I’ve Lost that Love and Feeling, and Lebanese Fattoush Salad

lebanese fattoush salad, fattoush salad, pita bread salad, lebanese bread salad, lemon vinaigrette, vegetarian, salad
It’s true.  I’ve lost that love and feeling for my job.  Have you ever wondered why you are in the profession that you are in?  Or have/had feelings of being “stuck” or stagnate?  Not feeling as satisfied and excited about your job as you once did?

Well, I’ve been feeling this way for some time now about my job.  I used to be so passionate about what I do.  I used to wake up in the mornings excited about going to work.  I would be upset when it was 30 minutes until I had to leave because I knew I was going to miss interesting patient cases that I could learn from and assist with.  I was like a dry sponge waiting to expand with knowledge of cases that I had only read about in textbooks.  Work was like my playground for a few years.  I loved the excitement and (organized) chaos in the ED.  I loved the challenges presented to me on a day-to-day basis.  I especially loved the feeling at the end of the day of knowing that I made a positive difference in the patient’s care with other members of the multidisciplinary team.

The thing that attracted me the most to the ED was the chaos and working under extreme pressure in an emergent manner.  Unfortunately, that honeymoon period has been long gone.  The funny thing is that I tend to get bored easily with projects, tasks, work, really just about anything, so the ED was originally a right fit for my personality.  But now I’m bored.  I don’t feel challenged.  I don’t feel like things are as intense and under pressure as they used to be.  I’m getting too comfortable and that scares me.  My mentor once mentioned to me before I finished my residency training, and it was that you open yourself to mistakes at the patient’s expense when you get too comfortable.  It is a critical piece of information that has been engrained into my brain, and it holds much value especially in the medical profession.

But something changed recently.  A patient case that sparked, recharged, rekindled the passion that I once had for my job.  It was a feeling that I had been longing for a very long time. An attending ED physician requested my immediate attention on a little boy who was given a foreign medication to help treat his diarrhea by his grandmother. The little boy was very sick. Foreign medications can be difficult to identify, especially since they do not require the stringent identification codes that are required by the US FDA on OTC and prescription medications. A quick side note, vitamins and herbals do not adhere to the same laws as OTC and prescription medications because these products are NOT regulated by the FDA. Interesting, right? So you could be taking echinacea because that’s what the label says, but one formulation can vastly differ from the next echinacea product because it’s not standardized and/or regulated by the FDA.

Getting back to my story… foreign medications can sometimes be the same thing as a medication prescribed in the US with the same generic name, but different brand name. Majority of the times, foreign medications will differ completely all together from what we have here. luckily, Mom came in with the little boy and was able to tell us the brand name of the pill he was given. She was a very reliable historian, which was a relief, because the patients I see in the ED will have no clue what medications they are on. I was given the task to identify or do what ever I could to find something on what the pill could possibly be. After a few minutes of going through my resources, I found the answer! I was able to identify the pill, AND was able to give a recommendation on how to treat the toxicity. A few minutes after administering the treatment, the little boy was 95% recovered from what he originally came in for. The ED is such a fascinating place to work for because you get to see the positive changes from the treatments initiated right then and there. You get to see how medicine works. That my friend, is why I enjoy doing what I do.

Lebanese Fattoush Salad

3 whole wheat pita pocket breads, cut into strips about 3/4 inch wide
1 teaspoon garlic, minced
1 teaspoon salt
1/4 cup white onion, minced
1/2 cup fresh squeezed lemon juice (if you find it is too acidic for your taste, add a little less lemon juice and use red wine or pomegranate vinegar in place)
1/2 cup extra virgin olive oil
2 teaspoons powdered or ground Sumac, plus more for sprinkling on individual salads if desired
2 heads Romaine lettuce, chopped
1 green bell pepper, diced
1 cup diced tomatoes (let drain a minute or two if extra juicy)
1 cup diced cucumber (same size as tomatoes)

Preheat oven or toaster oven to 400 degrees F.

Mash together the minced garlic with the salt in a mortar and pestle, or on the cutting board, into a paste. Put garlic-salt paste into a small bowl, and add to it the minced onion, lemon juice and sumac. Whisk in the olive oil until the dressing has emulsified.

Cut whole wheat pita into strips about 3/4 inch wide and arrange on baking sheet. Bake until pita strips are crisp but only barely starting to brown, less than 10 minutes. Once the toasted pita breads are cool enough to handle, crumble in medium-sized pieces.

Remove the outer leaves from the romaine lettuce, trim off the stem end, and then wash. Chop lettuce into small pieces. Dry the washed lettuce in a salad spinner. If you don’t have a salad spinner, dry the lettuce leaves with a paper towel before chopping. Put chopped romaine lettuce into salad bowl large enough to toss all the ingredients.

Chop the tomatoes, cucumbers, and bell peppers, and add to the lettuce. Add about half of the dressing and toss. Then add crumbled pita chips and toss again with more dressing. Let the salads sit for a few minutes to allow the flavors to blend, but also so that the pita chips can absorb some of the dressing. To serve, arrange salad on individual plates and sprinkle with a little more sumac.

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