all of them will spring forth from the above. I hope I'm good enough. 

DoctorDiva  10/4/14

Broken Toes and Mondays Always Get Me Down

OR:  Do As I Say, Not As I Do

My son has inherited the slob gene (and jeans). He undresses and leaves shoes, socks, underwear (seriously? dude!) and clothing, books, bookbags, dropped wrappers, plates, utensils... all over the house.

I like to walk barefoot in my own house despite my klutzy tendencies.

This is a recipe for DISASTER.

One of the things we tell our older patients is to make sure that the pathways in the house are clear of detritus, scatter rugs, books, etc. and are well lit to prevent falls and accidents.

While running around preparing for a plane trip while barefoot, sans eyeglasses, with no lights turned on:

I whacked my little toe up against my son's perfectly mis-placed shoe.

I know what you're thinking."So What? It's just a shoe!"

Okay. Picture this. Said shoe is pushed up against a basket meant for clutter, across from the closet meant for shoes and coats, and sticking out in the pathway from living room to dining room, meant for walking through.
.
I hit said shoe at just the correct angle with my baby toe so that the shoe got shoved up against the immovable basket.

I heard a snap.
I assumed it was the basket.
I screamed.
I waited for the pain to stop.
It didn't stop.

The snap wasn't the basket.

Then 3 days later, I broke it AGAIN against the kitchen table leg.  It bent out at a weird angle and I had to put it back in place. I, stupidly, was barefoot and uncaffeinated at the time.

(I'll wait for you to stop cringing and open your eyes again.)

When you limp, it messes up your body mechanics all the way up. My hips, knees, back, shoulders and neck are all hurting.

SOOOoooo....4 weeks have gone by and my toe is still in pain because I am a doctor and have to walk all over the hospital, from the parking lot 2 blocks away to my office, etc. and it was not getting better. In fact, it was getting worse. Every night it would be swollen and purple and painful when I took off my sneakers. (I wore sneakers hoping they would be good enough to let it heal) (They weren't)

I am now wearing a walking boot to fully immobilize the darn toe. I feel like Frankenstein, except that I don't have the cool neck electrodes, flat head and scar on my forehead.
My toe, however, feels better.

I wrote this on a Monday, hence the title.

• So, don't let your kids clutter up the floor
• Wear your glasses while you stumble around in the mornings.
• Put the coffee on the night before and drink some before attempting anything dangerous, like walking.
• Put shoes or slippers on for goodness sake.
• Turn the lights on before you walk around.

This has been your public service announcement for the week.
DoctorDiva
10/2/14

Why I Volunteer

 

I am a Boy Scout. 

Yup. You read that right. I, DoctorDiva, am a card carrying Boy Scout.

When my son joined a few years ago, I told my husband that this was HIS gig. I'd done the Girl Scout bit with my daughter, even volunteering as an assistant leader for two years.

Well, my husband's job didn't let him participate. He works more insane hours than I. So, it fell to me.



Little did I know what I was getting myself into.

I am now the Troop Committee Chairman. I help plan and organize the troop for events and trips and campouts.

I help the Scouts get their Merit Badge as a Merit Badge Counselor for the Personal Fitness Badge. I am the Popcorn Kernal this year.

I am helping with organizing drivers for trips.

I WANT my troop to succeed. 
It's hard work. 
I do this in my spare time. The little I have.

I'm not great at it yet, but I'm learning. 

I give my time, and get:

• TO CAMP!! 
•  
• I get to give back to my community and help steer kids in a program aimed at leadership, community, responsibility.
•  
• I get to wear a uniform (the pants are just not meant for women of a certain age and size though..)
•  
• I get the satisfaction of knowing that I'm doing something good. 
•  
• I get out of the house and away from the TV or computer, or the refrigerator. 
•  
• I meet all kinds of cool and interesting people who are ALSO giving their time. 
•  
• I strongly recommend finding volunteer positions for yourself. 

There is an article: 
"The Health Benefits of Volunteering: A Review of Recent Research" which can be downloaded at
www.nationalservice.org

• It states briefly, that OLDER volunteers are most likely to benefit from volunteering. (60 years +)
• It improves physical, social, and mental health. 
• You have to volunteer over 100 hours a year to benefit from the health improvements. It's called, "considerable volunteering".  
• Volunteering improves life satisfaction and lowers rates of depression. 
• It self reinforces the physical well-being 

• Individuals who volunteer live longer. 

WHO DOESN'T WANT ALL OF THAT? 

SO, Get healthy and volunteer. It's WAY more fun than dieting and exercise, and you will live better and longer.


DoctorDiva 9/2/14