Showing posts with label surgery. Show all posts
Showing posts with label surgery. Show all posts

Monday, August 8, 2016

Intern Year Survival Guide: Meal Prep


Intern Year Survival Guide: Meal Prep 

Despite the moments in the early seasons of Grey's Anatomy when the interns seem to have time to throw crazy parties and go on ridiculous dates outside the hospital, the truth about intern year as a surgical resident is that there are days when the only thing there's time for is work and sleep.

On those days, there's nothing that can replace the joy of coming home to a homemade meal instead of microwaving a burrito.

I am a big fan of the cook once and eat for days strategy. If you're going to bother to pull out all the pots and pans, why not make 12 meals instead of just 1?

I've found that there are a lot of secrets to a good meal prep session that will get you through a whole week (or two) of crazy shifts. The good news is that with some practice and only a couple hours you can put together enough food to last you days and days.

WHAT YOU NEED 
The key to any good meal prep is having lots of containers that fit single serving sizes. If you have to take the meals to work, the containers should be well-sealed.
I always use glass containers because I think that plastic often stains or collects weird smells. ALSO if you use glass containers, when I come home and want to just pop a dinner in the oven, I don't have to get anymore dishes dirty, I just throw the whole thing in the oven and then eat right out of it. Fewer things to clean = more time to sleep!

My meal prep requirements for packing
>> Lots of mason jars (I like the wide mouthed pint jars for salads and fruit and I use the mini sized mason jars for dressing, hummus, granola, etc).
>> Good quality single, serving size glass containers -- I'm using pyrex snapware containers at home. No spillage, easy to clean, highly recommend.
>> Ziplock bags for single serving snacks
>> Additional tupperware for meals prepped in large quantities that can be eaten at home.

THE MENU
The first step to any successful meal prep is the menu.
This may take some trial and error on your part to find recipes that easily can be made in advance. You'll find things you like that keep well and are easy to portion.
Some of my favorites
>> Quinoa salads -- excellent lunches, just toss quinoa with your favorite veggies and protein (my favorites: chickpeas, tofu, lentils) and make a bunch of dressing (or use store bought dressing) to package on the side
>> Pasta dishes -- lasagnas can be made in rolls, packaged individually and baked day of eating, meat or veggie pasta sauces can be made and pasta boiled separately and reheated day of
>> Tacos -- make all the taco filling and just reheat and toss in some taco shells the day of dinner
>> Premade salads -- just put the dressing on the side
>>Things cooked in sauce -- this is a really broad category I use for when you cook any protein in a sauce that you can reheat and toss on veggies or rice (like chickpeas cooked in curry sauce you toss on reheated rice!)

I DON'T KNOW WHERE TO START
If you have no idea where to start on meal prep, try just making these things
> 1 or 2 grains premade (precook your quinoa and boil some pasta ahead of time)
> A big batch of sauteed or roasted vegetables (as a side for your main dish or tossed into a salad). Just pick whatever you like or is in season!
> Prepped proteins (bake your tofu, roast your chickpeas, boil your black beans, bake your chicken, etc).
> Chopped up fruit (perfect side dish for breakfasts)
> Fresh veggies cut in bags for snacks
> Small packages of nuts/dried fruit for snacks (alternately use granola bars, or your other favorite high protein snack)

WAIT... BUT HOW LONG DOES IT TAKE 
Generally, I spend about 2-3 hours on a day off doing meal prep to get meals for a whole week (some of this time includes cleaning and baking so it's more downtime). I also use my meal prep time as my time to watch Netflix, make phone calls, or listen to podcasts. It's a relaxing part of my weekend (but I like cooking...).
I've been doing meal prep for some time so I have it down to a science, don't be surprised if the first time you do it takes you a little longer. You'll learn how to do multitasking that will make it end up going much quicker!

HOW DO I MAKE IT GO FASTER
Easy, do things that need to take the longest time first!
I toss the rice into my rice cooker first thing so it's cooking while I do other things. I work on the dish that needs an hour to bake first so it goes right in the oven.
If you're pressed for time, use short cuts!! If I know I'm really going to only have an hour or two to do meal prep, I buy precooked frozen quinoa from trader joes or will spend a little extra money to buy presliced veggies to save myself a couple extra minutes.

BUT... IS IT EXPENSIVE?
Up front, your grocery bill may seem a bit steep... but remember that if you don't end up picking up take out you save a bunch of money!

OKAY, I'M ON BOARD, BUT I NEED AN EXAMPLE 
Right now, since Sweetheart isn't here, I'm just cooking for one person. That means I only cook about 3 meals a week and eat those three things for lunch and dinner and then have breakfasts.
Lunch and dinner (2 meals per day x 7 days a week = 14 meals = 3 meals with 4-5 servings per meal).
Simple?

So here's what I made last week as an example:
Disclaimer before I start -- I don't follow any specific diet plan/count calories/etc -- I just eat what makes me feel good. I use a lot of plant based protein sources with very little meat/dairy. It's just what I find to be easy, cheap, and stores well!

Breakfasts:
1) Homemade chia pudding with cooked fruit
--For the chia pudding: Mix 1 can of coconut milk with chia seeds and chill until thickened (total prep time 2 minutes)
--For the cooked fruit: open bags of frozen raspberries, strawberries, and cherries and cook with a small amount of water until a thin, jam type substance forms (total prep time 2 minutes, total cook time 30 minutes)
2) Coconut milk yogurts with fruit and granola: Package individual servings of granola and fruit (total prep time 5-10 minutes depending on whether or not your fruit requires cutting)

Lunches:
1) Quinoa salad: Cook quinoa, mix with a can of precooked lentils, chop scallions, zucchini, herbs, and dried cherries. Mix up homemade balsamic dressing. (total prep time 15 minutes, total cook time 45 minutes) -- start your quinoa at the beginning of the cook prep
2)  Leftovers from dinners

Dinners:
1) Raw veggie panzanella: Slice up bread into cubes, toast with olive oil and salt, dice up fresh cherry tomatoes, corn, and cucumber. Roast chickpeas. (total prep time 20 minutes, total cook time 30 minutes). Add fresh mozarella balls if desired. Use the same dressing you used for the quinoa salad.
2) Veggie and black bean enchiladas: Saute up remainder of random vegetables in your fridge (zucchini, tomatoes, onions, mushrooms, etc)  and mix with canned black beans. Layer between corn tortillas with enchillada sauce and bake in large pan or layer or in individual dishes. (total prep time 30 minutes, total cook time 1 hour) -- make this first so it can bake while you make the rest of the meals

Snacks:
1) Packs of nuts
2) Bags with fresh snap peas

With some quick planning, you see how all this could be mixed up in a couple hours and baked off while packaging other meals or doing dishes.

WHAT ARE THE SECRETS?
1) Having a good plan before you go shopping -- figure out what you might need so you don't have to make 18 trips to the store
2) Reuse -- once I know I'm going to make a quick dressing for one meal, I'll plan two meals that can use the same salad dressing
3) Plan a couple of meals that can use precooked ingredients for speed (like yogurts for lunch or using a premade pasta sauce to go with the roasted veggie pasta).
4) Start the things that take the longest first -- the worst thing is to get to the end of your meal prep and realize that you haven't put in the dish that takes an hour to cook. Do those things first.
5) Practice. The first time you do a meal prep it will take you a little longer than you'd like. Don't give up, you'll get faster and faster every time you do this and the delayed gratification of having a meal to come home to every night is amazing!!

MASTER LEVEL PREP
If I have some extra time here are some fun things I like to add to my meal prep
1) Homemade iced tea packaged in single serving bottles to make my lunch more exciting
2) Something special for breakfast -- muffins/breakfast burritos/etc
3) Prep a special dessert for yourself -- add a batch of brownies or cookies to your prep
4) Do a "half-prep" -- prep all the ingredients for a sandwich and spend the additional 2 minutes in the morning to put it all together before you go to work. This can make your meals a little more exciting if you can't make something because it would get ruined by siting premade for 5-7 days.

Despite the work of doing all the cooking up front, I save so much time the rest of the week by just being able to grab my meals and walk out the door every day or toss something in the oven to reheat while I workout or take a quick shower after I get ready.

This meal prep can easily be adapted for more than one person. It might involve some extra time to make more than one meal or the same amount of time if you just make your meals in a larger batch. OR you can always include the other people eating your meals in the prep and make it go faster!!

Intern year is ridiculously hard, make it easier on yourself by having ready made meals for those nights when you're too tired to cook!

Happy eating!



Sunday, June 19, 2016

Weekly Update June 12 - 18

The Week in Review 

Hard to believe that by this time tomorrow I will have already been at work for 10 hours and will still have about 20 hours left in the shift. How in the world am I going to get through that first day?? I have every intention to keep some notes (if I have a chance to breathe in  between the bouts of craziness) to write up something about my first ever day as a real doctor. I think that would be something that would be interesting to read at the end of this.

As part of our orientation to residency, we got the chance to watch the graduation of the finishing chiefs. It was strange to watch someone at the end when I'm still here at the beginning. It's easy to forget about the finish line when you're still trying to lace up your shoes at the start of the marathon.

There are a lot of miles ahead of me -- good ones and bad ones. I don't know what all those miles will hold or how things will be different this time next year or this time in seven years. But I'm excited for the race ahead.

The Week in Snapshots 

meal prep / last day of slow mornings / sunset on chief's dinner / the last time I look fancy for a bit / the ducks of summer

Reading
I realized that Carry On is the pseudo-sequel to Rainbow Rowell's Fangirl, and so I put Carry On aside for a second to read them in the right order. I'm kind of neurotic about reading books that are connected in ORDER

Listening 
So I came across this cute little podcast called Sawbones that every week talks about a medical history. It's really funny and not hyper-technical so they explain all the medical words. But I definitely think some of the history included in it about how we used to treat diseases is really cool!

3 Things

  • I went to target like three times this week. I kept forgetting one or another thing I needed -- but now I have lots of snacks all stocked in my locker. 
  • I have new supposedly long lasting foundation/eyeliner/etc. We'll see if it lasts through an all night call shift. 
  • My new long white coats don't have inside pockets. That's unacceptable. I'm going to have to sow some pockets in there. 
Loving from Around the Internet 
MASON JAR SALADS -- I made a whole bunch of these to get me through the weeks lunches at work. Hopefully they're yummy because if they suck I have like 5 of them to eat.... 

Monday, June 13, 2016

Weekly Update June 5 - 11

The Week in Review 

One week into residency and already a day late getting this written -- at least you guys know what to expect.

Before I delve into talking about my week this week, I wanted to take a second to talk about the incredible tragedy that happened in Orlando a few days ago. I've spent a long time trying to get together the words to talk about how I feel -- but I just don't have them. There are no words for the incredible loss each and every one of those 50 families must be feeling right now. There are no words for the loss of a friend, child, spouse.

I cannot find the words because they do not exist.

I cannot find the words to say to my friends and loved ones who are members of the LGBTQ community. There are no words for the fear that someone could take your life out of hatred. There are no words to realize that for every step forward there are still steps back.

My heart breaks for the families and friends who will never get to hold the person they love again. I have watched people die in the ER from gunshot wounds. I have seen young people bleed out as doctors and nurses fought to save their lives. I have seen families fall to the floor as the news is given to them of life cut short too soon.

I have no words for the loss any family must feel for a loved one lost to violence.

I do not have words to say to those families. And one day, it may be me, in the ER giving the news to a family who will bury a loved one lost to violence -- I hope on that day I do have something to say. But even more than that -- I hope I never have to have something to say -- I hope the violence stops.

~~

This was my first week as an official resident physician. I have a long white coat and a badge hanging next to my door. But none of it feels real. I know that I am less than 7 days away from my first shift and that thought terrifies me.

I've met so many new people in the last week that it will take me weeks to sort out all the names and faces. For someone who's not particularly good at meeting new people and not adept at social interaction, the endless social events and small talk has been tiring! I'm trying really hard to be more outgoing and social, but it's always a relief at the end of the day to come home and be relieved of the need to be extraverted for hours!! I am much better at talking to people in professional situations -- social situations are much harder for me. Is there a secret I could learn? No. Just practice. Fine.

We're two weeks away from Sweetheart being here for his away rotation! I am already planning a couple of fun things for us to do on days off, but mostly we're looking at just being excited to share five minutes together at the end of the day when we're both exhausted from work. Being a two doctor household means that "couple time" has a whole different meaning!! Haha.

The Week in Photos 


flower delivery from Sweetheart / long white coat / brunch with new lady interns / hair bow / reading about vascular surgery 

Reading 
Mostly I'm reading about ATLS right now.... but I'm still reading a couple pages of Carry On by Rainbow Rowell every night. It's an excellent fun book very reminiscent of Harry Potter. 

Listening 
I've been listening to a lot of spotify playlists that are for "focus". I haven't identified anything particular that I can recommend because mostly it's just playing in the background! 

3 Things
  • Programable coffee makers are a MUST for anyone starting residency. Nothing like hearing the coffee brewing when you're waking up. 
  • There was an incredible rain and lightning storm for the last couple hours, but now it's clearing and the clouds are perfect purple and pink. I tried to take a picture... but the colors just aren't turning out right, so you'll have to take my word for it. 
  • I found kale pesto hummus at whole foods yesterday and have eaten almost the whole container in 24 hours... this is dangerous
Loving from Around the Internet 
Since I've been so obsessed with make ahead meals the last two weeks, I've been thinking about trying this Blueberry Coconut Baked Oatmeal for a quick breakfast! Anyone tried baked oatmeal before? 



Sunday, March 27, 2016

The Week in Review

Thursday was the last day I would ever go to class as a fourth year medical student! Don't worry, my duties as a medical student are far from over and include several teaching engagements in the next month to keep me busy. It's hard to believe that four years and suddenly it's all over.

I'm starting to realize how many things I have to do before residency. From finding an apartment in my new city to working on invitations for our wedding to going on a trip with my brother, I am going to have FAR from a restful two months before I am set to start residency.

I've got to fit some downtime in somewhere. I'm hoping to get lots of running in, get through all the books I own before I have no time to read next year, and maybe even do some "studying" about surgery issues so I don't completely forget everything I know. (We'll see about that last one).

The Week in Snapshots

Wedding crafting / Sweetheart rocking those pancake skills / Our last day of med school ever / Celebratory gelato / Awesome vegetable lasagna / Breakfast of champions

Reading

Listening 
My listening recommendation this week is not a song, but instead a podcast. If you all have never heard the hilarity that is Dear John and Hank, a podcast by the Green brothers, I highly recommend it. You can find it a million places, including on iTunes podcasts or here on Soundcloud.

3 Things

  • I purchased a plane ticket for after graduation and realized I could put "Dr" in the box where I usually put "Ms". 
  • I've officially knitted about 60 rows of this project I've been working on. I've also realized I have about 50 more hours of work on this project before it's done. 
  • I recently read a study that showed that surgeons who play video games have fewer complications in laparoscopic surgery than those who don't -- considering using this as an excuse to play Sweetheart's XBOX. 

Loving from Around the Internet 
This really fancy coffee maker I want to buy for myself... except I don't have $200 to spend on a coffee maker right now.