Pain Management Clinic
April 22, 2008
Half an hour ago I received a call from the Chronic Pain Care Center , they just had a cancellation and would I like to come in tomorrow at 8 a. m.? My answer was an immediate yes, the two month wait to see them has now become little more than half a day.
They had sent me a series of questionnaires about my pain, my health, my attitude that I was going to answer in June; so I had to do them this afternoon. To question closely the specifics of pain is unsettling, like most people I had made a mental accommodation, a day to day way of handling this thing, my special way; now I have described it by questionnaires for medical and psychological doctors. All my previous accommodations are upset and would like to be back to their almost once comfortable positions.
This is my first professional visit to pain specialists; not only do I expect that they have all the possible modes of handling whatever it is that I have, there is the thought that if they don’t have an answer, the answer, then I am in trouble. I have been avoiding, denying that my pain may be impossible to relieve, the rheumatism or fibromyalgia pain; in the back of my mind there was the belief that there is a cure, but if I don’t search for it I can maintain that belief, that fiction. That notion is about to be tested.
Now that I have put the idea down here, that there is or is not an answer I can see that there will probably be a complex answer, things that will relieve the pain and things that will assist me living with whatever pain is left over. This is not an uncomfortable afternoon.
A series of questions has to do with my significant other , they are insistent that I list someone in my life to whom I turn, this isn’t an easy question. I saw in the paper that a recent survey found just over half of all women are single, from that I assume that a fair number live alone, are divorced. For every divorced woman there has to have been a divorced man: that means there are is a big bunch of divorced guys out here, and many of them are not living with someone else, many of us have parents who are dead, more than a few are alienated from their children, or never had any, perhaps don’t have a close friend, haven’t had a close friend since they growing up. I don’t think that I am alone in having trouble naming this significant other person. I mention only men because that is what I happen to be part of, if someone wrote that there are a large number of women who would have trouble with that question I wouldn’t be surprised.
About a decade ago I had to go to an Emergency Room at 3 a. m. I had thought that there is nothing lonelier than going to the E. R. alone at 3 in the morning. Even when I had a wife who didn’t like me she would have felt it her duty to go with me; I think that there are a number of situations where an unhappy spouse gives in to duty, I remember when I did it for her, she for me. Now I sit alone.
I volunteer to sit with people who are about to die, I have yet to have a situation where there is a spouse present; children often are in denial about the situation, are present physically but not fully. There can be nothing fucking lonelier than sitting someplace and waiting to die; yet it is a necessary, the necessary, act of our life. It can be described as the second most common act, the first being when we become alive. I sit with these people in order that their loneliness is lessened.
Several people have commented that I have been writing about weird stuff, that I have difficulty writing about everyday things. Yes, that’s the truth. Is there anything more everyday than the knowledge that I am alive but someday will not be? I guess that I am writing weird stuff, and so what?
It is a beautiful spring afternoon in Chicago, daffodils and tulips are spots of strong color after months of gray and brown smudges. Almost everyone I have talked with in the last few days has mentioned how much they are enjoying our spring; it doesn’t last for long, but that makes it even more precious.
That is all I have time for now, it is time to open a beer and cook some orange roughy fillets, fingerling potatoes, green pepper, broccoli, a fair amount of olive oil and garlic are about to be ingested by this occasionally weird guy; there may be a third beer tonight.
What’s new
February 18, 2008
And yet I sit here with a fresh pot of coffee, I am putting down words, never a new word, never a new emotion, there hasn’t been a new story for thousands of years; and yet I sit here with a fresh pot of coffee and the need to write.
Leo Tolstoy never came up with anything that hadn’t been said previously; he wrote of family matters, love affairs, politics and war. And we love it that he did.
I am hung up on this idea of the new, a blind belief that newness is the same as life; but it isn’t, life is just life, it is being now, and making sure that there will be life after me.
The brown sparrows are at the feeder, they may be the same as were there yesterday, will be there again tomorrow, and the occasional cardinal. I don’t fill the feeder in hopes that an eagle or an ostrich will come to feed, I put seed there so that there will continue to be life outside my window.
I have written a few posts about how to cook, no detailed recipes, just how something is to be made into food the best way that I know. A good meal isn’t about new recipes, different ingredients, it is about enjoying what you are eating, what is in your mouth, the satisfaction of food well prepared, and food is the fuel for this body. Tomorrow we will all be hungry again, somebody will have to cook again. I might write a few more items all about how to make food again.
The sparrows eat, they warm themselves when there is a break in the clouds, they take advantage of eating a bit of snow for the water.
I ought to visit Bert in the home today, it has been over a week since I was there; it is not that I have signed a contract, am not receiving money, haven’t made a promise to his relatives, nor that he remembers me; visiting Bert is like putting out seed, cooking dinner, doing the laundry, taking a shower; none of it means anything in the long run, but it is necessary for today’s run.
My earlier mistake was to be buying into this notion that new is important, that there really might be something new, that the tiny novelties displayed for amusement are important; bullshit—there is being, and there is nothing, being is the important one.
That’s it for today, and tomorrow, just as it was yesterday.
Cooking chicken
February 16, 2008
As always; turn on the oven its lowest point, usually less than any number on the thermostat, aim for 140° F; continue using the oven thermometer until you have the feel of the oven, it is important that the oven not be above 160°; put in all the plates and serving dishes.
Recently I have been cooking and eating skinless, boneless chicken breasts with more frequency; that it is not a red meat, that the skin is removed and the fillet has been trimmed are for health reasons. I needed to cut down on my consumption of the red and the fatty; many of you may have been given that same advice by people in white coats. I continue to feel a need for the protein that comes from flesh that satisfies me in ways that plant protein does not; this fillet fills both requirements, and it can be made to taste pretty good.
The skinless breast doesn’t have much of what is needed for browning, there can be some surface browning but it comes at the expense of driving moisture from the fillet. To get around this one can put another surface on top of the meat, flour or breading. Breading is the better tasting and has a good appearance to it, but it is done with eggs, milk and white bread crumbs. Dredging with flour is a good alternative, the flour browns up well, it combines with whatever fats and oils to make a blond sauce; but it brings those fats and oils to the plate.
I don’t attempt to brown the skinless breast; I watch to make sure that I have made a white cooked surface on one side before turning it over, but don’t do more than that, no searing or dark browning. My idea, the one that I have been using for a year or so now is similar to pot-roasting or the French poele;the meat is cooked by the vapors driven out of vegetables, flavored steam would not be an inaccurate description. It has always been the best way to cook a whole bird, and for those of you who want the most flavorful and juicy bird, look into this method.
Traditionally, browned aromatic vegetables make the base of the pot, the meat is placed on there, the top put on, the cooking is done in the oven, with frequent basting; the top is taken off the pot for the last 20 minutes in order to brown the skin.
Here are two ways that I use this ancient method: Add a prepared sauce, use the vapors and the emphasized flavor to cook the meat, and to give taste to the meal; after all, a sauce is nothing but liquid flavoring. There are store-bought tomato sauces, everyone has familiarity with them. A variation that I have been using recently ischipotlesauce, and its cousins. If plum tomatoes look good I might skin and seed a few of them, let them cook along with the chicken, adding a fair amount of herbs for both tomato and meat.
Other vegetables, (yes I know a tomato is a fruit, it is also a vegetable) such as small potatoes, mushrooms, onions, green or colored peppers can be put in with the breast; pretty much the whole meal is in that one pot.
Here comes the important part:–cook slowly, pour another glass of wine, check the television schedules for the night; no, don’t get on the phone, that would distract for too long, you might lose sight of the process in the pot. Lift the lid and touch the chicken breast frequently to see how it is cooking, long before it is due to be finished touch it, become used to the resilience of the meat, learn its internal temperature, how close it is to the 160° F point. Never, ever, whatsoever, let the liquid boil. When the breast is firm, remove it to the plate warming in the oven.
If the sauce is too watery, turn up the heat and reduce it, stirring constantly to prevent sticking and scorching. If other vegetables were used check their done-ness; some things such as onions and mushrooms come into their own when cooked long and slow, potatoes and peppers shouldn’t be overcooked. Although I admit that I occasionally like well-cooked green peppers, it remains your choice. Because you have the warming oven going you control items that are finished, which are to be left in the pot, all without the pressure of time, become familiar, daily, with the warming oven.
One more thing about touching the meat: If you have steaming vegetable you had best use the spoon or tongs for touching, don’t let the steam burn your fingers, or the hot liquid. It is okay to touch a chop cooking alone in an uncovered pan because the top surface will be cooled by room air. Remember how the egg cooked, from the edges, toward the center, remember how its resilience changed, get that same memory about a fillet of chicken; repeat it as it becomes natural.
Our aim is to serve a tender, flavorful piece of chicken; flavors and moisture have wasted into the exhaust fan, they remain, as much as possible, within the meat. It is your decision as to when the meat is done, what the flavors will be, how it is presented on the plate, how long you can linger over the meal without everything cooling off; and then you can try it again tomorrow.
Cooking flesh
February 15, 2008
As an exercise in learning how to do this-fry an egg: Put the pan with oil or Teflon over a low heat, allow the pan to warm before carefully breaking an egg into the center of the pan, watch what is happening. The white of the egg will go from clear to milky-white slowly, the demarcation line between the clear and the white is the 160° line. Touch the clear with your fingertip, then touch the cooked white; remember the difference in resilience between the two. This is important; this is something that cooks do with fish, with chops, roasts; they touch it to gage the temperature. And they use that little thermometers that carry their breast pockets.
I’ll write more about judging and knowing; but I think that it is important to say here that this is start of the true fun of cooking, this is beyond recipe, beyond what the guests think of the meal; this is the beginning of the feeling that comes from knowing that food has been made the way you have decided it should be made, this feeling lasts long after the last dish has been washed, the last pot scoured, this is the feeling that is private. And the next time you make that bird you will make it just slightly differently, you will have been thinking about how to do it better, you will be looking forward to doing it again, and then again; and with respect to that animal.