Friday, June 13, 2008

Southbend Marathoner Gold

First the old oven:


Now the New:



...how do I love thee...let me count the ways...

Thursday, June 12, 2008

Updates

Wow, a lot is happening in the galley right now.

Our new twin convection oven has landed (literally from the cargo hold that dead ends in our galley) and now they are working on getting it put in properly. And bolted to the floor since we are on a ship.

Part of our wall paneling was put back together (where previous water leaks were suspected coming from the pipes in the walls) so that has helped the galley look better.

Our dumbwaiters are being fixed (lifts/elevators) for food. One is extremely hard to open and close and the other has a slide door jammed. Its mechanical.

We still have square holes in the floor where a water leak is still being tracked down. The water actually comes up thru the floor. Right now a small water pump is siphoning it out and dumping it into one of our drains.

Three of our six electric hot plates are now operational again after it was discovered a breaker flipped.

And some smaller stuff like hand dryers have been worked on.

[oh yeah, my boss is leaving for awhile *PARTY TIME* and we'll miss him dearly]

Yep, all this week. Work goes on, the food keeps cooking...and sometimes blogging has to take the 'back burner'. (pun intended)

Community Struggles: Food

On Another blog I found this short post about weight gain on the ship and how well everyone gets fed and it was refreshing to read because I often don't feel that sentiment. But I wanted to go a step further because food is a touchy subject on the ship. Everybody has their own opinion on what needs are, and what wants are, and what they think 'they' are entitled.

I am in a cache 22 (as some may call it).

I feel the need, my duty to do the best I can with what I have...so that in turn produces good food and usually helps increase the abundance when you know how to use all the products and produce more options...

But on the other hand it creates an expectation that breeds complaints and anger when some feel they don't get what they 'deserve', which is nothing...whoever figured out that the crew fees pay for their food OBVIOUSLY has never fed themselves and cleaned up after their selves for 3 dollars a day or could find somebody that would do it for that little...(its more realistic to say that your crew fees pays for 'other' things).

That is the approximate food budget alloted for an adult - somewhere between $3 to $3.50 a day (last I checked or was told), NOT A MEAL, a day...

Another funny thing is people complain about eating healthy and eating right, then they try to blame it on the ship and food service...We create good food options with what we can obtain and prepare, from there its the crews JOB to pick whats best for them, and to control their own will for eating in moderation. This responsibility is not ours, or Food Service.

[OH, by the way, usually peanut butter and a hazelnut chocolate spread (nutella or nusco) is out at every meal, BUT even though you may think the nuts are good protein the sugar in the peanut butter is outrageous, AND the first 3 ingredients of the 'Nutella/Nusco' substance is SUGAR, VEGETABLE OIL, & FAT so keep that Hazelnut addiction going, you'll have to eat a lot to get at the less than 10% a jar nut intake]

It even becomes stressful for my wife to be in line to eat dinner because she over hears the people around her criticize the food while she's standing in line with them. Her instinct is to let them know that her husband works hard to put good tasting food out there for them. She wants to defend me. Now thats a GREAT wife!

Its very difficult to field and deny special requests from people who come to Food Service and it takes up a lot of valuable time to have to explain over and over again why things can't be done, and/or reminding them its the rules. It doesn't sit well with people who think their situation is a unique or special one.

Basically what we are looking at between 830am - 1130am (with break) there is 2 hours and 45 minutes to get lunch ready for 400+ people. Between 1:00pm - 4:45 (with 15minute break and minimum 30 minute trash time) we are looking at 3 hours to get dinner ready for 400+ people. Then after that, our crews go back to the galley/kitchen/dining room and clean up the aftermath of feeding people this many meals a day.

Now thats a struggle. And then add 400 individual judges to the food panel...

I keep convincing myself I must at least be a halfway decent human being or I would serve (weevil) rice & beans, and boiled meats & pink sausages till everyone would come back to their senses...but I haven't been able to bring myself to punish the few complainers by punishing the many who don't.

Monday, June 9, 2008

Jitta

This is Jitta. She has been nick-named Jitta bug. I wrote about her last week. She was back in the recovery room after her dressing change in the OR today. We love her.



Ultra High Temp

How do we keep dairy products, better yet, what do we buy and how do we keep enough of it to feed our crew?

Most of our dairy products don't even need to be kept in a cooler, reefer, or refrigerator. Nope. Its called Ultra High Temp products and after you get used to them, they do quite well.

We buy them by the pallets: Sour Cream, Whole Milk, 2% Milk, cooking cream (with about 2 or 3 version of fat content), whipping cream, etc... Of course our cheese still needs to be refrigerated but that frees up a lot of space until you need it. And refrigerator space is regarded as a vary valuable commodity. Yes, these products taste better or work better once they are chilled, but you can keep them in dry storage on pallets and move them into refrigeration a little at a time.

You probably wouldn't believe the milk we go thru just as an additive to coffee and/or tea...So why refrigerate it just for it to be heated back up? Why use chilled dairy products to build sauces that go out hot? No reason, room temperature is good enough.

Here's a picture of a few of the items:



Sunday, June 8, 2008

Nasty Taco Sauce



Some people who don't know any better will buy this taco sauce and think, 'Man those Americans eat the nastiest stuff' (because I have only seen this stuff in Europe). This IS NOT anything similar to our Taco Sauce except maybe that it has some tomato product in it. On another ship I worked on they ruined 'Mexican Night' by putting this stuff out. Everyone would come along and heap it up on their delicious nachos, tacos, burritos, enchiladas...or whatever, and then it would just ruin the taste of the dish.
On this ship, we specifically asked for NONE of this, but somehow they managed to squeeze it on our container again. But thankfully it's not that much and we just put it out at mealtimes as a 'condiment' not taco sauce.

Maybe you are thinking, 'What's so bad about it?' well let's just look inside the ingredients list and see...

First, it starts off like a simple syrup, sugar first then water. Then, uh-oh, it looks like we are starting to build a sweet BBQ sauce (vinegar, tomato paste, paprika, salt). And then...what the heck is all this stuff? I can make taco sauce from stewed tomatoes out of a can tastier and with way fewer ingredients than this, and certainly NOT using all those particular ingredients.

What's even funnier is that further down the label it says,

'Pictures do not reflect ingredients of this product'

(emphasis mine).

They seriously need to quit insulting people worldwide by calling it 'taco sauce'.

Blah...

Saturday, June 7, 2008

Good Catch

Today was incredibly busy in Recovery Room. I came in at 10 am and it was already busy. Wendy and I had 4 patients already in and out before our boss Maria came in at 12.

Christian a young boy who we were told is deaf and blind (later we were told that he had cataract surgery last year and now he can see, but it sure didn't seem like it) came in after a nasal oral fistula repair (a hole between is mouth and his nose). When he woke up from anaesthesia he was flailing all over the place. We got his mom to come in and what followed was priceless. She grabbed his hands and put them on her face and put his face up to her neck. She said that the only way he can tell that it is actually her is by her smell and touch. I felt like I was watching the most amazing connection between a mother and son. She is so loving and patient with him as he is inconsolable except by her. Once Christian woke up and was slightly calmed down he went back to the ward.

Later we received Anthony who had surgery on his jaw. At first Anthony was bleeding just a little from his mouth. Then it was more and more. Then we were constantly suctioning. We went into the OR and told Dr. Gary and he came out, took a look, gave us some tips on how to stop the bleeding and went back into the OR and started another surgery. I went to a staff meeting and came back and Wendy was still suctioning poor Anthony. He was awake the whole time and very cooperative. I took over the suction duty again and tried to stop the bleeding with no success.

I went back into the OR and interrupted Dr. Gary during surgery to tell him I was concerned. God bless that wonderful man. He quickly came to Anthony's bedside and looked inside his mouth and saw a sub-lingual hematoma (a collection of blood underneath the tongue a that pushes the tongue back that closes off the airway... bad). He said "Girls, good catch. If we would have waited another 30 minutes his airway could have closed off." I don't think he could have said anything nicer to us. We adore him. For him to give us a verbal pat on the back made it worth it today.

While all of this was going on we had another guy that came back from the OR with a blood pressure of 55/21. His normal is 120/70. Needless to say we were quite busy.

Thursday, June 5, 2008

Sanka Sauce (West African Foods)

A continuation of past posts: Red Palm Oil, Banku & Kenkey, Sea Monkey & FuFu

This one will be a little hard to explain, well ok, not really. Its just it may be a little hard for you to replicate if you are the kind of person who needs a recipe of exact measurements.

Elements of this sauce are mostly the basics of a lot of stews, palava sauce (althought it can be argued like most everything food can be nowadays as to origin or authenticity), meat sauces, and other soups & sauces of the West African people.

First I will explain that you can't really google (search) for this recipe the name is unique and created by a few West Africans and a North American white boy from southern part of the United States, Alabama & Georgia. Why? Because they didn't know what to call it besides red sauce, which means many different things to many different cultures. And because it was finally nice to make it difinitive in our minds.

First the basics then the story:

Start with oil (red palm oil if you got it) don't be shy, throw in chopped onions, diced/chopped/pressed garlic, saute till translucent. Add chopped bell/sweet pepper (green, red, etc...), fresh ginger, saute about 3-5 minutes longer (med high heat). Add in cayenne or local equivalent hot pepper ( use for amount of heat YOU can stand) tomato paste and some fresh chopped tomatoes. Tomato paste should be a good wooden spoon size dollop to start, more as necessary...fresh tomatoes should be about 5 or 6 roma tomatoes worth (so we are going for a medium size HOME pot worth of sauce). Let simmer, if sauce gets too thick water it down some more and let simmer. They usually let this sauce cook for at least a half hour and up to a full hour or more (depending what meats, fish, chicken feet, egg or other things they may cook in there with it.

And by the way, Chicken feet put out good taste for soups and sauces and if your not shy you can suck off whatever substance (meat & sauce) is left on them when your done cooking, its tasty.

The consistency has been between soup and a sauce most times when I have had it. Spinach and a few other ingredients can been added to make a palava sauce, goat meat for certain stews...it becomes endless the possibilities.

Check your seasonings, salt & pepper as needed, more cayenne or hot pepper? Need more sauce? Add more paste, tomatoes, and/or water (sauce should not take on a sweet taste from the paste, that would be entirely too much).

We (Reuben, Alex, Alex, Joe, Charles, Kafue, Frank...countries represented: Ghana, Togo, Sierra Leonne, etc..), loved the movie Cool Runnings and since it was one of the favorites on our small ship (Caribbean Mercy, now retired) we watched it over and over again when we got bored on a sail. In the story of the jamaican bobsled team that went to the Olympics was a team member name Sanka, and Sanka had a lucky egg. See where I am going with this yet?

Reuben made this sauce most of the time and everyone else stood around telling him how they thought he should be making it. But I think it was safe to say Reuben made it the best and he usually ALWAYS added egg in the sauce, like you would an egg drop soup. Mix egg or at least crack yolk. Drop egg into Sanka Sauce while it was simmering and then just stir around once or twice, then let it cook.

Meat or additional things could be added almost anytime taking into account you simmered the sauce long enough to cook what was in it, or if it was a bean or pea of sorts then it would go in when the fresh tomatoes and paste went in.

Sanka Sauce. Nothing more than the traditional West African red sauce with an egg thrown in, or not! [now maybe after I post this you can google search for Sanka Sauce and it may start coming up. SMILE]

* I am not an authority by any means on West African food or cooking, these are my personal views and experiences as they have happened to me and many of my friends who are from these regions of the world*

Wednesday, June 4, 2008

Favorite Things About Living On A Hospital Ship in Africa

This morning I have been feeling a bit reflective. Some more of my friends are leaving today and last night we had their going away party and they were talking about their time here. The obvious was stated "We are spoiled for the ordinary, My life will never be the same again...." and many more Mercy Ship cliches.

As I sit in the recovery room all by myself awaiting my first patient to come out of the OR I have been thinking about my time here. We have been here for 5 months now. Let's be honest. There have been a couple of days when I was looking for plane tickets to get the heck out of here. And others when all I can do is think about how the Lord has blessed me so much to be here. I guess this reflective mood stems from the decision that Tyrone and I will come home after our 1-year commitment is complete. I don't know where home is. We think we will travel a bit more, maybe take a travel nursing job here and there. We have not made any decisions but we do know that we want to enjoy our time with Mercy Ships as much as possible therefore we want to leave before we become burned out or bitter.

In my time here I have come up with my favorite things about living on a hospital  ship in Africa:

1. Short commute to work

2. Friday nights at the snack bar, with music playing and people dancing and chatting. (you'd have to here to understand the true beauty)

3. The patient's first glimpse in the mirror after life-changing surgery.

4. Friendships

5. The things that we do when we are bored: playing in the rain, playing taboo with people from all over the world, just sitting around chatting.

6. This one sounds cheesy but it is truly one of my favorite things about living on the ship. I love to walk down the halls of the ship to where ever we are going, holding Tyrone's hand and knowing that I get to experience this crazy life with my best friend.

7.  I love to sit on the dock and watch the sunset and be silly with my girlfriends as we discuss the meaningful things in life like what we would be if we were a superhero.

8. Being a part of our Bible study with our girls at the orphanage, some times I think maybe they are the reason why I am here in Liberia.

9. Taking a shower after being hot and sweaty from the Liberian sun.

10. Sitting at the Starbucks cafe on a day off sipping my hazelnut double shot latte chatting with people as they pass through.

 

Tuesday, June 3, 2008

Hamburgers (BULK) The Simple Way






Do you get your ground hamburger or minced beef (Europe) in big round tubes?  Packed in a cardboard box?  Maybe 5 to 10-pound tubes of them frozen solid, or fresh is how they usually come.

First I want to say that YES, if you can mix spices, herbs, or your 'special seasonings/flavors' into your beef, then that is the way to go...A lot of time I do not have this option (I have the option but not the time) so I move on to the next best thing for time, flavor, and mass production at a cheap price instead of paying for pre-patties and wasting a lot of freezer space.

I won't waste a lot of time describing how to do it but rely on my pictures to tell the tale.

If you have a good slicer (commercial or restaurant-grade of course) then set it to the width of the burger you would like, take your defrosted ground burger/minced beef (leaving plastic wrap on), and start slicing your burgers.

Use large cambro's or containers of your choice to layer the hamburger in, we separate our burgers with pre-sized parchment paper that comes in large sheet tray size.  For the first layer of the burger put your seasonings, flavors, etc...down in the bottom of the container.  Then from there just keep applying it to the top of each layer of burgers.  As the weight of the burger and the release of more blood/water happen over a course of time it pushes the flavors down over the rest of the burgers or lends more time for seasoning to dilute and spread. OH!  And of course, remember to pull that plastic ring off of the patty!

We just use that wonderful Worcestershire Sauce on each layer.

Later you can move the burgers to large sheet trays and cook them in the oven OR-AND THIS IS WHAT WE DO, sear them on both sides at a high heat poking them in the center on a flat top grill or brazing pan.  This releases juices fat/blood in the burger so it doesn't swell up and turn into a meatball!!!  Then continue on to layering them on the large sheet pans and finishing them in the oven as slow or as fast as you want to cook them.

The process I wanted to show you here today was more about creating the burger patties quickly with no filler and without wasting money or space by buying pre-made patties.

Pictured here in this post is Ernest from Ghana, one of our Galley Cooking Team Leaders.













 

 

 



 

 

 

 

 

 


Recovery

At the beginning of the out reach (Early Feb.) I looked at the schedule and thought " When am I ever going to spend time with Tyrone?" As the months have gone by, sometimes my schedule is great and we get to spend alot of time together but then there are those times that I don't see him for 5 days. I knew that being on the ward was indicative of have a "flip floppy" schedule but I did not think it was going to be this bad. Kirstie our Ward Supervisor does an amazing job doing this extremely difficult schedule with nurses coming and going every week, I don't envy her job at all.

About 2 months ago I went and talked to my boss Kirstie who is incredible understanding, and told her my feelings about the schedule. I asked to be transferred to Recovery room or anything that had a more normal work hours. She responded with the obvious "We re really short ICU nurses so, no". I knew that would be the response and if I was really honest I know that I would really miss the ward. I would miss the close connections we develop with our patients and I would miss the ICU when we get ICU patients.

On Friday I got an email asking me if I could work in the Recovery Room this week. I did my first shift yesterday and I must admit, it was wonderful. I love Maria and Wendy who will both be here until the out reach is almost over. And I love that once the patient is recovered they go back to their room. It kind of reminds me of the ER.

Sunday, June 1, 2008

The Importance of Red Palm Oil (West African Foods)


The Importance of Red Palm Oil:
Let us quickly delve into my favorite online pedia, Wikipedia for a very nice quick run-down of what Red Palm Oil is...

Palm oil is a form of edible vegetable oil obtained from the fruit of the oil palm tree. Previously the second-most widely produced edible oil, after soybean oil, 28 million metric tons were produced worldwide in 2004. It may have now surpassed soybean oil as the most widely produced vegetable oil in the world. It is also an important component of many soaps, washing powders and personal care products, is used to treat wounds, and has controversially found a new use as a feedstock for biofuel.

The palm fruit is the source of both palm oil (extracted from palm fruit) and palm kernel oil (extracted from the fruit seeds). Palm oil itself is reddish because it contains a high amount of beta-carotene. It is used as cooking oil, to make margarine and is a component of many processed foods. Boiling it for a few minutes destroys the carotenoids and the oil becomes colorless. Palm oil is one of the few vegetable oils relatively high in saturated fats (like coconut oil) and thus semi-solid at room temperature.


NOW, lets talk about its importance in West African Cooking...

Frankly, there is no way to substitute it, if you are using West African recipes and they call for Palm Oil or Red Palm Oil make sure you use it! If you can't get it, well that's too bad.

What's so special about it? Have you ever smelled different oils? How about that special extra virgin olive oil you love so much? Remember how you can tell when someone is cooking with it because you smell that 'SMELL' it gives off when it's being heated up? Red Palm Oil is like that, NO, not the taste of Olive Oil...but the distinguishing characteristics of using it.

If you have ever looked at it, smelled it, tasted it (either cold and/or heated up), and/or smelled it heating up...You would never forget it, especially if your food was cooked in it. And then, every time after that you have a dish that should have Red Palm Oil in it, you will miss it and recognize when it's gone. It's distinctive, and it's good. But probably not really healthy, maybe within moderation.

Alright, we'll see you again next with SANKA SAUCE...

* I am not an authority by any means on West African food or cooking, these are my personal views and experiences as they have happened to me and many of my friends who are from these regions of the world AND as I have worked with them and learned from them…*

Friday, May 30, 2008

Ice Cream in Liberia (Häagen-Dazs)


In my last post, I ended by saying we were out or running out of Cheese and Ice Cream. Our Ice Cream is bought in bulk and is mostly used for Birthday and Leaving parties in their respective departments. And mostly for a quick dessert during fellowship time after a community meeting on Thursday meetings.

Here in Liberia, Ice cream is definitely a luxury...or at least this brand is! (Click for a closer look!)
That's right folks, it's $25 twenty-five dollars, United States Dollars!!!

Credit to finding-joy.blogspot.com for the picture