...And Other Such Tales of Adventure!

Saturday, August 30, 2008

Turkey? Provolone?

I think my subconscious wanted to be a doctor more than I did. For the past several weeks, the medical world keeps finding a way to creep into my dreams. Two days ago I dreamt vividly of a four month old baby on the wards with feeding issues and that I happened to have a friend who specialized in feeding problems. (Is there really such a sub-specialty? At four months?) I decided I immediately needed to transfer care to my friend. This meant I should pick up the phone at once and call her… which I did… until I realized it was 3am and the friend that I was calling was the last person who had text paged me. Thankfully I realized this after hearing it ring on her end, so I hung up quickly. She’s actually an internal medicine resident so my dream-mind was WAY off. Does this happen when I’m on call too??

Today, in dreamland I had to undergo special training for resident leadership skills. This meant running a sandwich shop. (I think I may have been a little hungry too while dreaming this.) The nurses from the ER were my coaches. They told me that my job was to “be their friend” but to put on my “sandwich gloves” and be stern when I need to direct them to do something. So, they had me behind the counter and I had to direct the sandwich-making. One female elderly doctor had approached the table, and she had an easy request, but before we could get to it (there was a more experienced sandwich maker at the counter too since in my dream I could not make sandwiches) two older male doctors came and demanded sandwiches. They said they had to go to the OR. What did I do? I told them to go back in line! And they did. My supervisors told me I did a great job. And then… then I woke up before I got my sandwich reward!! Blast.

My floor supervisor month in July rocked. The interns are all so nice... and smart! ER has been awesome too. Foreign bodies were pulled from all kinds of orifices (my favorite… sponge up nose! that one was a surprise), friendships were maintained despite consulting pediatric surgery every five minutes, violence was avoided from angry parents (but one nurse got hit!) On the downside, babies were beaten at home, twelve year olds found out they were pregnant, and I went through two other pagers after my beloved/hated electronic companion of a year broke. But I learned more this month than I think I’ve learned in a long time, simply from the volume and diversity of patients we saw. Next month I have to do some ER shifts at the county hospital (shudder!) and work as floor supervisor at night for a week. More stories I'm sure, I may have to try and stay awake more so my real stories outnumber my dream stories! Next month will also bring two vacations, my birthday, and a possible hurricane evacuation.

Stop Gustav!

Saturday, July 26, 2008

Who knew?

According to CNNMoney.com, my parents are set! No need to move anywhere else to retire in style. Check it out... my hometown is famous!

#7 America's best small cities: Round Rock, TX

I was a little disappointed that there was no mention of the world famous (I like to think) Round Rock Donuts... so I am going to mention them now. I even stole this pic off the internet, where any good world famous donut picture would be located:

Mmm! The address (if you'd like to GPS it from your respective starting points) is 106 West Liberty, Round Rock, TX, 78664. The cherry bismarks are delicious!

Also, it was an even nicer surprise to see where my new home for 2009 and beyond was ranked:

#4 America's best small cities: Irvine, CA

Score! (Ignore the fact that I am going to be very, very broke for quite some time) :-)

Sunday, June 22, 2008

Woah.

It’s been a year and I’m about to have my last call of Intern year Monday… there are definitely things I’m frightened about as a second year, but all the more motivation to crack the books open again. I’ve gotten lazier about studying over the past few months so it’s payback time.

My schedule seems pretty fun. Not only do I have almost two weeks off in September (ACL music festival! Who’s with me??), but I have all the rotations I wanted: Genetics, Cardiology and even some I don't so much (Endocrine... eeeek. I had enough Endo as a med student!). I start off as a supervisor resident at the county hospital… I’m not sure which genius is responsible for this decision-- I have to oversee four interns and six medical students! But, it comes along with a nice q7 call schedule so I’ll put up with the madness gladly. :-)

Just the other day I was thinking of all the kids I’ve known who have died this year, and I was thinking how nice Pedi was that I could actually fit everyone on one hand… my medicine friends tell me about least one person a night passing away on some services. But then my friend calls me to tell me she had to call time of death on a patient I knew at MD Anderson. That makes six.

I was at an M&M (morbidity and mortality) conference of another patient I knew who had died from complications following heart surgery to remove an enormous abscess. Most of the people in the room knew him; one of my friends was giving the talk since she took care of him on the floor when he coded. (Way to stay strong Di! You didn’t see me tearing up in the back row…) Was it a diseased heart that was inevitably going to fail? Was it the telemetry monitors that didn’t make his arrhythmias clear? Was it us? These are all such hard questions with no answers. But, it seems to have resulted in the hospital completely changing the way it cares for post-op heart patients on monitors.

It’s wild to think that in two weeks, interns will come to me with questions. Like, how do you write for Tylenol? What do I do if my pager falls in the toilet? (this has almost happened to me once while I was carrying four different pagers) Why do the nurses call me at 2am with normal lab values? Why does pharmacy never trust what I write for?* Why does this lack of trust always happen during nighttime hours? Why do I have dreams of rounding on my patients when I’m not on call and why do I start answering my regular phone as “Hello, this is Dr. _____"?

While I can't quite help with these (well, ok I can help with the Tylenol...), I can offer four very helpful pieces of advice: trust no one, know what you don't know, know who to ask for help, and when in doubt use Google. I too shall heed by this.

Welcome new interns! THANK YOU for being here. :-)


(*disclaimer- pharmacy has definitely prevented me from accidentally hurting patients on more than one occasion, and for that I am grateful. But, the ratio of good phone calls to useless phone calls at Hermann is <<<1, and this fact is universally agreed upon by most residents.)

Friday, May 2, 2008

Rocket-Science ;-)

Watching the Rockets play is like watching little kids playing with art supplies… sometimes they figure it out and it’s brilliant, but sometimes they try to get creative and end up with a giant mess…

That said, I’m a new Rockets fan! Secondary to the Spurs of course, I can’t help being an NBA fan after living in SA for 4 years. The Spurs make the city so happy! And I want to hug Tim Duncan everytime I see him play. Since they always win games and usually play great it's always fun to cheer them on (except for one loss to the Rockets earlier this season which I’m still a little bitter about, but have chosen to overlook for now.) The Rockets, however are another story. No one is really sure how they made it to the playoffs, but they’re sticking in there! I’m watching game 6 now… Utah has a big lead and I think the Rockets are starting to get nervous. C’mon Rockets! Ummm they can come back from Utah’s 26 point lead right?

I’d also like to celebrate my new footwear addition—new running shoes again! These are light blue Nike’s which have really nice padding in the front… never really appreciated how great sprinting can feel when your toes have something to bounce off of! Not that I’m a sprinter, but if I were ever to flee an attacker, I know I’m well equipped. These are the bounciest shoes ever, and if you look closely you can see little hearts and stick runner figures on the laces. Wooo! I heart you Nikes! (don’t tell my Adidas shoes…)

Holy goodness!! The Rockets have tightened it up…. pretty freakin incredible! So I’m going to get back to the game. But here are my pretty shoes!

Next time I'll try and add some more hospital stories. I'm at MD Anderson in the Oncology ward, after a month of Infectious Diseases. After last month, I probably know more than I ever wanted to know about diarrhea, just short of experiencing it myself (thankfully!) Moral of ID month: Don't play with live crawfish, and wash your hands. This month will be good, especially from a pedi neuro perspective... though emotionally it will be quite the test with the terminally ill patients. Cancer sucks.

Hmm... and speaking of sucking the Rockets are doing that thing again when they're getting outscored... I think they need my full attention now. Since this might not end so well tonight (unless they surprise us...) here's a happy pic!


This was from StL (home of the lovely April daffodils)... reunionizing was awesome and I really miss the ones who couldn't make it... so here is a daffodil for you! :-)

Sunday, March 2, 2008

Surviving the Petri Dish

Yay! My ER month is over. It was really cool and inspired many a' ponderings:

1. It's impossible to work more than two 12-hour shifts in a row without getting sick! I bet I'm colonized with a nice variety of bugs now... luckily they're the "upper" kind and not the "lower" kind.

2. Completely well children in the ER are really fun to see, despite the trees killed to meet their paperwork requirements.

3. Completely well children who listen to people's bottoms with stethoscopes cause they're not tall enough to reach your lungs are even more fun!

4. Teaching med students how to suture is AWESOME. I feel so useful now! Want me to suture you??

5. When you pick up a chart, and it says "vaginal bleeder" it's ok to put the chart back and walk away slowly. You can even use the speculums in self defense!

6. Working nights is kind of strange, because halfway through at midnight you have to switch the dates. So, when I'm there during days I start switching the date at noon which stirs up all kinds of trouble. Although, it makes time move twice as fast. :-)

7. Splinting is totally cool and fuels the part of me that always wanted to do Ortho. (I think it's a small part. Can we splint and cast brains?)

8. All ER attendings are crazy. I think you really kind of have to be, and admittedly some are crazy in more endearing ways than others. My favorite is the attending who writes "Stop using Drugs or You'll DIE!!!"on her discharge papers for kids who come in with drug overdoses. She'll underline the "DIE!!" too, and write it really big. And under the 'home meds' section she'll put "None-- you have already had too much!"

9. This same attending did a throat swab on me after I asked her how to do one. Good thing I didn't ask for a refresher on a Gonococcal/ Chlamydia probe...

10. Mia Bella's (off Lexington and Shepard) has half priced drinks and appetizers all day Wednesday and free dessert coupons on Citysearch.com. AND the food is delish! This doesn't have so much to do with the ER, but it's my new favorite restaurant in Houston! MMM!

I'd like to thank my asthmatic patients on the Hermann floors for once again allowing me to update my blog. I can't really sleep since I have to check on two of them every hour or so, so this is great. I will miss not having call, but it's nice being back here... these kids are so cute! One patient who looked like the girl from little miss sunshine kept making pooping noises at me. (She really wanted to poop because she hadn't in a while.) And another toddler who had two butt abscesses drained was still running around her room laughing.

Bye bye pregnant teenagers! :-)

Sunday, January 27, 2008

It's like, MY life! :-)


“And here’s a hit from ‘98” the radio DJ said as Green Day’s Time of Your Life started playing. I turned it up to sing along to, then realized that 1998 was TEN YEARS AGO! Holy Goodness.

Which is a nice segway into my new obsess—er, discovery. For some reason (the same reason I like to think caused me to miss shows like Saved by the Bell and the Wonder Years… gasp!) I never watched My So Called Life when it came out. I think I woulda been in the eighth grade, I totally watched shows like Party of Five, even Dawson’s and Felicity (quality show!) but sadly MSCL missed me. And I never did have MTV to catch up either. So when abc.com started playing past episodes, I started watching.

First, the show is fantastic!! Even now I can relate to it, and I think people of all maturity levels can. I have a huge appreciation for Angela’s character… as creator Winnie Holzman describes, the quiet girl at the back of English class who turns in everything on time and does everything right, who has so much more going on inside than she expresses. And I think that’s fun to see—her head is in the clouds almost as much as mine was (a trait I’m still trying to outgrow.) Jared Leto Rocks!! I love the fact Angela can laugh in Jordan Catalano--Jared Leto's--face when he asks her to have sex with him and then walk away. Speaking of Jordan Catalano—he totally reminds me of MY high school crush… but um, slower. (And I don't think I got past saying eight sentences to him in those four years. Some of which I still remember.) :-)

I’ve seen far too many 14 and 15 year old girls this month on the OB floors who didn’t make that decision to walk away, or the decision to use protection, and now have to take care of a baby instead of being a kid and going to school. I wonder if it’s because of shows depicting high school in less realistic ways—glamorous sex lives, expensive cars, tube tops, who knows. MSCL handled that topic—and more—awesomely, and honestly. I’d say we should make new episodes, but really… would it be the same now? MTV had it right-- just replay the old ones! Whatever happened to Juliana Hatfield?! Her music was incredible!

Thank you Meyling for supplying my addiction (Meyling: I UNDERSTAND!!! I UNDERSTAND!!) :-) Only now I’m feeling an insane amount of withdrawal! The series ends with the worst cliffhanger of all time, second only to… Wow I can’t think of any bad cliffhangers. Which is good because then I’d ruin another show for you. :-) It’s funny though I know exactly how I want it to end now, but 15 years ago I would have wanted it to end in the completely opposite way. Maybe this is WISDOM! Who knows, in 15 more years I’ll want there to be robots and exploding things. :-)

And did we really wear so much flannel back then?


“There are so many different ways to be connected to people. There are the people you feel this unspoken connection to, even though there’s not a real word for it. There's the people who you’ve known forever who know you in this way that other people can’t because they’ve seen you change. They’ve let you change” ~ Angela, My So Called Life

Friday, January 18, 2008

Ode to Spaces (and babies!)

This month will end in 12 days! I'm in the newborn nursery and don't get me wrong, I love babies... and love the fact I have no call this month. But the PAPERWORK! There's got to be a better way. We have to collect information from everywhere (three different sources not counting the babies themselves) and fill out these papers. It's quite repetitive. So much of my time is spent doing this, I'm starting to have bad handwriting! I thought I was immune, but alas. Residency takes what wasn't already sucked out of us in Med school. :-)

Strangly enough, being around newborns is triggering maternal urges I never knew I had. Lucky for the babies, they all have security devices which go off if they get too close to the elevators or if someone illegally takes off with one. I'm trying to become more responsible in caring for other life forms. Over Christmas and New Years, I took care of my neighbor's plants... and they survived! One day I will have my own plant... then I shall work upward from there. (and steal cute babies.)

More thoughts: I am getting to know the nurses on the floors better, and they rock! One of them, I'll call 'Mama G' (she's so wonderful!) was telling me about her husband... and how for the past 38 or so years she wakes up to "oh honey, you're so beautiful!" and hears "I'm such a lucky man for marrying such a kind and generous lady" on a fairly regular basis. She said at first she thought it strange and it took a while to get used to, but now she thinks it's great! He even notices her haircuts. :-) Mama G told this story much better, and she definitely raises the bar for the menfolk in this world: Men everywhere- take note! Verbalize!

I just got back from a friend's place-- her apartment complex had a pizza-movie night (Transformers!) and along with the group, there were 5 or6 toddlers there. They were from 3 different families... each maybe 2 or 3 years old, and I had as much fun watching them socialize as actually watching the movie. One little girl was trying to join a group of three kids--two boys and one girl--sitting on a couch in front of the TV. The boys were all about including her in their Transformers talk-- I think she was asking them in Spanish too. The girl however seemed a bit protective of her friend circle and just kept saying "NO! NO!"The boys didn't care, and one even moved over so the newcomer could sit next to him. The other girl however, came over and smacked her!! That girls' dad and mom ran over alarmed and pulled her away... then later she comes back and says "I'm sorry" to the girl she just hit. As if that weren't cute enough, the girl who got hit (who may or may not have understood the English) hugged her. It was like... real life hallmark!!!

Also, I need to fix my space bar. Here's how it looks like, I've trained my thumb to hit the little white rubber thing in the middle. Only it came off too! I put it back on, but it pops off. Poorspacebar! As youcansee, I also am missing a white plastic part on the right... I hope my vacuum cleaner didn't eat it up! Anyone have a spare spacebar (or glue?) lying around?