The garlicky goodness that is toum

A few years ago, Chris and I were exploring the multi-ethnic (and multi-delicious) area of Bay Ridge, Brooklyn, when we walked into a tiny little shop called Karam Restaurant. At the time, Karam had about three small tables and was really meant for takeout orders. Despite being a tiny store front, they had quite the variety of foods, both ready made and made to order, ranging from freshly roasted shawarma, wraps and sandwiches, savory pies, the equivalent of Middle Eastern style “pizzas,” and different types of baklava and other Middle Eastern sweets. We ordered one shawarma wrap, which was made to order, and we ate inside. While the shawarma meat and the wrap and all the vegetables inside were delicious, what really, really stood out to me was this incredible, thick, whipped, white garlic-aioli-like sauce that the wrap was generously slathered with. I had no idea what this sauce was called, but I immediately looked it up later to find out that it was a much loved Lebanese garlic sauce called toum. Toum is a simple sauce made of just four ingredients (fresh garlic, neutral oil, salt, and fresh lemon juice), blended and emulsified to create an airy, whipped, creamy garlic sauce, thick enough to slather on your favorite Lebanese roasted meats and vegetables… or really, anything that needs a bit of extra flavor or oomph. I was sold. It seemed so simple with just four ingredients, and I knew I had to make it.

But when I looked up recipes for it, I felt a bit deterred when I found out how finicky it actually was: toum had a tendency to become very bitter if you didn’t treat the garlic properly. And what I mean by that is: you need really, really fresh garlic for toum, like the freshest possible that you can find. The reason for this is if you do not, the inner part of the garlic, which if it’s old, can impart bitterness. You usually know if your garlic is a bit older if when you cut a clove in half, you can see a little green or lighter white sprout. So if you have access to just standard supermarket garlic like I do, you will need to go through the extra step of cutting every single garlic clove in half and manually removing the inner white/green part. That sounded like too much work, especially given you need at least half a cup of garlic cloves to make a decent amount of toum to store! And given I do not have access to garden fresh garlic, I was a bit hesitant.

But today, I decided to finally just cave in and make it. I needed toum as an ingredient to make the home version of “white sauce” for the halal style chicken and rice bowls I wanted to have for dinner. So I sucked it up, cut each clove in half, removed the center, and went on my way. I blended and emulsified the toum, and…. wow. Just wow. The sauce honestly tasted just as good as I remember it from Karam. It was SO GOOD — so intense, so garlicky, so singing with flavor.

Now, I’ve got an entire jar’s worth of this whipped white glory in my fridge that will store beautifully for the next four months. I can’t wait to find other things to use it for.

shawarma

ENT visit and silent reflux

This morning, I made my way over to the east side once again for my ENT doctor visit. I have only ever had one ENT doctor visit, and that was almost six years ago after I lost my voice during a Hamilton Island/New Zealand trip and got another bad virus that also felt like it was going to kill me. I decided to go back to the same ENT since he already had my history, and I remember enjoying meeting with him. I thought he was quite friendly and smart, so why try someone new?

Somehow, after six years, this doctor still remembered me. He said he remembered my symptoms, voice, and face (how sweet). We talked through what’s been happening in the last six years, and once again, we did the dreaded laryngoscopy: he sprayed my nostrils with numbing spray and got me ready to thread yet another camera down my freaking throat. It lasted about 15 seconds, and somehow, it wasn’t as awful as I remember. After the exam, he told me I still had evidence of silent reflux. It may just be that I had always had it but was asymptomatic, and whatever virus I picked up six years ago just triggered it in me and drove me over the edge. He suggested that I try the following for the next three months (!!): Prilosec at least an hour before dinner; famotidine/Tums or Pepsid Complete before bed, and to elevate my head so that my throat was above my stomach at bed time. Somehow, being diligent this way had cured many of his other patients with the same recurring coughing fits when they had colds. And maybe, he said, I could be one of the lucky ones this works for. He insisted I do this for three months straight and be consistent about it; I had nothing to lose… other than all the money I’d have to spend on freaking Prilosec – NOT a cheap OTC medication!

I may just be more genetically inclined for this. I guess it makes sense: my maternal grandpa did die from choking on his own mucus when my mom was six. My mom gets mucus constantly.

Ughhhhhhhhhhh.

Throwing up spicy pork on a Saturday afternoon

My vomiting episodes since Monday have been pretty unpredictable. To be fair, they are always unpredictable, but since Monday, they have been far less frequent, but far more violent and scary. We didn’t go far at all today since I felt miserable today, so Chris decided to pick up some food from Bang Bang Bar at the Time Warner Center for lunch. We shared the food, and about 1.5 hours later, I found myself kneeling over the toilet, throwing up the spicy Korean pork and rice that he had ordered. It was not pleasant or fun. This vomiting session truly felt like I was dying: the force of the vomit through my throat was really intense, and at times, it felt like I could barely even breathe. All the force of the food coming up pushes on my entire face, and everything is coming out everywhere else: huge tears streaming out of my eyes, and more mucus is bubbling up in my nostrils. I’m hot and sweaty from the force of the vomit, and my body is exhausted from all the coughing and vomiting… because that’s what coughing and vomiting does: it wears on your entire body. And if we really had to be TMI about this, the force of the vomit went the other way, too: I even managed to pee a little in my underwear. Yep. It went there. That never even happened to me ONCE during pregnancy, so that goes to show how strong my pelvic floor has usually been, thanks to all my kegel exercises!

Then, I got a headache and another body ache. And I thought, wow, if this happened more frequently, maybe it would be better just to be dead? Because that’s what it really feels like when this type of coughing fit happens: it feels like your whole body is just giving up and not protecting you anymore.

Radiology SNAFU and contemplations of potential terminal illnesses

I attempted to go to the radiology location close to my apartment yesterday after my pulmonologist appointment, and although chest x-rays are usually drop-in and don’t require an appointment, I apparently came on a bad day. I knew it was a bad day immediately as I entered the facility. There were so many people in the waiting room that all the seats were taken, and at least a dozen people were standing and waiting. Plus, the line for the receptionist had at least half a dozen people there. When I finally got to the desk, they told me that today was an unusual day: they were behind by over an hour, and so I’d have to come back tomorrow. To be safe, I made an appointment for 9am and returned today… to find out that the x-ray machine was down at this location, so I had to go down to Chelsea. They claim they called me twice and I never answered, but I know this was false because a) I never saw any missed call, nor any voice message (hello? isn’t that medical protocol to leave a MESSAGE?), and b) at least seven other people were standing there, yelling at the front desk workers because they said they never received any calls or voice messages. These are people who had commuted out of their way and weren’t anywhere as young or mobile as I was. Plus, from the pamphlets they were holding, they seemed like they had far, far worse, more serious conditions than I had.

Annoyingly, I made an appointment at their Chelsea location and hopped on the train downtown. And as I sat in the waiting room, I noticed the patients around me waiting to get called in for their x-rays. And they were holding pamphlets about everything from breast, lung, to pancreatic cancer. Lung cancer is the most deadly cancer in the U.S. Breast cancer unfortunately is more common than it is not. And pancreatic cancer is known to be one of the most painful cancers in existence. All I could think when I saw all these people around me was: wow. I just felt so terrible to think they were all looking at these x-rays and appointments as another step along their way to a potential death sentence. It must be so terrifying. One patient looks like she came in with the emotional support of both her son and daughter.

And then I had this dark thought: what if the x-ray results came back and they found I had something more serious that was wrong, like a tumor or malignant growth of some sort? How would I handle the news? How would I share that news, if at all, and to whom, and when? How would I even look at my young baby and think that my days could be numbered with her, this tiny little being that I had wanted so badly and waited so long for? It was a bit unsettling, but a real thought, a potential reality. It doesn’t escape me that death could always be knocking on my door at any point in my life. I am not one of those people who is in denial that death is a part of life, and it doesn’t always happen when you think it will, or when you think it will be convenient. I’ve known too many people who have died too young. Ed is just one of them, the closest of them. And my friend Raj is still the biggest mystery for all who loved him, as we still have no idea what took his life just over two years ago. Life is not long for everyone, unfortunately.

Pulmonologist visit, tonsil infection, and the search for a new PCP

Yesterday’s GI doctor suggested I visit a pulmonologist to get my respiratory system checked out given my coughing fits. It may be that something in my windpipe or lungs was causing all my recurrent coughing fits and phlegm build up, so I took her referral and was lucky enough to get an appointment with this doctor on the very same day I called. I called at around noon and sounded so pathetic and sad on the phone that the receptionist took genuine pity on me. She told the doctor how awful I sounded, and despite having a full schedule of patients today before he left for his vacation to the Galapagos Islands tomorrow for the next 1.5 weeks, he told her that he could fit me in at 2:20. So I hauled myself over to the East 60s to his office and waited.

I thought he’d be the kind of doctor I liked before I even came in. I took a quick peek at his Google Reviews before I called the office, and almost all his patients raved about him, saying he had excellent bedside manner, was super friendly and thorough, never rushed you, and was extremely smart and knowledgable even outside of the pulmonary purview. Once he came into my exam room, we spent about 30 minutes together, discussing history, the events that led to today, my symptoms, and chit chatted about work, travel, kids, and life in New York. He told me how he knew and previously worked with my GI doctor, and how he had seen so many crazy things while working in an ICU for many years previously. So he’s clearly knowledgable about a broad range of things despite being focused on the respiratory system now. He did a thorough exam, which included listening to me breathe, a breathing test, examining my mouth and throat. He let me know that I actually did not have hand foot mouth disease — I had a tonsil infection. All those white blobs I could see on my tonsils were pus pockets everywhere, as lovely as that sounds! So he prescribed me a z-pak antibiotic and a nasal spray…. which he suggested I use every day, morning and night, to ward off all the nasty germs my child would continue to introduce me to… until she’s at least age 6-7. He was NOT joking about that. He also gave me a referral to get a chest x-ray done and suggested I do it either today or tomorrow so we could get the results in ASAP. He reassured me that while he’d be out the next 1.5 weeks that the other doctor in his practice would review my results once the x-ray was in and give me next steps.

I really liked this guy. He was just so normal, so smart, and even funny, like the kind of doctor I’d want as my primary care provider. Why can’t HE be my PCP….?

Visit to the GI doctor… yielded nada

This morning, for the very first time, I actually commuted during rush hour. My appointment with the gastroenterologist was for 9am, so I rode the B train for three stops and walked over to the GI office. The subway stations were packed; there were lines to get on and off the stairs in the subway station. I was quickly reminded how much I do NOT miss morning commuting on the train and am grateful for the ability to work from home, even if that means I do far less socializing than I did before.

The highly sought after gastroenterologist that I got a referral to see was quite down to earth and lovely. I generally always know that I will like a doctor when we first meet ,and s/he introduces herself by her full name, as opposed to “Dr. X.” We talked about my previous experience getting sick in Australia/New Zealand, the silent reflux I got diagnosed with that left me with my larynx swollen, red, and awful. She came to the conclusion pretty quickly that this was, fortunately for me, NOT a GI issue, but rather an issue of a cough that gets unwieldy and needs to be controlled, likely with some level of codeine, before it gets hacky with phlegm and vomity. She saw no potential issues with GERD or acid reflux. And so she had two suggestions: go back to my ENT doctor to see what his thoughts were and if he could prescribe something stronger to help my cough from getting too unwieldy (or even give a recommendation for an OTC medication that would control how debilitating the cough gets), and/or see a pulmonologist. Since she’s a GI doctor, she had no recommendations or knowledge of pain killers or cough medications that could be prescribed, but suggested lightly that I lay low, drink lots of hot/warm fluids, and suck on lozenges to keep my throat happier.

She was really kind and personable. I enjoyed meeting with her. I guess as she says, I should be happy that this is NOT a GI issue because if it was, it would likely mean a lot of changes in my lifestyle. I just wish she could have prescribed me SOMETHING to help me.

Yet, after I got home, I realized quickly that I had a weird bump on my lip. I also noticed that my throat was getting quite sore and painful, and after shining a light inside and self examining, I realized part of the back of my throat had turned white. And around the same time, Kaia’s daycare sent a notification to all parents of her classroom that a kid had been diagnosed with hand foot mouth disease.

You have got to be kidding me… Is HAND FOOT MOUTH what I have again, on top of being sick for the last two weeks? WHAT the actual FUCK? How can my luck get any worse than being sick for the last 2+ weeks…?!!!! If anything, this explains my body aches from yesterday!!

the battle of the blinds

The last month has been quite hot in New York. While we usually leave all the blinds open to enjoy the floor-to-ceiling windows in our living area, I had to start pulling a number of them down because the apartment was just getting too hot. Even with the air conditioner running, it was like it was still hot and and miserable in the apartment, as though the AC wasn’t even on! So I pulled down 3-4 of them and immediately noticed a temperature difference when I came back into the room.

Chris absolutely hates it when the blinds are closed. He wants as much natural light as possible around the clock. He doesn’t care that the light can bleach furniture or photos. He doesn’t care that it can interfere with how hard the AC has to work to cool the room. He just wants them all open, all day and all night long. We’re paying for these large windows, so we need to maximize the value of them, right? So when he saw that I pulled the binds down, he was not very happy. But, he recognized that yes, the apartment was actually cooler with the blinds drawn down. So he kept them down.. until night time, when he would, like clockwork, go to pull them up.

So now, this is what we do: on particularly hot days, I pull the blinds down at some point in the afternoon, and in the evening, he will pull them up again. It’s almost like a mini unspoken battle of the blinds in this apartment during the summer time. Even Pookster is fascinated with the blinds being drawn because she’s not used to seeing them move, ever!

Daycare bug

Last week, we noticed a lot of kids being out of the classroom. I just assumed it was due to summer vacations, so I didn’t think much of it until one of the teachers told me at pickup that a bug has been going around, and the kids have been getting sick. On ne day I went in last week, the teacher said that a kid had to get picked up not even at the half-day mark because she was so ill. I braced myself: at some point, that bug is going to get Kaia, and well, eventually me, too. I share food and utensils with her all the time, and because I am hyper anti-waste, I even eat all her leftover lunch food (yes, my parents constantly guilting me about not wasting food when I was little has stayed with me until now).

Kaia was feverish on Friday. It went up to 104 on Saturday night. It came down with some medication on Sunday, but since, she’s had congestion, lots of phlegm and cough, an on and off fever going up to 102 F, and in general, is just not quite herself. She still gets excited about music, but when it comes to food, she just doesn’t want to eat much. Though tonight, she did eat some of my (watered down for her) matzo soup that Chris got me. I’ve picked up pretty much all her symptoms, as well, minus the fever.

I slept for about 3 hours straight this afternoon, and when I woke up, I couldn’t even believe I slept that long in the middle of the day. But I suppose that’s just how tired my body was. In these moments, I just think: I don’t know how people with traditional office jobs do paid work AND parenting at the same time, especially when being sick themselves!

Daycare politics and annoyances

When Kaia first joined her daycare, she was on the older end of the 12-18 month age range for her class, so we knew that just after a month in, she’d have to switch classes to join the 18-24 month class. This was sad because we really liked the main teacher of her first class. This teacher was really responsive to feedback and suggestions we had, and she seemed overall like an easy-going, well-intentioned teacher who is passionate about kids (she had five of her own!). And at this age, kids tend to get attached quickly. Asking them to adjust after just a month in seemed annoying, but it had to be done.

Now that Kaia has switched classes, the new main teacher seems fine, though it’s clear she has a chip on her shoulder and doesn’t like the previous teacher. When I asked the new teacher to make sure to serve veggies first to Kaia at lunch, then her protein/carbs, along with the request to potentially put feeding instructions on the fridge so that all teachers/floaters coming in and out could carry out the same instruction, as this is the process that worked in Kaia’s previous class, she seemed like she felt insulted. Her message back to me stated, “I appreciate all the feedback. However, I do run my class differently than (former teacher).” Lo and behold, the instructions weren’t followed the next day, and I had to call it out. It’s fine if you have different methods for communication, but I’m giving you a suggestion on what has worked, so if you choose another method, it would be best if you did not fail, which she did.

This new main teacher also has not been shy about giving a stink eye to Kaia’s former teacher when passing in the hallway, which I’ve personally observed. She and her assistant teachers have also been very territorial about having the former teacher float into their class when backup is needed. They’ve made comments like, “They’re not in your class anymore! They’re not yours! You shouldn’t be so attached to them; they’ve moved on! Let them transition into their new class and stop holding onto them.” The funny thing is: the reason they make comments like this is that the kids all love the former teacher. They run to her when she walks into the room; they want to follow her out of the room when she leaves. What’s really driving all the teacher politics here is 1) the other teachers’ jealousy and 2) the fact that the former teacher just has more passion for kids, frankly, that they do not have. Kids sense this, and they gravitate towards the adults they know care.

And I’ve noticed that amongst the assistant teachers in Kaia’s new class that they don’t really have an apparent passion for early childhood education: they’ve been on their phones scrolling through Instagram and Facebook. They do the bare minimum. They let the kids roam around on their own and don’t initiate any play in the multi-purpose room. During lunch, they don’t really assist in feeding or watching the kids; they’re doing their own thing. Kaia’s thrown her food on the floor twice this week, and they weren’t anywhere nearby to even prevent or stop this (yes, we can see it via the live camera). They’re there for the job and the pay check/benefits, not so much because they are passionate about kids… they’re not. So I’ve brought this up to the director of the program and plan on having more conversations about this. This daycare is relatively new, and they are not even close to being at capacity. They are hustling to get more kids enrolled with open houses, referral bonuses, etc. But if you have crappy teachers and assistant teachers, it’s unlikely any of the kids will stay enrolled that long, especially with the high fees that all these places are charging. It’s just sad that the level of care can change so much from one classroom to another, but then again, isn’t that school in general here in the U.S.?

Kaia gets hit in the face at daycare

Yesterday, Chris alerted me to the notification in the school app that noted that Pookster got hit in the face with a toy by another kid. I looked at the photo the teacher posted, but because I didn’t see any scratch or blood, I figured it wasn’t much of anything, so I brushed it off. When I arrived at the school for pickup, the teacher had a bit of a nervous look on her face when she came over to me, explained what happened (including the need for an ice pack on Kaia’s nose, apparently), and then asked me to sign a form (which is required by the Department of Education) to acknowledge that I was informed about the incident and knew what happened. These kids are all in the 18-24 month age range, so I really didn’t think anything of this. At this age, kids don’t really know right from wrong or whether they are hurting another person. So I was a bit surprised this even needed a signed form and was a requirement. But the teacher clarified and said that this was the usual procedure that had to be followed, and for the child who actually did the offense, their parent also had to be notified and sign their own version of this form. That child got picked up earlier, and when her mom was told this, she immediately burst into tears and said the kid was going through some issues at home and was expressing it outwardly in her behavior. I felt a little bad that she cried. What could she have really done differently, anyway, and it’s not like her kid was getting suspended or some serious consequence?

People who choose to have kids today are having fewer children than their parents and grandparents. And because of that, it’s almost like we have to pour in every single resource and ounce of energy we have into them to ensure they have these picture-perfect lives. But candidly, I don’t think we should expect perfection from our kids… or anyone. It’s an impossible standard to live up to. Kids are going to have mishaps and mistakes, and we just have to deal with them as we come instead of beating ourselves up over every tiny infraction.