A Tale of Two Patients

In my nearly eighteen years as a nutrition professional, I have seen a wide variety of patients. As you can imagine, some are eager to change, but many are hesitant or even ambivalent. Change is difficult for most of us. And that’s okay!

Lately, I have been thinking about how some of my patients react and how it relates to life in general. For convenience, let’s take two patients I have had this week. Let’s call them Jim and John. Both men were friendly and older.

Jim is now blind and lives with his daughter’s family. He is recovering from an injury and has people stopping in to see him throughout the day. When I met with him, Jim was eager to talk but also eager to listen. We covered a lot of topics, which included all I needed to ask and explain nutritionally. But I also got to ask him about his blindness and how he handles it. It was awesome to learn about the different resources he uses. Jim was so thoughtful, and I hope I get to see him again someday.

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John, well… I think he lives alone. But I couldn’t get all the information I needed because he wouldn’t let me talk! In those cases, I try to write down as many details as I can while they go on and on. Then, I try to graciously interject from time to time so I can do my job. While they don’t have to follow my advice, I feel it is important to cover at least a few basics.

John probably could use more input. I didn’t really feel I accomplished anything of value because I kept having to dispel nutrition myths. For example, he wants to take a couple of vitamin pills, but I usually recommend eating foods with those nutrients first. I also recommended getting some labs for a baseline to see if he is actually deficient or not. Otherwise, he could just purchase a lot of expensive pills without much benefit. At best, he will just pay for expensive urine. At worst, he could have a toxic reaction!

I gave both patients my phone number in case they need to reach out. Honestly, I don’t know if John will figure out how much he doesn’t know… We never got to talk about the necessities because he was off track. While it is alright to just talk about what’s important to him for a while, it wasn’t very productive! However, I hope he feels he got what he needs to make good choices for his health. I did my best!

Of course, I can perceive some spiritual parallels here. How am I like Jim, and how am I like John? Being like Jim means I am open to hearing from the Lord. I ask questions and listen. It is good to flow back and forth with Jesus!

When I am more like John… well, I don’t really want to think about that! 😀 In these instances, I think I know best. I ask questions but don’t really want to wait for answers. I have my own agenda. I may try to talk myself (or God) into seeing things how I want them to be. Not as they really are.

When we are like Jim, change is not far away as long as we don’t give up. Yet, when we are more like John, growth is not really an option. If we act like know-it-alls, we’ll just keep spinning our wheels and miss out on the details that can make a difference. Oh, Lord!

Whew. I don’t know about you, but this is humbling to think about. I have had so many other patients who are various combinations of Jim and John. And just like I try to extend grace to all of my patients, regardless of how they act, I am grateful God does that for us, too.

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Dear God, thanks for your infinite grace and love. Help us listen more than we blab. May we humbly grow in our knowledge of You and use that to help others know You, too. In Jesus’ Name, Amen

Questions: Which patient are you more like, Jim or John? Or, are you a combination?!

Tasks: Reflect on your answer to the question above. Don’t worry either way, just try to tune in to the Lord. He is not surprised and can make you who you are meant to be! If you let Him and are willing to learn!

A Funny and Timely Reminder

Yesterday, I had a funny and timely reminder that God loves me, listens to me, and helps me. You might just think it’s silly (as you read along), but He is so good to me!

In the morning, I brushed my teeth and thought about a few random things I wanted to remember. I have started leaving sticky notes in the bathroom to make it easier to jot those ideas down. Nonetheless, yesterday, I was trying to get out the door for work, so I promptly forgot to write down my thoughts. That happens often! 😉

Well, later at work, I was listening to a webinar and couldn’t shake that I had forgotten something at home. Does that happen to you, too, at the most random times? I think it has something to do with a boost in creativity when the brain is relaxed. Either way, I knew “it” started with a “c” but couldn’t think of it.

It nagged at me, so I prayed and asked God to help me remember it when I got home. Then, I moved on and just let it go. I had other tasks to do and needed to put my brain power toward them! Flash forward to me pulling into the driveway after work…

I opened the garage door and started to pull inside. That’s when I saw my new-ish refrigerator on the wall directly before me. Suddenly, I remembered what it was!

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“Cottage cheese!!” I yelled. I laughed so hard for a few minutes. It brought me such joy that the Holy Spirit reminded me of the cottage cheese in the garage, which needed to be brought inside so we could use it before it expired. Very practical and timely, right? I knew it was important, haha!

I immediately told Lydia about this when I came inside. I had my hat, gloves, coat, backpack… and the cottage cheese. She might have thought I was crazy, but I felt so loved by God! I am sure He was laughing with joy, too!

Of course, you may not even like cottage cheese, but God wants to bless you similarly. He loves to see our delight when He answers our prayers – no matter how big or small.

Don’t be afraid to ask for what you need. Your loving Heavenly Father already knows. He longs for you to come to Him so He can bless you! That said, it’s not about what He can do for you, but rather who you are becoming. Like Jesus, trusting God for every little thing.

Now, I could really use His help finding a couple small 2024 calendars I misplaced… stay tuned!

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Father God, thanks for graciously helping me remember things that are important to me! Help me remember things that are important to YOU! May I honor You in all I do. In Jesus’ Name, Amen

Questions: In what way have you asked God for help lately? Was it something huge (that only He can do), or was it something funny, like helping you remember cottage cheese?

Tasks: Let God be God. He can handle the small things and remind you to do your part when it’s time. But, He is also trustworthy enough to take care of the BIG things, which He will do in His own timing. Trust Him and let Him surprise you!

Jaw Dropping Truth

For this Advent season, Lydia and I have been preparing our hearts in a few ways. In the morning, we are reading from Max Lucado’s book, In the Manger. It contains excerpts from his other books and many deep points spelled out simply.

In the evening, we read a Chapter of Luke’s gospel and then discuss anything that comes to mind. We also have a couple of Advent calendars. One is Peanuts-themed, and one has chocolate.

One morning, we started reading the Max Lucado book during breakfast. I paused to make sure Lydia understood. I asked her if she knew that Mary was a young teenager, and to my surprise, Lydia’s jaw dropped! She was flabbergasted! So much so that I had to ask her to shut her mouth so the oatmeal wouldn’t fall out.

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Lydia mentioned that Mary could have been a student at her school (age-wise). “I’ve babysat for little kids, but I can’t imagine if it was my baby!” I think she has a newfound respect for the story of Baby Jesus!

Then, this became a funny conversation about puberty and how Mary might have felt. We agreed she must have been open-minded, trustworthy, and kindhearted to sacrifice her body and desires without knowing all the details.

Soon, the discussion moved to how Mary’s life differed from ours. She would not have had access to television, the internet, or social media. She couldn’t let toddler Jesus watch PBS Kids when she needed a break. She didn’t have a cell phone, Facetime, or texting. So, perhaps that helped shield her from some comments, but in a small town, people talk.

Mary was likely shunned with little support at first. Maybe that’s one reason she visited her Cousin Elizabeth. Thankfully, God protected her when He prompted Joseph to stand by Mary. They must have been a special pair!

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God must’ve known what He was doing when He created Mary and Joseph. Whatever their personalities and strengths, He entrusted them with Jesus. It was up to them to accept it, but God knew what He was doing!

You, know God has each of our lives planned out, too. Our personalities, strengths, passions, and even weaknesses are no surprise to Him. They are part of our special purpose. God has envisioned each of our days before even one of them comes to pass. He even knows all the words I will write well before I even have a blog topic in mind! #mindblown

So, we can trust God will prepare our path and make sure we are on it. What joy it must bring Him when we walk where He leads! May we keep an open mind and heart when God shows up in exciting ways and sets an opportunity before us.

Even today, we can invite Jesus into our day. Ask Him to reign in your heart and see what He does! But, maybe close your mouth before your food falls out. 🙂

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God, You are so wise and patient with us! You always have good plans in store. May we trust You enough to say YES to the life You have designed for us. In Jesus’ Name, Amen

Questions: What is God asking you to do for Him? It could be big and exciting, or small and mundane. Each situation can be a gift to Him when we have a good attitude.

Task: If you feel unqualified for something God calls you to do, take a deep breath before getting started. Chances are, that’s a sign you are on the right track! If you knew all the answers, you wouldn’t need to trust God! He designed us to depend on Him!

Finding Grace #401

You may have seen the acronym GRACE as God’s Riches At Christ’s Expense. Grace is also God’s unmerited favor, or God doing for us what we cannot.

I find grace overflowing with God’s love, joy, peace, blessings, mercy, power, provision, protection, and wisdom. Thank You, Jesus!

Where did I find God’s love and favor—His abundant grace—this week?!

This was a great week, full of God’s grace!!

On Sunday, Lydia and I attended a Scotland Forever orchestra concert. It was delightful, and I envisioned God as the Master composer and conductor of our lives. He is faithful and good!

On Wednesday,  I enjoyed talking with a couple of ladies. In each conversation, we talked about our faith journeys. It was so cool to see how God came through for them, and I was able to share my story and book with them, too!

It was a short work week because of Veterans Day (observed on Friday). Lydia and I had a relaxing day after some plans were canceled. We have had colds off and on, so it was so nice to not have a huge agenda. I did some gentle exercise and completed a few chores and paperwork, while Lydia read and played some games on her tablet. It was perfect!

Today, I had to work on actual Veterans Day. I previously traded with a coworker, and I am glad because I had eleven Veterans to chart on, and she is due to have twins any day! It was a lot of work to do solo, but I am glad she didn’t have to do it! It was an honor to serve these heroes today.

After working until 3:00 p.m. today (three hours longer than I expected!), I took Lydia to Chik-Fil-A. She has only been there once and was patient all week… and today, she was waiting for me to finish at work. It was nearly 4:00 p.m. before I had lunch! I had some crackers at work, but hadn’t thought I would need to bring lunch! Oh well, it all worked out just fine, and we went to Kohl’s to make some returns and do a little shopping afterward. 🙂

This week, I made some yummy dishes, which included a pumpkin chili, fresh cranberry applesauce, and a veggie tray! I love this time of year!

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These are only a few examples, but God’s grace never runs out!

There’s grace in every situation—we just need to look for it. God promises if we seek Him, we will find Him (see Jeremiah 29:13)!

Finding Grace #400

You may have seen the acronym GRACE as God’s Riches At Christ’s Expense. Grace is also God’s unmerited favor, or God doing for us what we cannot.

I find grace overflowing with God’s love, joy, peace, blessings, mercy, power, provision, protection, and wisdom. Thank You, Jesus!

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Where did I find God’s love and favor—His abundant grace—this week?!

This was a solid week with lots going on each night after work and school. And work was busy as usual, too!

On Monday, Lydia and I went to the chiropractor for routine adjustments. I’m thankful to have finally found a female chiropractor just a few minutes away. We go every couple months, and I feel much better physically than I did even a year ago.

Tuesdays are usually my blog writing days (well, nights), but this week, it was also Halloween. I had to shovel new snow in the early morning before work. (Most of it has melted!) Then, Lydia went trick-or-treating with a friend, while I stayed home to pass out candy and write. It was a good night, and we enjoyed some classic chocolate treats!

We had a good Wednesday night at church. My Alpha group talked about the topic of evil in the world and how we get distracted from God’s purposes. Lydia said the youth group topic was about dealing with fear. Timely topics all around!

On Thursday, Lydia had her first orchestra concert! It was a combined program with the middle school and high school (6th -12th grades, of course). I sent the link to my family, and it was so cool that they got to watch from several states and time zones. Lydia had a blast and can’t wait for the next concert!

Last night, Lydia and I made chicken fajitas and a delicious fruit salad after I got home from work and coffee with a friend. Then, we relaxed and watched a movie after a long week!

Today, Lydia is not feeling as well, so she is taking it easy. I am trying to get caught up around the house and also doing a little relaxing. I’m thankful for Saturdays!

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These are only a few examples, but God’s grace never runs out!

There’s grace in every situation—we just need to look for it. God promises if we seek Him, we will find Him (see Jeremiah 29:13)!

Finding Grace #399

You may have seen the acronym GRACE as God’s Riches At Christ’s Expense. Grace is also God’s unmerited favor, or God doing for us what we cannot.

I find grace overflowing with God’s love, joy, peace, blessings, mercy, power, provision, protection, and wisdom. Thank You, Jesus!

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Where did I find God’s love and favor—His abundant grace—this week?!

This week was relatively low-key. It was busy with a few surprises but mostly routine.

On Monday, I moved the deck furniture inside in anticipation of wintery weather later in the week. I moved the benches, patio table, and chairs into the garage. I also took in my windchimes so they don’t crack in the icy cold.

While my dad helped me with a dozen house projects, I found one more that needed some work. My garage door needs a new piece of weatherstripping. I asked a neighbor for help, and he special ordered the item for me since it is longer than the standard. When it comes in a couple of weeks, he will help me install it. Thanks, Lord, for good neighbors!

Speaking of neighbors, Lydia and I met some new neighbors renting the house directly across from us. We took them some cookies and answered some questions about the garbage, recycling, and snow removal responsibilities. They are from Idaho, but I hope they feel welcome!

Early Friday morning, we received the first snowfall of the season! I’d say it was less than an inch and was mostly just slush. October snow is early but not necessarily unusual. Right now, it is quite pretty and may melt off before we get more!

Last night, Lydia and I made a recipe that she picked out. I want her to develop her cooking skills, and it was a little more complicated than she realized. We had fun working together, and the cheesy pasta dish (with veggies and panko topping) was delicious!

Today, I went to a church retreat! It was fun to hang out with people who love God. We talked about the Holy Spirit, and I ministered to a friend who sat at my table. The food was tasty, and then our team won the minute-to-win-it style games! It was a nice way to relax.

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These are only a few examples, but God’s grace never runs out!

There’s grace in every situation—we just need to look for it. God promises if we seek Him, we will find Him (see Jeremiah 29:13)!

Finding Grace #390

You may have seen the acronym GRACE as God’s Riches At Christ’s Expense. Grace is also God’s unmerited favor, or God doing for us what we cannot.

I find grace overflowing with God’s love, joy, peace, blessings, mercy, power, provision, protection, and wisdom. Thank You, Jesus!

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Where did I find God’s love and favor—His abundant grace—this week?!

This week was a little hectic but good! Lydia and I had several events that took planning ahead and felt ‘big.’ I had to keep praying, working hard, and trusting God. I also took several deeeeep breaths. But, it all turned out really well.

 On Sunday, we volunteered at church in the morning (greeting at the kids ministry) and in the evening (an outdoor women’s event). We had good food and saw some friends. I thought I would be really tired after a full day of serving, but I was actually energized!

On Monday, Lydia babysat for a little baby all on her own. She is very responsible and good with little ones, but I was a little nervous anyway since we had not previously met him. Lydia had a blast and entertained him for two hours. She even earned a few bucks!

Lydia started middle school this week! She had fun and already has three favorite teachers, so I think that’s a good sign! We are excited for this next season.

Work was good but fairly busy and full of problem-solving. Nearly all of my patients came this week, but it made me happy to be using so many of my skills. I also had fun attending a yoga session with my coworkers on our lunch break! Then, I worked a couple extra hours on Friday and also went in today for two hours (my on-call weekend). Whew!

My mother-in-law came to visit this week, as she sometimes does when I am on-call. She took Lydia shopping, and then I joined them for a few other activities. We always have fun together and have some more things planned for tomorrow!

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These are only a few examples, but God’s grace never runs out!

There’s grace in every situation—we just need to look for it. God promises if we seek Him, we will find Him (see Jeremiah 29:13)!

Finding Grace #387

You may have seen the acronym GRACE as God’s Riches At Christ’s Expense. Grace is also God’s unmerited favor, or God doing for us what we cannot.

I find grace overflowing with God’s love, joy, peace, blessings, mercy, power, provision, protection, and wisdom. Thank You, Jesus!

Where did I find God’s love and favor—His abundant grace—this week?!

This week went well!

My lawn mower wasn’t working on Sunday. Through a little reading and tinkering, I realized it likely was the carburetor. My neighbor offered to take it in for a tune-up, which was so kind. I called and set it up, and he transported it back and forth. In the meantime, he let me borrow his mower, which was a big help!

We celebrated someone’s birthday at work, which gave us a chance to laugh and connect. I also had a lot of interesting patients, including the one from last week. He seems stable but had some issues with his tube feeding regimen. I worked behind the scenes with the pharmacy since we don’t carry the formula he needed. Thankfully, it all worked out!

On Wednesday, I dropped Lydia off at our church youth group and then went to pick some veggies from a friend’s garden. She was out of town and didn’t want them to go to waste. I picked a zucchini, a few tomatoes, and some peppers. On the way back to get Lydia, I saw two fields of sunflowers, which called my name. I pulled off to get a few pictures, and as I was sitting there, a couple of men drove by. A minute later, one returned to check on me. I appreciated him and did not feel threatened since he never got out of his vehicle. Thanks, Lord!

For Wednesday’s post, I wrote about how friendships are sometimes complicated as we age. They just take more effort because there are more factors involved. Many of my good friends have moved away, so it can be hard to keep putting myself out there when people might leave. Thankfully, Jesus always draws me closer. Furthermore, I aim to be a light wherever God leads me, so I won’t hide away even though that would be easier! 🙂

Today, we stayed home and mostly relaxed. I woke up early, lifted weights, and walked through the neighborhood. It was overcast and I saw some pretty cattails (pic above). Later, I made some fried green tomatoes with my friends’ garden produce! I just added a tiny bit of oil and some Maldon sea salt flakes. So good!

Now, we are enjoying a good thunderstorm. My lawn really needs the water, so I am thrilled. The downpouring rain on my windows means it’s a perfect night for a movie and some popcorn with Lydia!

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These are only a few examples, but God’s grace never runs out!

There’s grace in every situation—we just need to look for it. God promises if we seek Him, we will find Him (see Jeremiah 29:13)!

The Battle Belongs to the Lord

The last two days, work has been a little hectic. Not bad, just busy.

I already had a full schedule without much time in between patients. And then, I had some unexpected phone calls to return. Phone calls are normal, but these were a little more involved and time-consuming.

I ‘inherited’ a complex patient with many medical problems. I was assigned to take over after they made unfounded complaints about a very qualified coworker. Simply put, the patient’s family did not get the answers they wanted, and sadly, his prognosis is difficult to accept.

This patient requires a feeding tube, but it’s unusual due to how the tube was placed and medical complications (not related to his VA care). To start, the patient has cancer and is undergoing multiple treatments. But the bad news just keeps piling up.

In many ways,  it reminds me of Dave’s own cancer battle… and my emotional reactions. Unfortunately, this patient has even more medical issues, if you can imagine that.

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So, while I am empathetic towards the patient, he has a lot of needs. I have years of experience to draw upon, but each situation is different. I have fought to get them what they need, but more than once, the family has put me on the spot. While I encourage advocacy for loved ones, I consistently do my best to provide the highest level of care.

In the past, with other patients, I occasionally have been yelled at when trying to get to the bottom of certain challenges. For instance, I won’t order something if it puts the patient at more risk. I wait until I have adequate justification, but patients sometimes argue and make their own decisions anyway (which is their right). While it doesn’t happen often, this week, I felt circumstances were going in that direction.

Even though the patient’s family had been friendly on the phone, they went to other sources to try and get what I wasn’t quite ready to provide. I was still gathering information and needed them to work with me, not against me. Nonetheless, it made me feel like they thought I wasn’t doing my job.

And reflecting on my own journey, I remembered my fight is not against other people (Ephesians 6:12). Still, I dreaded calling the patient again. 

Then yesterday morning, I was in my car getting ready to walk inside to my office. I was stalling by listening to the radio in my car. One of my favorite songs, “Battle Belongs,” by Phil Wickham, came on. (Sample lyrics below)

When all I see is the battle, You see my victory
When all I see is the mountain, You see a mountain moved
And as I walk through the shadow, Your love surrounds me
There’s nothing to fear now for I am safe with You
So when I fight, I’ll fight on my knees
With my hands lifted high
Oh God, the battle belongs to You
And every fear I lay at Your feet
I’ll sing through the night
Oh God, the battle belongs to You
And if You are for me, who can be against me? Yeah
For Jesus, there’s nothing impossible for You
When all I see are the ashes, You see the beauty
Thank You God
When all I see is a cross, God, You see the empty tomb
So when I fight, I’ll fight on my knees
With my hands lifted high
Oh God, the battle belongs to You
And every fear I lay at Your feet
I’ll sing through the night
Oh God, the battle belongs to You
Almighty fortress, You go before us
Nothing can stand against the power of our God
You shine in the shadow, You win every battle
Nothing can stand against the power of our God
Nurse placed adapter in equipment probe of enteral nutrition, palliative care in hospital, conceptual image, composition hotizontal Nurse placed adapter in equipment probe of enteral nutrition, palliative care in hospital, conceptual image, composition hotizontal enteral nutrition stock pictures, royalty-free photos & images

Singing along, I was gently reminded that not only is God for me, He is also for my patient and his family. Not only is He for us as people, but He is also 100% against cancer. God will always aim for a win-win, and only He has the power to do it time and again!

Yes, I remembered this battle belongs to the Lord. So, I decided to let God fight for me, knowing He is also fighting for my patient. I had a good brainstorming session with two of my coworkers, including the specialist on the case before me. I was still nervous to call, but when I did, a creative temporary solution had already been provided. They were going to try that, and I’ll check back with them later this week. 

It’s still a very tough trial, and short of a miracle, this patient will continue to decline. But, while it’s my job to care for him nutritionally, I also feel responsible to pray for his comfort, healing, and well-being. Similarly, I can respond with grace and compassion, since I know what it feels like when the tables are turned.

Ultimately, Jesus is our living hope. There is no need to fear. We can trust Him in all things because He has already won the war, and our Victory is in Him!

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God, You are so good. Thanks for taking good care of all my patients and me. Thanks for fighting our battles, Lord. Help us rely on You and share Your love with others. In Jesus’ Name, Amen

Questions: Have you ever been in a similar situation, where you are doing your best and people misjudge your effort (or you feel like they are)? How did you handle it?

Tasks: Remember that fear and dread are not from God. Put your trust in Jesus, and watch Him fight your battles.

 

Finding Grace #366

You may have seen the acronym GRACE as God’s Riches At Christ’s Expense. Grace is also God’s unmerited favor, or God doing for us what we cannot.

I find grace overflowing with God’s love, joy, peace, blessings, mercy, power, provision, protection, and wisdom. Thank You, Jesus!

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Where did I find God’s love and favor—His abundant grace—this week?!

This was a fun week all around!

Monday and Tuesday were slower at work, so I was able to stay on top of my charting. Then, on Wednesday, we celebrated RDN day with soup, salad, and breadsticks from Olive Garden. We also had fruit pizzas for dessert and played a fun game. We tried to guess which facts matched each coworker. We were laughing so much and learned quite a bit about each other. It was so refreshing and made me love my job even more.

On Thursday, we had a TPN training, which reminded me of when Dave needed this source of feeding through the veins. I wasn’t sad, just reflective. We also had a teambuilding game with Oreos and sampled various flavors. Just for fun. Afterall, you don’t want to end up with a bag you don’t like! I think I will stick with either plain or just Mint Oreos, on occasion. 😉

That evening, one of my neighbors came over to help with a GFCI outlet in the kitchen. It was affecting four other outlets. We first noticed two Sundays ago, but it had taken me awhile to decide what to do. I can fix small things around the house, but this one made me nervous. Turns out there were five wires to connect! I hadn’t met this neighbor, but I do see his wife and kids at the bus stop several days a week. It’s funny because he is very friendly and I had no clue he was an electrician until lately! And, he is going to come back again soon and help me update/replace two bathroom lights that are getting rusty. God provided someone right when I needed it!

On Friday, I had a busy morning at work and needed to stay a couple of extra hours to get things done. But, that meant I got to stay for a birthday celebration (cake and ice cream). This was definitely an unusual week – we don’t have treats that often, let alone three days in a row! We were joking that it was a really good week to be at work!

Yesterday after work, I ran some errands knowing today was going to be another blizzardy day. I picked up a lot of fresh veggies (gotta balance out the treats!). Lydia asked if she could help me cut them up. We had fun chopping, cooking, and listening to Oldies music. By my estimate, she saved me a couple hours in the kitchen which was much appreciated! I’m grateful for my helpful girl!

Today, we stayed home and mostly relaxed since Lydia saved me so much time last night. I did a little housework but mostly we just enjoyed the snowy day!

Don’t forget to turn back your clocks for Daylight Savings Time tonight!

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These are only a few examples, but God’s grace never runs out!

There’s grace in every situation—we just need to look for it. God promises if we seek Him, we will find Him (see Jeremiah 29:13)!