Monday, August 29, 2005

Rainy Monday

I slept through the runner's alarm today. What a nice feeling. Dory was glad, too. There was just enough rain noise to fall asleep with - not too loud, not too soft. Hopefully, it will rain again tomorrow morning because I'll be post-call and can sleep for hours in my warm bed.

Hot as Hell rocked this weekend. We worked and then worked some more. My favorite job is going to the ice factory and buying 37 20-lb bags. Next year I'll remember to get 40-lb bags. The church made a lot of money. My dad and aunt both had pieces of art, and they sold well. Erica did a ton of preparation work on committees. Our house is glad it's over. We bought in the live auction a tour for 2 of the Clinton Library with Skip Rutherford. It includes lunch at the restaurant, Cafe 42. Not a bad deal - and that auction item was Erica's idea.

Church was good yesterday. Our Sunday School class has renamed itself the "Activisionaries." I have no idea who came up with that one - I wasn't there that week. Anyway, it is actually a good description. I have learned SO MUCH about how to be a socially, politically, and ecologically friendly person. We trade books and ideas all the time. We are VERY liberally minded in a social sense, and it is like sitting in a group of very well-educated, worldy, and fun granola hippies.

Got the yard mowed last night before the showers. The grass was jungle-like in stature. DEEP. I think it was the first time I mowed with my iPod clipped on and plugged in. I had a blast. My neighbors probably thought I was on cocaine. I was singing and probably looked like a fool. Those little headphones can handle a lot of guitar...

Thursday, August 25, 2005

Finish

So what I was going to say when MLS called: Two articles from NYT that got my attention yesterday. One was about "farm-to-cafeteria" programs that use local farmers to supply our schools. HOORAY! This is exactly what needs to be happening in the world and is good for ALL parties involved. Except for the huge distributors and their filthy 18-wheeler refrigerated trucks. No we'll have fresher foods, healthier kids, and profits and proceeds in the local economy and farmers' pockets. AND less CO2 in our air.

This reminded me of Sewanee:
["It's so important for this college to be part of the place," Dr. Nugent said over dinner on the eve of the second annual National Farm to Cafeteria Conference, which took place at Kenyon this summer. "We are perceived as an elite institution on the hill, surrounded by a rural community. We needed to come down off the hill and be good neighbors. We wanted to make a tangible commitment to the local economy."]

Another good quote:
["This is what we should be doing," he said. "The globalization of food, the hidden costs, the loss of nutrition: it's not healthy for the planet or for the human body."]

The other article (op-ed Maureen Dowd) was less uplifting, but I just have to harp on it a little.

First - the president's workaholic style:

[As The Financial Times noted, Mr. Bush is acting positively French in his love of le loafing, with 339 days at his ranch since he took office - nearly a year out of his five. Most Americans, on the other hand, take fewer vacations than anyone else in the developed world (even the Japanese), averaging only 13 to 16 days off a year.]

Later, she AGAIN proves to us why the war is a hoax:

[What twisted logic: with no W.M.D., no link to 9/11 and no democracy, now we have to keep killing people and have our kids killed because so many of our kids have been killed already? Talk about a vicious circle: the killing keeps justifying itself.]

And I just can't help myself with this one:

[Just because the final reason the president came up with for invading Iraq - to create a democracy with freedom of religion and minority rights - has been dashed, why stop relaxing? W. is determined to stay the course on bike trails all over the West.

This president has never had to pull all-nighters or work very hard, because Daddy's friends always gave him a boost when he flamed out. When was the last time Mr. Bush saw the clock strike midnight? At these prices, though, I guess he can't afford to burn the midnight oil.]

That hit close to home as I read it yesterday post-call.

Wednesday, August 24, 2005

Lease

Got a new lease on life today - the haircut. Chris Wright at High Maintenance is awesome. I just got back from there and am already singing his praises. I was stuck in a rut with former person. Never there when I needed her....

I am post-call. Spent the morning dictating head CT's and then sleeping at my dad's apt. [They've bought a house, so it won't be his for long.] Anyway, I was moonlighting for the first time. Premier MRI is downtown and needs a doc "on call" to cover contrast reactions. I didn't actually have to go today and earned $130. Not bad for sleeping. I guess that's a little perk for working 20 years in school, surviving intern year, and staying up all night every sixth night. I'll make more money at it if I actually have to go in.

On the phone with Melissa Shannon - I'll let you know a few hours from now.

Monday, August 22, 2005

The after-school line

Erica and I are carpooling. We have to make amends to Mother Earth for the decision to contribute to Urban Sprawl. So we share and get up early and wait on each other after work. I love it. It doesn't happen every day due to our ever-fluid schedules, but it is a real pleasure to be picked up at the front door of a hospital after a day of work, conferences, and studying.

I used to love when my mom would pick me up from school. A lot of days we would go to Claude's, which was England's local dairy bar. Imagine a low brown building, cinder-blocks up to about waist high, glass from there to the top. Lots of asphalt. We also called it Spradlin's because the whole clan worked there; Mr. Claude was the granddad. I've never in my life spent a dime there. We just charged it. Remember, I have been going to this same little place for over 20 years. My dad and aunt have been going there since they were in school. The waitress sometimes doesn't recognize me if it's been a few years. At noon, there are about 30 trucks there, some pulled under the orange and brown metal awning and some scattered about the parking lot, ditches, or adjacent side street.

If you haven't had a cheeseburger deluxe with "new" fries and a medium Dr. Pepper from Claude's, you haven't lived. I'm serious. They started calling seasoned fries "new" when I was in about the fourth grade, and they still know what you're talking about if you order them. I don't ever eat the chili dogs, but they continue to rotate in the little machine. And don't get me started about the milkshakes.

Some places are just magnetic centers for a social structure. In England, my world was either at school; across the street from there at the ball fields; at my grandparents' house; in the Methodist Church; across the street from there at my dad's office; or in the yards and trees of my neighborhood. I can't imagine a better childhood. I know this is totally sappy, but it's what I am thinking about while I wait on my ride. I wish mom would come pick me up and take me to Claude's. I guess I'll always wish for that.

Hmmm... News. Pretty average weekend, actually. We shopped and played on Saturday. I did the media presentation at church yesterday. There's a guy at church who is from Detroit originally. He is recently returned from the Peace Corps and just got a drivers' license Friday for the first time. I didn't realize how inexperienced he is but let him drive my car. He needed a ride home and to a hardware store to get a key made. I was amazingly calm, given the circumstances. I found out afterwards that he had only driven THREE times! What was I thinking - we went all over LR looking for a store that was open. I was helping him merge onto the interstate and telling him where to exit. I can't believe I agreed to it! No harm done.

Dory got to play with four other dogs at Betsy and Vic's house yesterday. We swam while they played. She slept like a rock last night, and I had to wake her up to go run this AM. She is the best dog EVER.

I've lost your attention for sure by now....

Tuesday, August 16, 2005

Motorola

We got new phones today!! It is so sad that a material possession can make me this happy, but it does. Well, not really that sad. I LOVE getting a new phone. Especially since my old one was totally driving me crazy and I yelled obscenities at it on a DAILY basis. No exaggeration. It has a camera, so I'll be blogging pics from it.

Call on Sunday was pretty good for a call. It was steady the entire 24 hours, but much more manageable than the last time. It made me realize how badly we got SLAMMED the Saturday before.

I switched to fluoroscopy today and will be there 2 weeks. Basically, it's barium enemas, upper GI/swallow studies, and small bowel follow-throughs. With an occasional IVP or arthrogram. Much more laid back. Today I was through by lunch! Erica is off today, so we went to Burge's for sandwiches. I had conference at one, then out to Cingular for the big purchase. Now I'm headed to journal club - woohoo.

Does it seem to anyone else that mostly I am talking about WORK? Because it seems that way to me. Not much else happens anymore! No, actually, life is good. I've gotten to see several friends lately and have had good social time. The house is clean, yard mowed, laundry done, bills paid. All of which I was concerned would fall by the wayside once my residency kicked into gear.

I'm really leaning toward doing a fellowship in peds radiology. Did I already mention that? A peds advisor was chosen for me (Dr. James), and I hope to be working on some research soon. Erica and I want to move somewhere to do our fellowships, so that's exciting. Only 4 short years!

We are planning our Hot as Hell Fiesta for church. If you're in the area, you should come. It is a ton of fun, and the silent auction is full of stuff you NEED to buy!

Well, the cat's about to be out of the bag: we're in the midst of picking out donors. Hopefully someday soon, we'll be parents-to-be. Thanks to all of you who have been so supportive and wonderful and excited with us. It's officially the beginning of our journey! I wonder if I'll qualify for paternity leave...

Saturday, August 13, 2005

Nation

It's been a while yet again. I'm assuming you're getting used to the delays. So it's Saturday and I am home alone. I slept until 10. What a relief! Dory and I are hanging out, slowly crossing things off the list, and enjoying the coffee. I had an e-mail from my friend Melissa Mann that has sat in my inbox (unread) for a couple of weeks. It is by Katha Pollitt, published in the Nation. The premise is that some prochoicers think it would be okay to "let Roe go" in an effort to bring it to the states and energize the people. Whatever! Here's the last paragraph:

"Legislative control might be more "democratic"--if you believe that a state senator balancing women's health against a highway for his district represents democracy. But would it be fair? The whole point about constitutional protection for rights is to guarantee them when they are unpopular--to shield them from majority prejudice, opportunistic politicians, the passions and pressures of the moment. Freedom of speech, assembly, worship and so on belong to us as individuals; our neighbors, our families and our legislators don't get to vote on how we use these rights or whether we should have them in the first place. Alabamans may be largely antichoice, but what about the ones who aren't? Or the ones who are but even so don't want to die in childbirth, bear a hopelessly damaged baby or drop out of school at 15--or 25? If Roe goes, whoever has political power will determine the most basic, intimate, life-changing and life-threatening decision women--and only women--confront. We will have a country in which the same legislature that can't prevent some clod from burning a flag will be able to force a woman to bear a child under whatever circumstances it sees fit. It is hard to imagine how that woman would be a free or equal citizen of our constitutional republic."

I agree - I don't want some Reverend Governor or Southern-Baptist-Dad-of-Twelve-(Home-Schooled)-Who-Happens-To-Be-A-State-Senator/Rep to decide what I can or can't do. Or my patients.

Enough of that.

Our friends, Tara and Becca, are getting married at the Historic Woman's City Club. How apropos! Check it out. I'm so proud!

We have season tickets to the Rep. If you ever want to go, let us know and we'll make it a night.

Off to the errands and chores.

Tuesday, August 09, 2005

Movin' On Up

I am really starting to enjoy my residency adventure. This week is my second week on CT, and Dr. Shah is out of town. This means that I can learn and progress in a much more laid-back environment (i.e. wear scrubs). I am dictating a lot more, too. It is so nice to feel comfortable dictating.

My first call was the hardest I have ever worked. We did not stop for 24 hours. I actually had a pretty good time, and I know I'm learning soooo much. Call is a really good time to learn and to be a team with the other residents. It is a study in efficiency. You have so much to do, and it never stops. The hospital got four traumas in a row at about midnight. The ER was packed. Everything was full steam ahead. I carry a cell phone (direct line from the ER) and a pager. I would love to know how many phone conversations I had in that one 24-hour period. My upper level, Amna, kept telling me that it's not usually so busy. That is definitely good news. I can't imagine all calls being that bad. So now I'm over the fear of my first call. I am not dreading the calls any more! Hooray.

Not much else is happening. We hung out with Keller Friday night, then I had call Saturday. Erica had call Sunday - I went to Keller's for dinner that night after I lounged most of the day (recovery mode). Last night, we fixed dinner and enjoyed hanging out together.

Erica is blasting through the 6th Harry Potter book. I read through about a third of it but quit a few weeks ago when I started studying and crashing early. I'm ready to start it again.

I'm thinking about getting a new computer. I love Erica's PowerBook so much that I might get one of my own. I'll use it for PowerPoint at church and at work (radiologists love images and presentations!). It'll be nice to have my iTunes on my computer, too.

Not much else... Life is just clicking along. Can't complain about that! Dory says hi to all you blog buddies. Come visit!

Saturday, July 30, 2005

St. Louis!

Greers Ferry



Dad and Preston at the lake

Demand

Back by popular demand.... My blog link to the world! It has been twenty-something days. Ridiculous. This real residency thing is for the birds. It's like you have to go to work EVERY weekday. Fifty hour weeks.

Call hasn't even started. The lower levels (my mates and I) start Monday. I'm the 6th of 6 this time and start call Saturday. A week from today.

So I've had two mini-rotations (four left to go). Ultrasound was first and I don't remember anything about it. What a blur! Then "reading room," which is essentially all the plain films (Xrays) from the ER, family clinic, and entire hospital. This was a huge volume of work, and the days flew by. I'm no longer afraid to sit down and dictate a stack of chest films and elbows. And whatever other body part might come my way. I load them on the computer, glance at them, take notes, and then review with an attending. He/she produces a litany of what I should say, and we blow through a stack quickly. I scribble intently! Then I sit there with a Dictaphone and whisper quickly. At this point, I'm trying to add some of my own comments that are in line with the attending but not just a regurgitation. I'm trying to develop my own style and vocabulary. Maybe a little ambitious for the mini-rotation, but I've got to learn this stuff and be a radiologist someday. I hope that I quit whispering as I gain confidence! The final step is that I have to review the dictations on the computer and correct my and the transcriptionist's mistake. One attending has already e-mailed me some suggestions about my dictations, so that will help.

NOthing in med school prepares you for reading and dictating radiologic studies. That's just how it works. So it's okay not to know anything. It's a steep learning curve.

I'm starting to enjoy it. We now have 7am and 1pm lectures - soon we'll have 4pm physics. These conferences are for the most part really good, and it's a chance for me to remember why I liked this stuff in the first place. It's a really intellectual field. Every study is a challenge. I love it.

I took a week off of running, but usually I'm getting up at 5:14 (5AM with two snoozes - alarm clock located in my closet) and running 3.3 miles three times a week. This has helped my sanity for sure. The week off was nice, too. Extra snuggle time.

Dory has discovered my pillow. Most mornings, she has worked her way up to the bed from floor and from foot of bed to right next to me. I'm now in the middle. It's wonderful.

Last weekend we went to St. Louis for a Cards game in the heat in the bleachers in the sun. They lost to the Cubs in the bottom of the ninth. Two men on base, down by one run, one out, and Pujols at the plate. The stars were aligned. But he drove out to short, and they caught the guy at second off his bag. Hit the showers, game over, fat lady.

We've also been trying to go to the lake most weekends. I think we'll go tomorrow afternoon.

I'm still reading Harry Potter VI.

Glancing at my calendar, we've had the following events lately: end of softball season with a WIN, my first time to work the PowerPoint/projector at church, Erica's B-day, baby shower for Sharon Strong (high school buddy), radiology pool party, fight night party, St. Louis, Mom's B-day, and party with the ball team.

I'll upload some pics. There are some new folders - St. Louis and Softball - on my Yahoo! photos.

Friday, July 08, 2005

Cuz



This is cousin Lydia and her son, Ben, who is almost 12 months old. They live in Kentucky now, but are moving to Kansas City later this summer. She teaches junior high history, and is awesome at it! Husband John is the philosophical type and just finished seminary in KY. Just thought I would share some of my family members. More to come.

RoRo



This is my cousin Robyn - she called last night, and it was a ton of fun to catch up with her. She is a graphic designer in Greenwood, MS, and she travels all over the world with her job! Robyn has recently remodeled an older house in Greenwood that I have yet to see. Her boyfriend, Jon, is an engineer at Viking (the kitchen place).

Better

Today was better at work. It'll grow on me.

Last night, we lost our softball game. We were either tied or leading throughout the game, then they got ahead 10-6 in a late inning. Before time ran out, we only regained a couple of runs. It was so sad. It was our best-played game of the year, and I think we all had fun.

I've uploaded some pics from the Firecracker last Saturday. It was a great race. I had a lot of fun, and ran with friends I hadn't seen in a while. Plus, the T-shirt is cool this year.

There are also pictures from our trip to the lake on Sunday. Folder=Greers Ferry. For the fourth, practically my whole "dad's side of the family" was there. I don't have pictures of everyone, but it was fun to spend time with the kids. Dory loves the boat - not so much the water.

On Mon. night, Erica invited the peds residents over for a cook-out. The burgers were great, and people brought all kinds of stuff for potluck. There are a couple of pictures of everyone under "Peds.

Thursday, July 07, 2005

The Orient

I can't believe how stressful this week has been. Thank God I never have to start a whole new phase of my career with so much drama ever again. Our orientation was basically a scare tactic. In summary: "You don't know anything. You will feel stupid for a couple of YEARS. You will have to study 2 hours a night to keep your head above water." I could go on, but my dinner is already refluxing.

I'm taking it one step at a time. It'll get better. I'll even someday enjoy it. I hope.

Yesterday (Wed) was the first day. It was a blur. Today, I dictated all of the ultrasounds at the VA (twelve). My very first dictations!! This was a huge accomplishment, in my estimation. So at least that made me feel better. I go to work at seven and get off around five; we stop for about a half-hour lunch. I am mentally EXHAUSTED. And, yes, I do realize these aren't awful hours.

It will get better. Back to the books. I'm so lost, it's hard to know what to read - and no one is much help as far as advice!

It will get better.

Friday, July 01, 2005

Wish

I've got my wish list posted in my profile. I guess this is like registering without the baby or wedding. It's just for no reason in particular! Well, that's if you don't include our all-American "need" for consumption and having more stuff...

Stethoscope

I can't believe our intern year is really finished. It seems like it flew by. Sometimes I wonder if I've learned anything at all, and other times I marvel at how far I've come. I guess the answer lies somewhere in between. I know I'm a little more confident; I also have a healthier, more robust sense of fear of (and appreciation for) taking care of sick folks.

I don't know what I'm supposed to wear next Tuesday for radiology orientation. A white coat seems excessive. And what do I do with my stethoscope? I keep trying to remember if radiology residents just ditch the steth in favor of little pocket books full of anatomical secrets.

My dad gave me my stethoscope before I started medical school. When I worked with Toni Darville, she told us to bring one to ID clinic. The one I carry now is the same one dad brought home for me to use for that summer job - an extra, a hand-me-down, used. I adore it. It's not a Cardiology III, it is totally basic and boring, and it has worked exceptionally well.

After that summer job, I hoarded it. It sat on my desk in the dorm room in Cleveland Hall for a year. It's amazing how this one instrument is so invocative of a career, a life, a moment in medicine.

I think I'll be the only radiologist with an ever-present stethoscope. It'll remind me just who I'm in this for - those people taking in a deep breath for their chest Xrays.

Stethoscope Posted by Picasa

Sunday, June 26, 2005

Profile

I'm still trying to get my picture updated. There are all these limitations on it - url has to be less than some number of characters, it has to be less than some number of kilobytes, blah, blah BLAH. So now it's updated on the profile but not on the page - and I hate that first picture I used. I'll continue to work on this. Bear/bare with me.

My favorite blog is Rosie. I try to look at it every day. She posts pictures of her family, too. The website sent about 15,000 mousepads to people who had signed into the blog. Apparently, most of them were mislabeled. Well, an envelope came to our house for some lady named Diane (not the former owner). I was going to mail it back, but Dory made it a part of her routine desktop lunch. Voila - a mousepad was revealed, and I (the intentional recipient) kept it! Hooray.

We're going to a Cards game on July 23rd.
We want to go camping another time this summer/fall.
My call schedule for the entire next year is posted.
Life is plannable again.
I haven't seen my dad's boat yet.
Stuff to do...

I'm on my last intern call. It's E's last intern ER night. Tomorrow, we will sleep off our night together. Then a nice celebratory dinner. With dessert for a job well done. Did I already use the word "Hooray"?

Saturday, June 25, 2005


Keep trying Posted by Hello

Reads

I uploaded some pics of some more recent reads. The beach is a great place to devour books. Mom's recommendation was the Bees; all three of us loved it. The short stories have also been a joy. I love reading one before falling asleep, or one after a nap, or one on call, etc. Very digestible.

I'm also reading Karen Armstrong's Battle for God, which was given to me about a year ago. Couldn't download the pic, though. It is a history of fundamentalism, and is actually a good religious history primer for Judaism, Islam, and Christianity. I only took one religion class at Sewanee (in addition to my exposure in the Humanities series), but I'm loving reading books about it more and more.

I've been through several New Yorker magazines lately, and they are always rewarding. The thing is: I'm about to be consumed by radiology texts and journals. I have to cram all this fun stuff in while I can. So I will continue to do just that. And when it comes down to it, I'll probably schedule blocks into my weeks just to read for pleasure. It is my dearest source of sanity.