25- Cornflake cookies

Cookies for Breakfast month continues.

And what screams breakfast more than cornflakes? I’ll wait while you rack your brain.

The idea of cereal was developed in 1863 by a man named Dr. James Caleb Jackson. Kind of. He made up a boring, very boring, meal type substance made of water and graham flour. The resulting make was so hard it had to be softened in milk to be edible. This, I believe, is technically graham flakes. Or granula, as it was called.

He believed that the root of all human ills was the digestive track. He’s not right and he’s not wrong.

Another physician who had visited Jackson’s sanitorium by the name of John Harvey Kellogg of Kellogg’s fame. You know, the cereal company.

Oddly Kellogg believed that the source of all human ills was a TWO pronged problem. The first was digestion, hence the cereal foods, but the other was masturbation. By having bland breakfast foods, unlike the meat and potatoes that got many a farmer through their long day, this might cool the self pleasure fever and also help people poop.

Kellogg and his brother Will developed cornflakes after he copied Dr. Jackson’s cereal creation and got caught. After a lawsuit from Jackson Kellogg renamed it granola. You may be more familiar with that name.

There was a man who earned his way at the sanitorium by working in the kitchen. His is also a familiar name, C.W. Post. He went on to invent an even more boring cereal that he called grape-nuts.

Confession time: I enjoy grape-nuts. After it has soaked in milk for a time.

The early days of history were wild. Read all about it in the Guardian article “The weird but true history of cereal- from anti-sex campaigns to mind control”.

In the before times of the dawn of cereal, there was no sugar in the cereal. It was very bland. Nothing like the brightly colored, highly sugared cereals of today. With their mascots and free prizes in the box. Do they even still do that?

This week’s make is a cornflake cookie. Simple ingredients beget a simple cookie.

The result was a surprisingly chewy, dense, slightly sweet cookie that crisped up wonderfully in the oven. With the occasional sharp crunch of the cornflake.

I would not through this cookie out of the cookie jar.

It took all that I had in me not to zhuhz it up. Look up the spelling yourself, there isn’t a lot of consensus on it. I itched to add another flavoring to the cookie. Anything would have done; all-spice, cinnamon, even cardamon.

But I resister and the cookie stands at it is. Slightly boring, good mouthfeel, kind of addicting cookie. I can have more than one; they’re healthy!

Call Secrets of the OR 9/10/25- We all need a hand every now and again

Sometimes the middle of the night surgical case is because it truly can’t wait the handful of hours before day shift. In the OR world we call that a life or limb emergency and it trumps everything, including power outages.

The thing is that most of these life or limb cases require more hands than the anesthesia team, scrub tech, surgeon, and circulator. I’ve already talked about calling in the PACU nurses for that extra set of hands, but what do you do while you are waiting for them to show? It’s not like you can tell the patient and the surgeon to chill out while you get more help.

The first thing you do is call the nursing supervisor and ask for any nurse or CNA that is free to come help. This is a move that is highly irregular and you will hear about it in the daytime from your manager. But remind them that the patient on the table who is actively trying to die but not actively enough to call the code button.

Another option is to call and wake up the manager and put them to the task of finding you a second set of hands. Once upon a time I lived less than a block from the hospital and they all knew it. I was as open then as I am now about pitching in and lending a hand when needed. One night the phone rang and it was L&D. There was a mother in full arrest and they were running the code blue but they needed to get the baby out pronto. Of course I threw some clothes on and ran down the street. They were doing chest compressions as I entered the OR to prepare for the section. The mom and the baby both lived. Apgar 6 and 8 for the kid.

But what do you do when you have the person who is pitching in? You give them an abbreviated version of the nursing student in the OR talk.

Don’t touch anything blue
If you do, just tell me and we can make it right
If you feel faint sit down, don’t even try to make it out of the room because you will not be able to

With a few questions you can ascertain their comfort level with basic nursing care and you can assign them. Anesthesia probably needs a second set of hands too. Get them to assist anesthesia. There will probably be STAT blood tests to order and vials to run to the lab. There may also be the need to hang stat blood and that is another thing they can do. This will free you the circulator from having to serve two masters and you can focus on the operative field.

One night there was a patient with belly bleed and we had suddenly gone through an entire basin full of laps when the surgeon asked for a blood loss estimate. This was when I had the PACU nurse who had arrived by then pulling the bloody sponges out of the basin and weighing them and putting them into the counter. A quick and dirty blood loss estimate is the weight of the sponge minus 20 grams because that is how much the sponge weighs. And a cc of blood roughly is a gram. For instance, it the bloody sponge weighs 55 grams minus 20 grams for the sponge equals 35 grams equals 35 cc of blood for that sponge. It isn’t wholly accurate and off by a couple of ccs give or take but it is a good ballpark figure to give the surgeon.

Remember your extra person doesn’t know what you know, and doesn’t know where anything is in the OR. This is where you curse that the Vulcan Mind Meld isn’t real and you can’t just download the information to their brain. But they do know how to make phone calls and put labs in. There are things that are too complicated for them to do like count instrument if you have to open another tray. Also they should not write on the count board. Only one person, you, should do that to decrease the chance of a miscount.

You can also show the extra set of hands how to open a package sterilely. Start them with something easy like a pack of sponges and show them how to hold the package in your hand and open the inner package like a present while it is resting on your palm with you thumb stabilizing it. If this is delegated be sure to keep an eye on them as they open sponges.

Someone needs to keep the family in the loop while also managing their expectation. This phone call is best from you as you know what to say. If you are too busy, ask the surgeon what message to give the family and the extra set of hands can relay it to the family word for word.

The patient is most likely going to a higher level of care floor in the hospital or even to a higher level of care hospital. Making those phone calls is something that the extra set of hands can absolutely do.

Congratulations, you and the extra set of hands saved the patient’s life. Tuck the patient in to whatever unit they end up on, or help the nursing supervisor send them to a higher level of care hospital. Now go write a wow card for them or a glowing email to their boss. After you’ve finished your charting.

Tuesday Top of Mind 9/9/25- Falsely blaming the mothers. Of course…

I really want to write a sarcastic, tongue in cheek post about this absolute buffoon that is running the HHS. But I don’t want to give him any credit.

Or have my words be misconstrued.

To be absolutely clear, Tylenol/Acetaminophen/Paracetamol/Panadol does NOT cause autism.

To be absolutely clear, folic acid/folate/vitamin B-9 does NOT cause autism.

RFK Jr., under the pressure of having something to give the ravening MAHA people the cause of autism that he promised by September, laid out that stinking turd of an answer. I can only surmise that it came from his nether regions.

He claims that the mother taking Tylenol during pregnancy or folic acid during pregnancy is the cause of autism.

Moron.

Tylenol is one of the only safe pain medicine to be taken during pregnancy. Ibuprofen with its increased risk of miscarriage because of bleeding and aspirin (other than low dose of 150 mg) can cause bleeding and can affect the fetus’ circulation.

And folic acid prevents neural tube defects. What is a neural tube defect? Spina bifida. This is a hole in the spine, sometimes all the way through the skin and is potentially devastating for a fetus. It leads to paralysis. Folic acid also helps your body make new cells. Like a growing fetus.

I think this is a case of a not science minded person who has been given the keys to our scientific institutions by a different moron and not being able to comprehend or understand or read scientific literature. He misconstrues what he does read because he doesn’t understand it. He cherry picks what he thinks is the truth from the scientific knowledge that ChatGPT compiles for him and wildly gets it wrong. Or the AI hallucinates; it could really go either way.

It is the very definition of a Cliff Notes Secretaryship. He only reads the title of the pages and guesses what the scientific paper is about. He uses these wildly incorrect guesses to make policy.

See also the new covid vaccination rules.

This man is dangerous for the health of the country.

Thankfully, the “news” that Tylenol and folic acid is the cause of autism has landed with a giant thud. I have seen many testimonials from the mothers of autistic children who did not take Tylenol in pregnancy.

To me, this harkens back to blame the mother.

They really don’t like women in this administration, do they? Especially women who know their worth and are fighting against being thought a second class citizen. Because a man said it we are to take it as gospel. Even if the man doesn’t know anything. Especially if the man doesn’t know anything.

I don’t think so.

Medical non-fiction podcast review 9/7/25- Dr. Death Season 1- Dr. Duntsch

I would be remiss if I didn’t review the medical non-fiction podcasts as well. There are some really well made ones out there. My favorites are from the Wondery studio.

This was a podcast that was recommended to me in 2020 by a certified registered nurse anesthetist (CRNA) as something I might be interested in. The first season that I am going to talk about was released August 2018 and ran through October 2018.

I listened to the first season avidly, aghast that an MD would be so negligent. But then I never thought of it again. Why? There was a little pandemic that also happened in 2020. Does covid-19 ring a bell?

Not to mention I graduated with my MSN in May of 2020. I used to listen to the recast episodes on my way to teach in January and February before the world shut down in March. And then I got a little busy. And then I went back to school in Fall 2022 and moved on to listening to other medical podcasts on my trips to the university.

Dr. Death is a story about the arrogance and

Dr. Death is about an orthopedic spine surgeon who left a trail of broken backs, death, and broken dreams behind him. He graduated from the University of Tennessee and did his training at the Tennessee Health Science Center. He only completed 100 surgeries out of the 1000 surgeries in a standard neurosurgery residency. He was hired by Baylor Regional Medial Center in Plano, Texas where he began to leave broken bodies behind.

He is the epitome of fail up. He would be invited to leave by a hospital and would leave for another hospital and damage patients and be invited to leave the second hospital. Rinse, repeat. Death and paralysis trailed in his wake.

No one had the presence of mind to stop his slow moving rampage until two surgeons who were called to repair the damage that Dr. Duntsch had wrought compared notes. They were determined to have charges filed against him. The filing of charges against another doctor is not a done thing. It is easier to have them resign and not care about where they go. This disregard for life at another hospital is a failure of the medical system and carried on far too long.

Of interest is that he chose neurosurgery, one of the most technical and prestigious of all surgery types, because it was considered the most lucrative. Of the 38 patients profiled for Dr. Death, 31 were harmed or 2 died as a result of his arrogance.

He is in prison for life and is not eligible for parole until July 2045.

Kudos to the two surgeons who were able to work with the Dallas prosecutor to stop him. Really stop him, not just pass the buck to the next hospital. Not just pass the buck on the next patient that would be harmed or killed. .

This was a very easy to listen to podcast. It was broken down over 7 episodes, although there are several additional bonus episodes that attached at the end of the episodes, from his appeal that he filed to the introduction of the actors that were in the television show.

About that, I had heard that there was a television show made of the first season that premiered in the time of the world is trying to kill us still of 2021. It ran until 2023 and is currently streaming on Peacock plus or available for purchase from Prime Video. But I don’t watch television and then I finished the first season of the podcast I removed it from my list and I had no idea that three other seasons had released. I will be listening to these. Dr. Duntsch, Dr. Fata, Dr. Paola, and Dr. Gumrukcu. I have some listening to catch up on.

But as a surgery nurse I have to question where are the nurses at the hospitals that kept failing him up? Were they part of the complainants that got him fired but not prosecuted? Did they just blink at his behavior and say “Well, that’s just Dr. D for you.”? Where were the scrub techs who can also voice objections? Granted, as the surgical team we don’t know a lot about patient follow up, except when the patients return for a revision. But surely question were raised among the teams.

This is also a failure of the surgical team. It is our duty to point out problems and mistakes that the surgeon might otherwise try to brush off.

I recommend this podcast to anyone who is a scrub tech or a surgical nurse. It is up to us to recognize and stop these surgeons when they are harming patients.

FFS Friday 9/5/25- Finally

Vaccine news has been exhausting this week. Good and terrible.

But first something I learned today. States manage their own vaccine programs and their programs are more powerful than the federal wants and wishes.

This is a Gordian knot of anti-vaccine bullshit. Of RFK Jr.’s making. He’s the one driving this train straight to widespread illness and death. Do not pass go, and, by the way, covid vaccines will be going up in price.

RFK Jr. testified before the Senate on Thursday. In part to answer for the CDC chaos that he fomented and lit a fire under, and in part to address his egregious anti-vaccine stance.

Some of the senators, especially Sen. Bill Cassidy (a doctor and a republican who voted RFK Jr. into his position), and Sen. John Barrasso (a doctor and a republican who voted RFK Jr. into his position) reminded RFK Jr. that he promised to uphold the highest standards for vaccines.

It was a contentious hearing and RFK Jr. was misrepresenting what was going on. Misrepresenting is another word for lying. We deserve better. We, as a society and as health care workers, are not surprised.

As an aside, we all know that he is shitting on the standards for vaccines. From his Advisory Committee on Immunization Practices (ACIP) firings and subsequent hiring and appointment of anti-vaccine bros and sycophants onto that same committee (an lying about it to the public that this unprecedented action would restore public trust in vaccine, a trust he’s violated for years), his canceling of mRNA vaccine grants, and his pressure on the directors to follow his tyrannic drivel on vaccines. Some of the directors have resigned in protest. There was even a letter from 1000 current and former HHS employees that called for RFK Jr.’s resignation on Wednesday (9/3) morning.

As an other aside, we all have heard stories, some first hand, of people being denied the covid vaccine. Including doctors and nurses and other front line staff. Even a grade 4 cancer patient who was under the 65 year age limit, the wife of conservative commentator Erick Erickson, was denied. Correct me if I am wrong but stage 4 cancer is the very definition of high risk.

By the way this is why I recommended a booster for EVERYONE that I know back in April when the shit started to roll downhill. Because this writing was on the wall.

In positive vaccine news, Washington, California, and Oregon have launched the West Coast Health Alliance. Its aim is to use scientific integrity in public health and the use of evidence based guidance for their states’ citizens. This was Wednesday (9/3/) as well. They cited the politicization of the CDC and HHS as primary drivers of this new alliance.

I believe that other blue states will join them. I wish them all the best of luck.

Somewhere a states’ rights believer’s (who also believes in federal mandates on abortion and vaccines head) is exploding. My body, my choice for me, not for thee.

You cannot pick and choose when states’ rights are allowed and when they are not.

Cookie Thursday 9/4/25- Pop-tart bites

In the scheme of things I could make my own pie crust and I do sometimes but sometimes it is easier to buy the ready made pie crust.

This is one of those sometimes.

The September theme for Cookie Thursday is a Thing is Cookies for Breakfast. Each week will be a different cookie based on breakfast.

Today is pop-tart

My favorite kind of pop-tart is the cinnamon brown sugar. Frosting is unnecessary. I hate making frosting, you may recall.

But somehow this frosting worked and got hard.

It is a simple recipe. Crust, mixture of brown sugar, 1 tsp flour, a bit of salt, and cinnamon. You spread it over the bottom crust and top with the top crust. You are supposed to seal the edges but I did not. A step I did not miss was spreading 1 tbs of butter over the whole thing. Before it goes in the oven.

If you do seal the edges you need to poke vents so that the steam can escape during baking. Let cool slightly and spread on the frosting.

I am not sure what made the frosting work this time. By work, I mean harden.

So I can cut and stack them, of course.

Very simple recipe but wow, what a result.

Buttery, flaky, cinnamon-y. Just enough frosting to make it interesting.

I will not kick these out of the cookie jar.

Call Secrets of the OR- What to do when there is a screw up with the call sheets that you tried to head off and a day shifter got called in when they shouldn’t’ve

Well, that’s a run on sentence.

This exact scenario actually happened less than a month ago.

You see, for my 49th birthday my sister had gifted me tickets to see Cary Elwes (the Dread Pirate Roberts aka Farmboy aka Wesley from The Princess Bride) for January of this year. That was when his house burned down in the Los Angeles fires. Understandably the show was cancelled and rescheduled for May. And then that show was cancelled and the money refunded to my sister.

She asked me to pick another show. We ended up going to the Postmodern Jukebox when it was here locally. It was awesome.

But the show was on a Thursday. I calculated how many hours of PTO I would have to use to cover the show and the driving home. Four hours. I asked for 4 hours off. On the calendar that everyone’s time off is posted I made a notation over my name on that day that I only needed coverage until 2300.

I fully intended to take 2300-0700. Like the good little call nurse that I am.

I called the OR in the afternoon to check on the call sheets reflected that I would be on call after 2300. They assured me it was correct and to have a nice time.

My conscience was clear and I went off to enjoy a dinner out at a new to us restaurant and a rollicking good show. Side note, if you are sleeping on these performers stop. Check them out on YouTube right now. My personal recommendation is the House of the Rising Sun.

I was home at 2300, as planned, and reading, also as planned, when the PACU call nurse texted me at 5 to midnight that the nursing supervisor couldn’t get ahold of the call nurse.

But…but I’m the call nurse.

I checked.

I texted the PACU nurse back.

I called the nursing supervisor and got the surgeon’s name and number.

I called the surgeon and arranged for surgery time to be at 0100.

I called the surg tech.

I called the nursing supervisor back and told them that I had spoken the surgeon and gave them the time and that I was on my way in.

I got in to the hospital, changed, and scheduled the case. Just like a normal night call case.

Suddenly the OR core door opened and it was a day shift nurse. Called in to do the same case I was setting up.

whomp, whomp

The best laid plans.

I told them to go home. And that I would handle it and also handle the necessary conversations with the evening nurse I had spoken to.

They went home.

I picked up the patient from the ER and delivered them to the PACU nurse who was there out of time because they had been called by the supervisor before they texted me. Which was the thing that started the cascade of unfortunate events.

We did the case.

I had a long conversation with the new to the job nursing supervisor. I gave them point blank instructions to call me with any problems in the future.

The next day I had a long conversation with the person who had assured me the call sheets were correct. They hadn’t even looked at the call sheets when I called them.

aaaarrrrrrrrghghghghgh!

Next time I want a half shift off, I will call the supervisor myself to check the call sheets.

But kerfuffle aside the patient needed the semi-urgent care and the OR was happy to provide.

Oh, and I also spoke to the new to me surgeon as well and gave them the sitch about call at this hospital. I also encouraged them to call me if they needed to do another night call case in the future.

Tuesday Top of Mind 9/2/25- Kudos to the pediatricians out there denying the DHHS over the covid boosters for children or why covid is still trying to kill you

I will be frank- Covid is still circulating and still killing people, including children. According to the Kaiser Family Foundation (KFF) 194 people died of covid weekly in August 2025. Of course this number is highly suspect as many states stopped reporting covid deaths. I suspect that the true number is higher.

To many people, covid is dead and none of the protections need to happen anymore.

Vaccine? Yeah, I got one three years ago and then I stopped getting them.

Yeah, I got covid four times last year but I’m okay.

Other people are not okay after getting covid-19.

To think that covid no longer affects the US or you is highly privileged. This means it hasn’t affected you personally YET.

I think that a lot of the conversations about covid are missing the qualifier “YET”.

I think you mean to say that covid hasn’t given you long covid symptoms YET. I think you mean to say that you got the first vaccine series and don’t think you can get covid YET. I think you mean to say that covid hasn’t impacted or killed your child YET.

See how easy that was?

The CDC finally came out with its covid recommendations in the beginning of June. The recommendations are for adults 18-65 to have an optional covid vaccine but for those over 65 it is highly recommended. They said that they were not recommending the covid vaccine to children or to pregnant women.

The American Academy of Pediatrics said “Bet” and did not change their vaccine recommendations to reflect what the CDC says. The AAP recommends the covid vaccine to children over the age of 6 months. In order to decrease the likelihood of serious illness and covid complications.

Because, and I cannot shout this enough, covid is still out there and still killing.

The most current FDA recommendation is that adults greater than 65 years of age continue to get the vaccine. The vaccine is not recommended for anyone under the age of 65 unless you have one medical condition that puts them at higher risk of a serious covid complication.

But, Kate, that is awfully vague, what kind of medical conditions?

The list I pulled from the FDA website was cancer, obesity defined as BMI greater than or equal to 20, or greater than the 95th percentile in children, diabetes I and diabetes II, asthma, cerebral vascular disease, chronic kidney disease, chronic lung disease, chronic liver disease, cystic fibrosis, Down syndrome, mental health conditions, dementia and Parkinson’s, physical inactivity, pregnancy, smokers current and former, TB, those who have had a solid organ or stem cell transplant, use of corticosteroids such as prednisone, and being unvaccinated or not up to date on your vaccinations (interesting). This is not an exhaustive list.

The point is you are going to have to fight and justify your need for the covid vaccine if you under 65. If you can find one, if you can afford it. But that’s an issue for another day.

I think they are playing Russian roulette with people’s lives. Especially children who are still growing and don’t have the mature respiratory system.

Medical fiction book review 8/31/25-Hospital Sketches

I have been a huge reader ALL of my life. The first book I ever read to myself was Ferdinand the Bull about the bull who would rather smell flowers under his favorite cock tree than fight in the arena. The first book I ever stayed up all night to read was Magic’s Pawn by Mercedes Lackey when I was a sophomore in high school (shhh, don’t tell my parents). The first chapter book that I ever read by myself was Little Women by Louisa May Alcott.

We’ve all seen the various movie adaptations where various actresses spanning generations played Jo, the headstrong March daughter. These actresses vary from Katharine Hepburn to Saoirse Ronan, seven in all from 1918-2019. Her story remains the same. So does the story of the doomed March sister, Beth March, the gentle soul that contracted scarlet fever while providing care for a poor family in their town.

But as a child and teenager I read all the Louisa May Alcott books I could get my hands on. Little Women, Good Wives, Little Men, Jo’s Boys. I own a very old copy of Aunt Jo’s Scrap Bag that I got in an antique store in Wyoming. These are the books that dealt with the March sisters. There are also more like the Eight Cousins or the Aunt-Hill, Rose in Bloom, Under the Lilacs and Jack & Jill. This last book was written in 1880 and the Jill of the title was a poor girl who had a friendship with Jack of the title while they were young. Through childhood misadventures she tumbled down and broke her back, like the nursery rhyme while Jack got a bump on the noggin.

Louisa May Alcott desperately wanted to go to war and wanted to enlist but she was denied because she was a woman. She volunteered as a nurse during the Civil War in 1962 and was confronted by the dirty, nasty, medical mess that accompanies war. She served only 6 weeks of her 3 month assignment, becoming seriously ill herself. She sent home stories that were compiled into Hospital Sketches in 1863.

I had no idea this novella existed until I heard about it on an NPR program about Louisa May Alcott. The library didn’t have it but Amazon did and I purchased it immediately. It is a little book, only 99 pages. I am glad that I didn’t read this book until I was an adult and a working nurse. Because my 24 years in the hospital trenches allowed me to understand Tribulation and to empathize with her.

It is about a woman in the 1862 who is bored. This is Tribulation Periwinkle. She doesn’t want to teach, or write, or get married, or act. Her little brother suggests that she go to war. And she does.

Although not without difficulties or barriers in her way. The battlefields were a long way from New York.

While nursing the desperately wounded, Tribulation has conversations with the dying soldiers. One dismisses his injury as just being shot in the stomach and wishes for a drink of water. But there was no water to be had as the water pails were being filled. Tribulation took the first mug and hurried back to her patient patient, who was dead. There is something about the description of the patient patient who is patiently waiting for water that never comes.

Louisa May Alcott touches on the senselessness of war and the unceasing dying of the soldiers. She writes of families that are holding vigil at bedside for those who were dying. She writes of sitting vigil herself and the conversations that she had with the wounded.

Tribulation Periwinkle goes home and writes about the surgeons and the patients and the other nurses. The last paragraph in the book is about her wish to volunteer at a hospital for “colored regiments” because she knows that society owes them a great debt.

A little book, yes, and a bit disjointed, but it really gives a snapshot of what it was like serving in the Civil War battlefield hospitals. Some good, a lot of bad.

Rather like today. Even with all of our pharmacological advancements and surgical advancements and technological advancements we sometimes don’t in. And Louisa May Alcott knew that.

School Me Saturday 8/30/25- Long weekends

Yes, I know that school JUST started. Like seriously, how long have you been back- a week?

However, for the rest of society it is the last hurrah of summer. Time to have one last barbecue, time to have one last dip in the community pool, time to sleep in (hopefully not the last one), and time to get your breath before the marathon that is coming. You know the one I mean. The Christmas decorations are starting to trickle in and the Halloween decorations have been dominating the stores since the beginning of July.

But you are a college student, you have no time for frivolity, you think to yourself as you pull up the chapter that is due in a week and start the outline for the paper you have to write about this module.

Wrong.

Take a breath.

Yes, the semester just started and there is so much work to do. Papers to outline, and tests to study for, weekly chapters and scholarly papers to read.

Yes, yes, you’re so busy.

It is okay to take a breath and go to that BBQ and take a swim in the pool.

Summers are fleeting and fall is knocking on all of our doors.

The paper outlines can wait. The reading can wait. The end of the semester will be here before you know it. The end of your college career will be here before you know it. Now is the time to enjoy the new friends you have made, to celebrate the joys that they have.

It is okay to take a breath and sink into the long weekend. Think of the two weeks you’ve had of school as the warm up lap and this is your mini break before the work really begins.

Your brain will thank you.