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13th November 2006

where can i get off

It’s always a delight to end one’s day at work at 9 pm (on a non call day), with just enough time to race home, eat something and post a little rant on the blog.

Knowning that you’ve got to be in bed by ten, so you can wake up and be at work by 5:30 to finish all of those patient progress notes that you never got to do today, because you were so busy writing orders and taking to social work about how one takes away power of attorney or discussing G-Tubes with GI or transferring very very sick patient from the ICU because there are people more ill than he, needing that bed…. only to have his oxygen saturation drop dangerously low and send me fleeing to his bedside, where we realized that even if he was suffering for what I thought he had (pulmonary embolism) I couldn’t check for it or even treat it. Just hoping that he makes it through the night.

Plus I have to see all of my patients, including the sick ones, have their notes written and have a plan before I go to clinic at 8. And discuss it with my other intern/medical student, so they can present it to the team. And then, I’ll spend the rest of the day completely lost on what exactly we decided to do, because I wasn’t there.

And did I mention that I behind on my dictations? Something like 15 dictations, since we’ve had such a patient turnover. And I’ve got 6 clinic patients notes to finish (plus the 3-4 that I’ll see tomorrow morning.) So there’s going to be a fair number more hours spent here.

Just in cause any of you were considering medicine…. don’t.

ETA: Special hugs to shirerain and bjorks_defender I know that it’s been very hard times for you and I haven’t been around or as supportive as I should have been. Know that you’re are in my thoughts and prayers and very close to my heart. {{{TIGHT EMBRACE}}}}

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7th November 2006

failing on my civic duty

I feel like a second class citizen today. For the first time since I turned 18, I didn’t vote.

I tried, oh how I did try. First it was getting an absentee ballot from Salt Lake… but I found out that I sent it to the wrong district’s office and it had to be forwarded on, so I didn’t end up getting the request made by the deadline of last Friday.

Then I found out that I could register to vote at the voting polls today. Yay! I busted my hiney to get everything in line, double checked on my patients, wrote all my orders… but we were admitting and my last admit took 3 hours to do…. then another half hour to finish things up… then another 20 minutes signing out to the on-call resident.

I was ten minutes late.

The joys of being in medicine.

I heard that other senior residents let their juniors leave for a short time so they could exercise their patriotic duty. Not mine, of course. Because that would mean he’d actually have to do some work and we couldn’t possibly have that.

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31st October 2006

The coat of many colors

Painting my house has turned into a bigger chore than I had initially anticipated. Natch.

Remember that I stated that I was painting my house because the walls in the office bedroom was peeling? Yeah, well, I’ve peeled away the big areas, sanded down the entire thing, washed the walls, started to tape it … and realized that more areas were peeling. Yep. The entire paint job has to go.

So I go and buy paint solvent (after spending numerous hours slowly scrapping away the paint) and spray it on. The reason the paint is peeling? Because there are at least five layers, five layers of paint underneath. The bottom layer, as far as I can tell is a salmon color. But it’s going to require lots and lots of paint solvent and very slow dissolving of all of the layers. Not to mention that it’s most likely lead based paint at the bottom, so I’m probably going to have all kinds of neurological deficits.

The good news is that I have painted my kitchen. And it’s pretty. Pictures will be forth coming when I get everything put back together again. And I think I’ve made new friends with this project, so there is always a bright side.

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30th October 2006

why, yes, I am being particularly loquacious tonight

Chris and I play word games all of the time, an old habit fostered in the early days of our friendship. Sometimes, it’s a matter of dropping impressive words into conversation (I think we probably annoy those around us because we’re constantly interrupting to state “oh, good word!” to the one that succeeds). Other times, we play passing synonyms back and forth (sometimes with the same letter to make it even more difficult!) until one (usually it is he) is declared the winner.

Because of this, I’ve rediscovered my dictionary and thesaurus. Probably something that I should have done a long time ago (would have helped my pronunciation of all of those latin medical words, as I was never hooked on phonics. I can spell, but I can’t speak), but better late than never. It’s not that I have a poor vocabulary (despite how I sound here in LJ), but in the moment, the specific words rarely come to me and I end u saying things like “it’s lots of fun” and sounding like I’m ten. So I’m striving to improve that, by integrating the new vocabulary as I learn it (another lesson I should have learned from grade school!) And I’m always on the hunt for good words to speckle conversations.

Tonight’s word came from reading a patient’s medical record, where in the general physical portion, the doc described the patient as “loquacious.” He was obviously an attending–the medical resident on call possesses few brain cells more than required to just write “alert, oriented and in good health”–finding that just perfect adjective to describe how the patient is interacting with you requires high brain function only obtained with a well rested mind.

Nonetheless, I’ve filed the word away, awaiting with baited breath to drop it in conversation with Chris. Because this will impress his socks off. πŸ™‚

**yes, I am posting at 4 in the morning, because my dear resident and attending allowed me to go home four hours early. Sweet! And now it is to bed. I have my house to tackle tomorrow (er… today)

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25th October 2006

all the colors of the sky

I think it’s going to snow. It certainly is cold enough.

Of course, I could be wrong. I thought the same thing, looking out the window near the ICU, only, it was over a 100 degrees and August outside. The air conditioner, which works too well on some hallways, confused me. The people around me must have thought I was insane as I burst out laughing at my mistake.

Things are pretty good around here. I have to leave for a shift in the ER in a couple of hours, and I’m off to take a nap, but I thought I’d say hi, since you know it’s been a while.

I spent the day looking at paint swatches and I think I have finally, finally decided how I’m going to paint my house. I’ve hemmed and hawed about it, because the paint job from the last owners hasn’t been too awful… except that the paint is peeling off in my office (top coat is a creamy off white, underneath is “apple blossom green” and quite overwhelming) and staring at the patches has motivated me.

(For help in picturing what it all looks like, the pics to my house are still up at http://jcd1013.lotrinklings.net/house/house.html)

Details for those curious

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18th October 2006

mostly dead, still slightly alive

I am never declaring a patient dead again. He/she can just be in the state of not-dead but not-living, forever.

From my attending: “This could get ugly so do not discuss anything further with [spouse] until we review the chart and talk to risk managament and medical examiner.”

Great. All from putting my little signature by the cause of death. Ain’t medicine grand.

They sure didn’t teach me any of this in med school.

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7th October 2006

Protected: the old jealous feeling

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30th September 2006

sick

I’ve got that bleak, almost sick feeling to my stomach tonight. Guilt. About everything that I should have done with the accident yesterday and didn’t. Worry that it’s going to mess everything up with my insurance. Even though there’s nothing that I can do about it now, it still is making me ill.

Add to the fact that Chris now tells me that he’ll be gone 3-4 days of the week that I’m going home. He forgot when I was coming, even though I’ve told him every time I’ve talked to him the last month. Lonely. And Liz will be gone for a few days as well. I wonder why I’m even bothering going. I’ve been looking forward to this, forever, finally being home and with the people that I’ve missed and it’s not going to be anything.

New rotation tomorrow. ER. Haven’t exactly decided if I’m looking forward to it or not. Lots of days off. 8 hour shift work, both are pluses. But it’ll be busy and stressful. And right now, I’m just not wanting that.

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30th September 2006

crash into you

My day started off with a bang… literally.

I made the awful mistake of stopping for an emergency vehicle with lights and sirens going…. and the car behind me ploughed into me.

Don’t worry, I’m fine (although a little stiff and achy in the neck and shoulders) and my car is mostly as well. The lady who hit me was pissed that I stopped (horrors! how dare I obey the law!). I in turn was pretty upset with her as well, as I ended up spending my morning trying to track down police stations (I was in a different city than I thought. Don’t ask. It’s confusing), and then the afternoon calling my insurance. Not a pleasant start. I’m just so excited about the increased insurance premiums! And spending all of my free time getting estimates and filing traffic accidents.

Suffice it to say, it was a learning experience.

The rest of the day was pretty good. Well, seeing as three patients died (mostly expected, and it’s a good thing in all cases, to help the families say goodbye), probably good wouldn’t be the word you’d use to describe it, but I had a good time. It was my last day, though, the end of my ICU rotations, at least for a while and it was hard to say goodbye. My attending, the one I’ve worked the most with, and who I really admire for, told me I did an excellent job, and when I suggested that I was interested in doing ICU as a career, he did not heavily hint that I should pursue other ambitions. πŸ™‚

Now I think I’m going to take some ibuprofen, heat up my nice lavendar and flax heating bag and get some sleep.

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20th September 2006

loverly life

I think only doing one post a month like my last would be a good idea. That was hard work! But I am trying to get more into the creative writing again, and one of the books that I was reading suggested making your journal entries into stories. And I’m always amazed at the bloggers who manage to do just that (check out Barbados Butterfly, a surgical registrar from Australia as she tells the story of her early days in the residency. I wish I could write like that.)

My vacation has been wonderful so far. Alas, I am already halfway through my 9 days off, and I hate seeing the moments of time creep away. My best friend, Susan and her husband came and visited me over the weekend and we had so much fun. I showed off my little city, which they liked far more than Chicago (score for me!), and promised to come back and visit soon. We visited a bakery, which promised an elaborate tour and consisted of standing outside of a window, while a woman described what went on inside. It lasted 5 minutes. We also visited the Jelly Belly factory, which turned out to not so much be a factory, but a warehouse. The tour consisted of riding a train around the perimeter of the warehouse and watching a video. Even the promised giant jelly belly beans and the animated dancing jelly belly were less than advertised, and by that point, I was willing to accept mediocrity. But I did walk out with pounds of Jelly Flops, which made it all worth it.

It was wonderful being around Susan again. Since she moved to Illinois, our visits have been much more infrequent, and I have feared that the distance and time would have weakened our friendship (I keep meaning to do a longer post about me and my history to illuminate some of the reasons for my insecurities. Maybe that will become my next journal entry essay), but that hasn’t been the case. We manage to pick up right where we left off. We’ve both changed in the years–I’ve known her for nine years now, but we’re still as close. And it’s taken a few years, but her husband and I are pretty good friends now, too. πŸ™‚

I’ve missed her a lot today.

Today, I just lounged. I need to do laundry and dishes now and actually pack. Bah.

Tomorrow, I’m headed to Pennsylvania for the wedding of another best friend, Sam. I actually get to play bridesmaid–all of my other friends have married sans bridesmaids. *pout* I’m so excited. (The dress, btw, came back from the tailor. While it still isn’t perfect, it at least fits (mostly). Now to get the shawl to behave!) Quite a few of my wonderful friends will be there, Brooke, Liz, Laura, and it promises to be just like old times, before the boyfriends and husbands and children. I can’t wait!

And Monday, bright and early, I’ll return to work. I’m excited to be back to the NICU for one last week, but I can’t say that I’ve missed it at all this week. Maybe if the vacation had been longer…

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20th September 2006

this moment now. and this moment, now.

(Author’s Note: Trying something different. Don’t know if it’ll really convey what I want it to, but this was the way the words were coming to me.)

At just half past 7, the sky has already darkened to black, the street-lamps glowing a hazy yellow. The air has taken on the crisp chill of autumn and I am grateful that I had ignored the calendar and now wear a warm sweater and jacket.

The neon sign above the nondescript building glows white, contrasting black letters. “In concert,” it proclaims, “Vienna Teng, Sept 19.” The building is one of those relics from the sixties and seventies, when local bands found music clubs to perform in, little more than a bar with a stage at the back of the room. Or at least that is the impression they are trying to create, as I read the history of Shank Hall papered on the walls. The fictitious music club from the documentary “This Is Spinal Tap” brought into existence much as a self-fulfilled prophecy. I’ve never seen the movie–perhaps if I had, being in the building would have had added more significance to the evening.

The walls are brick, painted red, covered with scrawled graffiti and posters of past musical acts. The guy behind the counter–bald, with a bright red beard–manages not to gape in amazement when I ask nervously if the show is sold out. I am used to disappointment–find out about opportunities the day after the occur, and I still can’t believe my good fortune at discovering that she would be performing in my city, a week before she was scheduled to tour. But lady luck is with me tonight (would luck be male in this case?), for there are only a half dozen people scattered across the room.

One of them is a coworker, a nurse whose office I inhabit in the mornings, furiously writing down laboratory results and medication changes. She doesn’t remember my name, which since I had to sort through my memories to place her, doesn’t bother me. Her companion is a radiologist and we soon fall into comfortable conversation, passing the time, until the lights dim.

I’m sitting at a table, just mere feet from the stage–front row seats. The stage is small, with a keyboard and guitar stand, just two chairs. By now, the room has filled with another twenty people, still far from the three hundred that could fit into the hall. A man who sits next to me grumbles about the idiots of Milwaukee, how the performance in Illinois had sold out in days and states that it is a “disgrace” that the place is so empty. I can’t give him a satisfactory answer–personally, I am relishing the intimate setting, the sense that it is almost a private performance.

The opening act is a duo, Ellery, a couple from Ohio. She’s on the keyboard; she sings while he plays the guitar as backup. The lyrics are stirring, she has a sweet, ethereal voice, but I strain to understand all of her words. Dictation is not her strong point, but I enjoy the performance. There is something charming about a wife and husband touring and creating music together, and their love for each other is evident. “We’ve learned to forgive each other quickly” she states wryly. He smiles at her with that remark, and I am caught again in the desire to one day possess that–the shared communication of just a glance. I have gotten used to the idea of being alone, but the extended weekend of being around my best friend and her husband has awaken the realization that I still wanted more, a partner with whom to share my life and more.

The break is short as the team moves the keyboard around on the stage, adding another chair, replacing the guitar rack with a viola and violin. The nurse, her companion and I spend the time discussing the music and the other concerts they have seen; I am relieved to discover that while Milwaukee may have atrocious radio stations, there is a high selection of bands and artists who tour through the city. I resolve to keep my eyes open–perhaps there is the possibility of catching other favorites.

Vienna enters the stage without any fanfare or introduction. She and the other two members of her “band” sit and begin playing and I am instantly immersed. She is unassuming, warm and human on the stage. Her fingers fly across the keyboard, effortlessly. Every song seems to have personal meaning, meaning that even in my multiple listenings I have never discovered before. Her speaking voice is surprisingly deep and husky, in starch comparison to her fragile voice in song that soars in height.

Many of the songs are new; chagrin spreads over me as I realize that the reason she was on tour was because of a new album release. It is not long before the new songs seep into me.

it’s the quiet night that breaks me. I cannot stand the sight of this familiar place. it’s the quiet night that breaks me, like a dozen papercuts that only I can trace. all my books are lying useless now. all my maps will only show me how to lose my way.

oh call my name. you know my name. and in that sound, everything will change.
tell me it won’t always be this hard. I am nothing without you, but I don’t know who you are.

it’s the crowded room that breaks me: everybody looks so luminous, and strangely young. it’s the crowded room that’s never heard. no one here can say a word of my native tongue. I can’t be among them anymore. I fold myself away before it burns me numb.

oh call my name. you know my name. and in your love, everything will change. tell me it won’t always be this hard. I am nothing without you, but I don’t know who you are.

The two hours slip by too quickly. Once, she stares out and asks the small crowd if we were familiar with her music and which songs would we like for her to perform. She seems stunned by the avalanche of requests–we may have been small in number, but devoted. She manages to play all of our favorites, many of them as solos, others joined with the haunting cello and the souring violin. Each song is introduced with a small insight into the writing process, the inspiration behind the lyrics.

Lullaby (my request) is her encore, followed by an a cappella performance of a Chinese lullaby. As she stands away from the spotlights, without a microphone, it doesn’t matter that the words are in a language that I don’t understand–I feel comfort, as if I found my home here.

I approach Vienna after the show, as she stands by the little stand of merchandise (my plans of buying the CD and getting her autograph are lost after discovering that I was seven dollars short in cash), conversing with the patrons. I try not to be a celebrity seeker, but I can’t resist the opportunity to express how much her music has meant to me. She hugs me , and I leave the music club, slightly heady at the experience.

The street is even more deserted as I make my way to my little car, wrapping my jacket closer. But there is music running through my head, and, at least for a little while, I have forgotten the loneliness.

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13th September 2006

blah blah blah

You know when you have one of those days where nothing really bad happens, but you still end the day in a very crappy, “get out of my way” mood? Yeah, having one of those today.

I overslept because I forgot to set my alarm yesterday, was so late that I decided it wouldn’t hurt to be later, so actually had somewhat of a leisurely morning (10 min shower instead of 5). And nobody was too upset that I was gone–I hadn’t missed any important lectures, just one of those cutesy “what color is your personality” tests that ALL conferences must include. Most of today’s lectures were interesting, just long, long, long. Third day of 8-5 classes, and I’m dreading the next two days.

My clinic patient called. Again. Fifth time since I saw her a week ago. It’s really wearing on all of my sympathies. Note to patient: believe me, I believe and sympathize with your pain; as one who does have chronic pain, I do actually know something of what you are going through. But since you have tried 50 medications in the past several years AND NOTHING HAS HELPED, you can not expect over night improvements from me. I appreciate the trust, but you have to allow some leeway into figuring out what is going on.

I could continue the rant, but I think I’ll stop. It gets my blood pressure up.

The parking people called and changed my parking pass to the one that is clear on the other side of the hospital and clinics where I work. (gee thanks) I go to park there today… and the gates won’t open. Wonderful.

I can’t access the computer programs that I need at the VA where I’m doing classes this week, so trying to fix my above patient’s problems is even more fun.

I haven’t had a chance to go grocery shopping in over 6 weeks.

I haven’t been able to go to the gym in a month.

I probably won’t be able to fit into the bridesmaid dress that I paid over $100 to have altered because my weight is skyrocketing because of the stress.

I’ve spent the last five days working with Chris on his personal statement for residency. It’s been slow and painful, trying to edit it and make it sound good and professional, and above all memorable in the right way. He’s already freaked out about applying because of some earlier difficulties, and so there’s been all this pressure to really make an excellent product.

Last night, we decided to scrap half of what the PS was focused on. I just about cried.

I have friends visiting for this weekend. I haven’t been able to clean my house at all. It’s a disaster. I’m working on the paper again tonight and still won’t have time to clean.

I’m up to two migraines per week. This isn’t good.

It’s rained for a week straight. Last night, it downpoured. And I discovered that the basement leaks, because the sidewalks and front porch drain towards the house. I don’t even want to contemplate how much it’s going to cost to fix that.

I’m really missing the sun.

Thanks for letting me get this rant out of the way. It was either whine here or break down in tears. And Michelle was wanting me to update. πŸ™‚

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2nd September 2006

wanna hear a scary story?

Someone rang my doorbell and then walked into my house about a half hour ago. I’m still a little jumpy over it.

It’s okay, I’m okay, ’twas my neighbor’s friends who apparently got the houses confused… but I had been downstairs watching X-Files episodes, and it’s been long enough since I watched them that I was already on edge. And it was my own stupid fault… I had been out on my front porch sweeping it a bit (my place is looking a little worn down because I haven’t had time to mow or anything), and didn’t lock the door when I came back in. I think I’ve cured myself of that little slippage.

Anyway, I ran upstairs, yelling. I honestly don’t know what possessed me to do that, except the thought that if somebody was robbing me/waiting to rape me, I’d make enough of a ruckus to bring everybody in the neighborhood over. *shudders* They had left by the time I got up there, which is a good thing–I think I would have had a heart attack if I had actually seen somebody in my house.

I will not be telling this story to my parents. I can’t even imagine their freakoutage. But I am putting bats/heavy objects on the “to buy” list to keep by my doors.

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28th August 2006

these elusive posts

I haven’t posted much this last month, have I?

It’s been a hard month in ways that have been difficult to put down on paper (er, virtual paper). Work has been overwhelming, in many ways. New hospital, new system, new attendings, new colleagues, and new service, as I’ve been working as a neurology resident this month, rather than medicine. Calls have been hard. Every fourth night, up all night, getting paged on three different pagers all at the same time over and over and over. Having an extremely busy service, which means less time to study and learn, so that I felt even more stupid than usual. Being 2 years since my last neurology rotation, so even though once upon a time, I actually knew this stuff inside and out, it’s gone now.

My first call night, I seriously reconsidered my decision to do neurology and internal medicine. Hated neuro, loathed the call, but I survived it.

I’ve had that thought a half dozen times now, and it hasn’t necessarily been a light hearted “I wonder if” kinda of thought. It’s been the “I wonder if I go and talk to the director, I can get out of this” kind of thought. It’s probably due to exhaustion. But I’m facing a 5 year stent of exhaustion and if I can’t handle the first months…

I’ve persevered and have decided that I definitely need more exposure (and rotations with a different resident, because I think my senior resident tainted my perspective) before really making the decision. But it’s never a good thing to find yourself in the middle of a life crisis–in the middle of responsibilities with no place to run.

And I don’t mean to suggest that all is bad. Far from it, I’ve had some excellent days. I have great patients right now and I’ve discovered that I still love wokring in the ICU and the ICU especially seems like the perfect place to combine neuro and medicine in the ways that I want… It’s more the thought of surviving the neuro residency which is much more overwhelming than I thought it was going to be. I was on call last night… we admitted 4 patients, had 3 consults (other services wanting our opinion on their patients), saw another patient and transferred them to another service, and admitted another to the NICU (neuro ICU). On top of this, I was taking calls from patients of the neuro attendings (who don’t have a freaking answering service, so it’s the extremely ignorant interns like myself who are fending calls on very complex patients), and managing the 30 or so patients on the floor and ICU. I’m getting more used to it, and I had an excellent resident to work with, who really made my workload easier. But I still filled up 2 of the 3 pagers, one of them I had to clean off twice.

Next month will be better. I’ll be solely in the NICU (part of the problem with this month is that the first part of the month I spent in the ICU and the second part I’ve been on the general neuro team. And they both require some adjustment!), and I won’t be taking call. AND, I have most weekends off. AND I have a week of vacation (9 days straight). Maybe that’s why I keep thinking it’s September, because, I really, really, really want it to be.

****
On a completely different subject…

I’m really in the mood for a layout change to my LJ. After seeing juno_magic‘s incredible lovely layout, mine has looked blah and uninteresting. But I don’t have time to (re)learn the CSS code and play with it, or design the background (still wanting Anne, just don’t know which one. Collage of Anne and Diana? Pretty PEI pictures? Mushy Anne/Gilbert? Autumn themed to get me in the mood?), which leaves me in this state of perpetual longing and frustration that I can’t figure it out. *sigh* Maybe that will be one of my vacation goals.

****
My raspberry bush is getting a second batch of fruit! Yay! I had fresh raspberries every day for the month of July, I hope that this batch last as long. Have I mentioned that it was the raspberry bush that convinced me that this place was supposed to be mine? It is such a delight to go out and pick the berries and plop them in my mouth–and then smile condescending to the poor saps in the grocery store who are paying $4 a carton for not as good berries (of course, when you think of it, I paid a LOT more for the privilege of mine, but I think there are other perks with my purchase. πŸ™‚ ) Next year, I’ll be planting strawberries, I do hope they do as well.

****
Anybody out there who has a webcam? And uses a PC? I’m trying to see if iChat will allow me to webcam with someone who isn’t using iChat, but still is on AIM. If you do and would be willing to experiment, let me know. Chris is talking about getting one and I gotta make sure that if he did, I could actually talk with him.

****
I’m needing a new computer. My dear Flower Power iMAc has been a faithful companion for five years now, but I’ve filled up just about all of the memory and she is starting to creak–I can’t burn CDs any more, except at a snail’s pace, web browsing is slow, etc. It’s also becoming an issue of incompatibility–the Internal Medicine dept. gave me a Pocket PC that is virtually useless, because I can’t get it to synch with my computer and unfortunately, the hospital is all PC based, and so I haven’t been able to access some programs that I had hoped to. I’ve been strongly tempted to get a MacBookPro, which would solve all of those issues with the duel boot capabilities, but it’s so expensive and I’d be saving my pennies for a long time before I could afford it. A little iBook I could get now and would for the most part do just great. Decisions, decisions.

And I think that’s the end of the update with my boring little life. Hope all is going well with you. I’ve missed my interactions with you, the little chats and mingling of our lives. You are all in my thoughts.

*hugs*

Online Friendship

The true friends who we meet online
are a very special kind
They pierce your shields and see within
the corners of your mind
They’re always there when you’re in need
with their power to discern
They feel your pain………..they offer hope
and genuine concern
We bare our souls, expose our hearts
and show our inner fears
and then before you know it
the keyboard’s stained with tears
And if we could see them through that screen
then no one could deny
that to be a TRUE online friend
they too must surely cry.

~Author Unknown~

(A wee bit sappy, but I had to share. And the sentiments apply to my RL friends, which I hope they know.)

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18th August 2006

breathe in the night, let it know just who you are

It’s kinda pathetic when the best music station on the radio is the local NPR station. They seem to be the only one who’s playing something besides hiphop or punk or bubblegum pop or worse, 80s music. I listen to NPR every morning on my way to work, so I discovered quite inadvertently that every night, they host “Cafe Tonight” where they feature local artists, plus a wide variety of alternative, acousitc bands. Just my type.

For example, tonight, through “Cafe Tonight”, I discovered that Carbon Leaf released a new album on Sept. 12th (yes, i squeed) and already I’m in love with it. Especially “Under the Wire.” Too bad it’s not on iTunes yet… I can’t decide whether I should wait to see if iTunes picks it up or just buy it on Amazon.

Carbon Leaf also played tonight in Chicago. I may have been tempted to tackle the big city had I known. Instead, I did have a good evening, hanging out with a couple of other interns. I’m trying to get a social life, so I’ll have something to talk about when I call people or update LJ. I guess talking about my patients gets a little wearisome after a while.

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13th August 2006

Travelogue

Today I went to Berlin, London, Norway, Denmark and Belgium! And I gained a new state, Michigan, for my visited state map, leaving only 19 to go! Wow! Very good work for a day off!

I have the whole weekend off, in fact, and was going to spend it camping… but I was post call yesterday, and came home to take a nap, and didn’t wake up until 11:30 at night, and then slept in again today. So I took off today, drove through northern Wisconsin and Michigan, but I couldn’t find a campground that was further than 10 feet from the highway, so ended up just driving back. Kind of disappointing, especially when I was so looking forward to being away from the city, where I’d have a chance to see the meteor shower. I stopped a couple of times on the way home but it was too cloudy/foggy to see anything. It was so nice to get away, to just drive and not think about anything. I had my first “made on a farm” Wisconsin cheese and saw the Packers stadium and had a picnic by a waterfall.

I understand now why they are called “golden weekends”, these precious, rare two-days-together-off. I’m already getting sad at the mere thought that i have to go back on Monday…

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31st July 2006

it’s August already?

*looks back*

I survived my first month of internship. I actually finished yesterday and had my last precious day off (spent once again tackling the loan issue. Still no answer, but I’m not giving up) today. It wasn’t that bad, really, this first month, I certainly expected worse. I was busy, but not horrendously so. My patient load was fairly light (I averaged about 3 patients, the most 6 on my first day, a couple of 0 that was really sweet), I was on a great team, worked with fabulous medical students who were eager, humorous and brilliant, had great attendings, two call nights where I got 6 hours of sleep around calls, and most days didn’t have to arrive at the hospital until around 7:30.

So, only 71 more months I guess. πŸ™‚ But who’s counting.

I start working in the Neuro ICU tomorrow. It’s been over a year since the last time I did critical care and over a year and a half since I did adult neurology. So, I think it’s going to be much more of a learning curve… I guess I’ll be finding out whether or not this neurology thing is really for me.

I’ve spent the last couple of evenings watching the first season of Everwood on DVD. I started watching it because i was a little homesick (after the pilot, it was all filmed in Utah. They used to shoot scenes near where I lived and oh! those mountains!), but I got sucked in. I had forgotten how incredible their first season was… I’m not a big fan of first seasons of most shows (Buffy, Voyager, XF).. where the writers and the actors struggle to figure out how the story is going to unfold, but honestly, I think the first season was the best of the four of Everwood. The acting is honest and raw, every human emotion is so poignant and touching and real. This, this is what is great television, with (mostly) medically accurate portrayals to boot! Do yourself a favor…find it, rent it, buy it, watch it.

And that is the end of my commercialism preaching today.

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27th July 2006

crayons for bartering

I hate money with a loathing passion. Hate, hate, hate.

Especially when troubles with my loans (school this time) ruin my day off–I only have four of them a month, people, so when I have to fix mistakes that I didn’t make, I get a little peeved. Especially when I had spent hours in March/April/May talking to financial counselors to prevent just such a thing from happening.

Grrr.

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25th July 2006

Backhanded compliments…

Snippets of conversation from the past two days.

Patient #1: “I was telling the psych nurse what a wonderful doctor you are and how I easily I can talk you.”

*continues before I can interject a sincere thank you*

“She didn’t know who you were, so I tried you describe you. The little (indicates a height approximately two inches above his bed) blond girl with glasses who’s not very skinny but more plump. Kinda pretty.”

Um. My hair is still red, isn’t it????

Patient #2: *reaching over and patting my belly* “So, are you pregnant?”

(after I politely, without too much blushing, tell him that I’m not)

“oh! I’m sorry. The nurses were just talking and wondering, so I didn’t know….”

Yep, great day for the self esteem. I apparently need to work harder on finding a gym that is a) affordable (sorry, I’m NOT spending $63 dollars a month for the privilege of working out) and b) open past 6 at night.

*sigh* These are definitely the times when I think seriously about a tummy tuck or liposuction…

But to be fair. The Good Things That Happened Today
~ My patient (#1) has said that he’s going to write a letter to the hospital and tell them what a good doctor I am.

~I’ve been able to get blood cultures, AND I’ve been able to teach my little “Baby Docs” (the medical students, as one nurse affectionately terms them. Was humorous when she called them that, not so much when she used the label for me) how to do them and get them on the first stick as well. Am very proud.

~The oh-so-cute pharmacy student whispered sweet nothings in my ear…. about drug names and dosages that made me look like I knew what I was talking about. I swooned. πŸ™‚ I think he calls me Jules, or at least it’s never come out as a complete Julia. Hmm…

~My medical student called me “darling.” He’s got a girlfriend that he’s planning to propose to soon, but the fact that he is comfortable enough with me is great (or maybe it’s not, should I be fostering an environment of respect and authority?). Oh, did I mention he’s cute too?

~ My attending, after I paged him with some results, paging back with the message “Strong work, doctor.” After the atrocious presentations that I’ve given recently (my mind does not work post call), that’s a very nice compliment.

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24th July 2006

we’ve got those happy feet

Days off are the most wonderful things in the entire world.

Especially when they are filled with the company of a dearly loved, old roommate. Allison and I didn’t do anything real exciting, but I showed off my house and we hung my pictures, so it looks a little more like a home and I got to sleep in (until 10:30. It was bliss) and it was just wonderful. She lives close(r), so there are promises of repeated adventures.

I can’t wait for my next day off!

Especially since it promises to be even better, as Chris is finally coming home!! I won’t get to see him, but oh, the mere thought of talking to him, hearing his voice, is sheer bliss. Am very, very excited. πŸ˜€ πŸ˜€ πŸ˜€

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