In eats. life.

"The Steak" Valentine's Day 2018



There is a lot of value in tradition. This is doubly true when you find yourself in a new surroundings. Annie has been working a lot lately with very few days off (except the 3 days we spent hospital/couch bound thanks to her appendix) and honestly it's been really hard on both of us emotionally. It's so much harder than expected being in a spot with no long-term friends, while social media allows us to watch all of our friends from past lives go on without us there. Everyone is new, and though we've surrounded ourselves with some great people since moving here, it just hasn't been easy yet, if that makes sense.

In short, we've both been feeling  a bit homesick of late, so having traditions in our relationship that transcend geography has been critical. Traditions anchor us to what really matters. To each other. We have several of these throughout the year, but none has been as consistent as our Valentine's day tradition.

While parts of it have changed over the years - letters, records, apartment, etc., what has not changed is the meal. This year marks our 10th (yikes) Valentine's day together, 6 of which have involved good music, good wine, and a recipe we have dubbed THE steak. I'd like to share the story of that first experience, as well as a modified recipe for those of you who are interested in giving it a try.

It all started our senior year of college, we had been dating for 4 years, we were comfortable in our relationship, and didn't feel like we had to do any grand gestures or gifts as we had in past days. We'd made no plans until around 5pm and realized we wouldn't be able to get into a restaurant, so we'd have to opt for a plan B. I did some quick googling and stumbled on the recipe that we've based our last 6 V-day celebrations on - THE steak.

That first year was experimental - we had cooked, but were FAR from experienced. It may have been my first homemade sauce I ever made, it was the first time I'd ever oven baked a steak, and even Annie making mashed potatoes from scratch seemed daunting (we laugh every year now at how simple most of the recipe actually is…).


We picked up our supplies (what's thyme?, where do you buy port?, you mean the garlic isn't powder?) and got to work, with Pandora radio (is that still a thing?) playing in the background. After a good deal of fumbling, slicing, and prepping, it was all coming together.

 
The steak was in the oven, the sauce was beginning to meld, and I recall a very specific moment then that hit me pretty hard. I believe John Green would refer to it as feeling 'infinite', Maslow may have referred to it as a peak experience of self-actualization, Thomas Moore may've thought of it as a second revelation. Norah Jones' come away with me was playing, the smell of garlic-thyme port wine sauce wafted into my nostrils, and Annie leaned on the counter next to me drinking a glass of wine with a look of absolute content on her face. It was an almost out of body experience. I found myself imagining our future together, realizing that this could be the rest of my life if I chose it.

I saw years down the road standing in a nicer apartment than where we stood, or our own home, cooking a similar meal, with the same smells, and the same girl by my side. I came to teary eyed and couldn't help but smile like a little kid for the rest of the night. I think part of my excitement ever year is the hope of re-creating that feeling.

Last night we completed our 6th attempt at THE steak. Things have changed, but the core of the tradition remains the same: Norah Jones plays, but now on vinyl. The steak is a nicer cut, typically bought from a butcher or Whole Foods. The recipe has been modified, but the flavors are all still there, now enhanced.

I think that last night reminded us that it doesn't really matter where we live. It doesn't matter who we're surrounded with. Those are all secondary pleasures to the core of our life together. Because while the location, the friends, and our schedules drastically change, our love remains the same. 10 years in, 6 rounds of steak. Much like our love, it's gotten better every year. Here's to 50+ more years of tradition.


 Recipe - THE Steak

We base our recipe off of this post

Here's how I've come to tweak it.
- We use ribeye rather than filet. We've tried both, but preferred a high quality, well-marbled ribeye over filet. The fat and the blue cheese and the panko all work SO well together.
- We typically buy 1 large steak and split it rather than eating ourselves into a coma. Annie also always makes a dessert (dark chocolate mousse this year - yum)
- I like to reverse sear the steak rather than the sear/bake technique they use. Bake for 40 minutes or so  at 275 (check steak with a meat thermometer - should be about 115 degrees for medium rare) then cast iron skillet sear it for 30 seconds on each side, then proceed to broiling blue cheese/panko on top
- you can cut the blue cheese/panko in half - it always makes too much
-  find a good mashed potato recipe for the base - we like this one from Pioneer Woman, but it takes a bit of work and advance prep

Let us know if you try it out!

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In life. manhood.

Lent 2018: Joy and/In Sacrifice


Today is the first day of the Catholic season of Lent - the 40 days leading up to Easter - which are typically filled with different types of self-sacrifice. As a child, I was always confused why Lent was such a big deal in the Catholic Church. It seemed to me that the truly celebratory days were Easter - Christ's resurrection from the dead, and Christmas - the birth of Christ. These were joyous days, victorious days. If we really believed Christ has come, Christ is risen, Christ will come again, then it seemed to me that that mantra was pretty perfectly summed up between the joyful holidays of Christmas and Easter.

On the other hand - Lent, and really all of Holy Week leading up to Easter, was hard. It's a lot of church. A lot of sacrifice. And a lot of dark, sullen music. I couldn't see how being asked to make sacrifices - to fast, to give up meat on Fridays - could be the pinnacle of anything, much less the holiest days of the year.

But as I've aged I've come to realize why we see Lent as such a Holy Time. That realization really came not through study of Catholic teaching, but through observation of other religions. If you look specifically at the original three Abrahamic religions - Judaism, Islam, and Catholicism, there is a critical common thread that they share when it comes to observing the Holiest time of the year: Sacrifice. Muslims celebrate the holy month, Ramadan, by fasting entirely from dawn until dusk to celebrate the revelation of the Qu'ran. Jews celebrate Yom Kippur, the day of atonement, with a 25 hour fast. Catholics celebrate Lent, the period leading up to Easter, with fasting on Ash Wednesday and Good Friday, plus additional sacrifices of our own choosing. Sacrifice, not celebration, is what we choose to commemorate our holiest of days. That is not to be looked over lightly.

I think this tells us a lot about faith, life, and happiness in general. When it all comes down to it - life (and religion) -  are not about the pinnacle experiences, the mountain, the highlights and the celebrations. Religion and life are defined by sacrifice and self-discipline - the struggle, the valley, the conflict points of growth.
 
This is hard for us. We live in a culture of self-service and immediate gratification. We have at our fingertips every piece of information and any good or service we could ever want almost instantaneously. There are a plethora of benefits to this. But with it also comes a lack of struggle that previous generations grew accustomed to. As a society we expect immediate satisfaction and joy, and we base our happiness on how it makes us feel in the immediate moment.

But that immediate satisfaction doesn't last. It's fleeting. It doesn't bring us the lasting joy that we truly seek. That's because life isn't about self-gratification. Life, when you really boil it down, is about sacrifice and discipline - it is only in training ourselves to put off immediate gratification to work towards a higher purpose that we can achieve a lasting joy and satisfaction.

This has many names - intrinsic motivation, grit, self-discipline. Call it whatever you want - but they are all sacrificing immediate satisfaction for a greater goal or purpose. And according to the famous Stanford Marshmallow test, not only does that lead to higher reported happiness later in life, it also leads to healthier, more successful lives.

As a way to further prove this conjecture - I challenge you to think about the pinnacle experiences of your life. The moments you were happiest, or ecstatic, or celebratory - and ask yourself where the joy truly came from… I'd be willing to bet that most of these experiences are actually the culmination of a difficult experience of sacrifice rather than a single joyous event. The highlights of my career come through letters from students, thank-you notes form parents, and lightbulb instances for students who were struggling. But those peak moments of joy in my career weren't really a celebration of a single instance - they were a joyful celebration of months or years of hard work and sacrifice on my and the student's part.

But these moments of joy at the end of sacrifice can often be misleading. Because sacrifice isn't always about the end of the road. It's about finding joy in the experience of sacrifice itself. Teaching has its moment of absolute and total frustration - low moments where you feel totally burnt out and don't feel like you can sacrifice anything more. Any teacher who tells you otherwise is lying to you, or not trying hard enough. But what faith does for us is it allows us to take joy in those moments as well as the highs.

Going to weekly mass is not a highlight of the week for me, many weeks it only brings frustration or annoyance at giving up valuable time from my weekend. But I've come to take joy in the spiritual grit necessary to make it to church every week, even if I don't take anything away from it that day.

Waking up at 4:45 3-4 days a week to work out is awful most days. And though the end result of 2 years on this path has led to great results, the real joy that I find comes in the repetition. The discipline necessary to keep getting up and working hard. The goal is good - but the journey can itself be a source of joy. It is difficult to see that in a culture of self-serving immediate gratification. 

So my challenge for you all this Lent, and for myself, is to embrace the sacrifice. Embrace the grind. Find joy in struggle. It may be the only common thread connecting human existence. I think that's why it's such an integral part of the religious experience, and why we celebrate our holiest time of the year, not with celebrations and festivals, but with sacrifice.

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In life.

When I became a patient.


Another rotation down (cardiology), and I'm starting to see the light at the end of the deep, dark tunnel that has been intern year. Though to be totally honest, I can't complain that much - it's been a pretty nice compared to some of my friends from med school. My last stretch of rotations have few to no "golden weekends" off and vacation is fairly far off in the distance.

That being said: my body (and bowels) decided to have different plans for me. During work the other day I had some serious belly pain. I'm usually pretty good at dealing with belly pain (I would argue that I have irritable bowel syndrome) so I tried to push through it. My hypochondriac/I-know-too-much side was self-diagnosing with all kinds of things. I even had my friends consult and examine me. My doctor side that grows frustrated with convincing patients nothing is wrong with them and that they should go home was fighting feeling sick and just wanting to get back to work. I ultimately asked some of my family and was convinced to go to the ED.

Long story short: appendicitis happened. I spent 2 nights in the hospital and am now one vestigial organ less. This is a laughable occurrence to me as it's been less than a year since I broke my ankle. Broken bones and appendicitis are common childhood ailments, and here I am 26 years old faux-adulting, trying to be a doctor instead ending up as the patient.

While I missed out on some time at work, I do actually think this little experience has been a very educational milestone during residency (ironically). Here are some things that I've learned:

  1. While health care providers are running around busy in the ED, on the floors, in the OR etc. it doesn't seem like our patients are waiting very long for things to happen. From a patient's perspective - it does actually feel like forever. Friday morning we decided I needed surgery, but I didn't have a specific time. Knowing my experience with frustrated patients, I was happy to wait, but that's not to say it wasn't a very long day of boring, somewhat painful waiting. 
  2. Being attached to an IV pole is miserable. I slept for maybe 2 hour stretches because I had to wake up and mess with the settings on my IV pump to get it to shut up. Dragging it to the bathroom is less than convenient (and I was going often since they were pumping me full of fluids). And none of this accounts for how I couldn't bend my elbow the whole night because of where my IV was placed. 
  3. IV contrast feels super weird. This is basically a dye that they put in your veins before you have a CT scan. It makes you feel all warm all over. They warned me even, "you'll feel like you peed your pants". I laughed. They were not lying...
  4. Similarly - and this and #3 are both more for my fellow friends in medicine - subcutaneous heparin hurts. A lot. Not only is someone coming at you with a needle, which I can handle, but you have a residual burning that lasts for a pretty extensive period of time. 
  5. I very ironically freaked out when waking up from anesthesia. Surgical pain is real, and I am still slightly disappointed at my pain intolerance considering how "small" my surgery was. I didn't think I would be the person confused, panicking, crying, and asking for pain meds in the PACU. Hoping my anesthesia colleagues didn't judge me too much, ha. 
Being a patient is hard. Thankfully there are countless doctors, nurses, etc who do their best to make the patient experience a little less miserable than it has to be when you're sick in the hospital. Even more, I am so thankful for supportive friends, family, residency program faculty, and especially Parker who all took so much time to take care of me.

Special shout out to the people who covered for me at work! Having amazing team members in this tough doctor world we live and work in is everything. 

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