Two things that will change your life

So that title may be a vast overstatement but at least one of the things will definitely change your life (or death rather..?) and everyone should have it. The second is just awesome.

The first thing may be a little morbid but it’s something that everyone should have or at least have thought about once. An Advance Directive, also known as a living will, is an important document that allows you to document your wishes concerning medical treatment at the end of life. An Advance Directive addresses three things regarding end of life care:

First, a person defines the amount and kind of care he or she might receive under various medical circumstances. Second, a person designates a health care agent to make medical decisions when the person can no longer do so. Third, advance directives may also address other end-of-life care issues including organ donation, whole body donation to medical schools, funeral and burial arrangements, legacy recordings for posterity, and—in 3 states (Oregon, Washington, and Montana)—assisted dying. (1)

The reason I bring this up is because Dr. J just spent many weeks caring for patients in the ICU, many of whom would pass away during their time there. And he’s highly considering a fellowship in Critical Care after residency. Most people (myself included), when given the option, would choose to die in the comfort of their own home rather than in a hospital or nursing home. But more and more people  (78% according to the Congressional Research Service) are spending their last days in the hospital or nursing home. No doubt it is scary, unpleasant, a little depressing, and often confusing to think about what you want to happen in your last days. Personally though, I think an advance directive is way easier to complete or at least think about when you are healthy, able to make carefully thought through decisions, and talk through these decisions with your loved ones. No one wants to be the one making decisions about end of life treatment in the traumatic, emotional, and often confusing setting that is a hospital ICU.

The best part about an Advance Directive is that you can always change your mind about what treatment you would or would not want at the end-of-life. It’s not set in stone. It only takes a few minutes to complete and you don’t need a lawyer. So go fill out (or at least look at!) an Advance Directive! The forms for each state are easily found here.


And now for something completely different…


The second thing that will change your life is TOTALLY and completely unrelated. It’s a food, or rather a condiment, that makes almost anything better. What is this magical delicious topping you ask? Pickled Red Onions! I came across the recipe on Pinterest (where else?) a couple weeks ago and use them almost daily (I have made three batches so far). They add acidity to savory things you didn’t know needed a touch of acid! Seriously, make some right now. Your sandwiches and dinners and bagels and mouth and tummy will thank you (over and over again)! Thanks to the blog for the recipe because these are the most cherished thing in our fridge right now. Seriously, I’m in love. Get the recipe here.


Photo From: The Shared Appetite, Easy Pickled Onions

Photo From: The Shared Appetite, Easy Pickled Onions

So get these two things in your life right now!

You’re welcome in advance,



1. Morhaim DK, Pollack KM. End-of-life care issues: a personal, economic, public policy, and public health crisis. Am J Public Health. 2013;103(6):e8-e10.


No More Night Float! (for now!)

Dr. J is finally finished with his two week stint on night float! He has lost some weight since having his sleeping/eating schedule flipped, so I baked him some cupcakes! I am not the best baker in the world, especially cakes from scratch, so I found a formula that enhances box cake mix. They are delicious, decadent, and still easy-as-a-box-mix to make!! Upon eating one this morning at 8 o’clock Dr. J said suspiciously “These taste too good..”

Box Cake Mix Formula

a cup of melted butter will make anything taste better!

a cup of melted butter will make anything taste better!

1 Box Cake Mix (apparently any brand other than Pillsbury, according to the baking blogosphere)

Box Recipe # of eggs plus one

Double the Box Recipe amount of oil but use melted butter instead

Box Recipe amount of water but use whole milk instead

Mix on low for 1 minute and on high for 1 minute

Bake at 350 for 20 minutes

Cool, Frost, Enjoy!


Rx: Yellow Cupcake with Chocolate Frosting and Rainbow Sprinkles
Quantity: 24 cupcakes
Sig: Take one cupcake by mouth q4-6h PRN post night float


Sweet sugar-induced napping,


Happy Birthday!!

Happy Birthday to my handsome husband, J!!

Happy Birthday, love!

isn’t he cute?

and Happy Flag Day, too!

Dr. J has hospital orientation all day (and all evening) today – so I made him a birthday treat for when he finally gets home!

Easy as (Ice Cream) Pie!
(click the recipe title for a printable recipe card!)

Easy as (ice cream) Pie!

Easy as (ice cream) Pie!

Here’s what you need for equipment:
1. Springform Pan
2. Food Processor
3. Mixer with wisk attachment (or really strong arms)
4. Freezer

Here’s what you need for ingredients:
Cookie Crust:
1/2 BOX chocolate wafer cookies with white filling
4 TBSP melted butter
Ice Cream:
1.5QT of whatever flavor you desire!
1/2 PINT heavy cream
2 TBSP sugar
1 TSP vanilla extract
Decorations (optional but encouraged!):
Sprinkles, fresh fruit, candles

Easy as Pie Pic Collage

Instructions (crust first, then ice cream, then frosting):

1. Pulverize cookies in food processor until uniformly powdery
2. Add melted butter and process again for 30 seconds or until combined
3. Dump warm cookie powder goodness into springform pan
4. Gently pat until evenly distributed – use measuring cup to press mixture up sides of springform pan
5. Pop in freezer for at least two hours
6. Let ice cream sit on counter for 30 minutes to soften up
7. Dump entire contents of ice cream container on top of frozen cookie crust.
8. Gently spread melting ice cream until evenly distributed
9. Pop back in freezer for at least two hours
10. Add surprise filling if desired (that’s what those raspberries are for) and pop back in freezer for another hour.
11. Whip heavy cream, sugar, and vanilla extract until stiff peaks form
12. Plop (very technical term here) whipped cream (aka frosting) on top of rest of ice cream pie and spread to you your liking.
13. Pop back in freezer until at least an hour. Decorate ten minutes prior to serving!
14. Yum!

*Use sharp knife warmed in hot water to cut cleanly through ice cream
*Experiment with cookie crusts (thin mint crust, anyone?!)
*Use piping bag instead of plopping whipped frosting for a prettier look