Wednesday, May 27, 2009

Weekend Roundup (Late Edition)

John Lennon wrote the lyric, "Life is what happens while you are busy making other plans." Lately I feel like I truly understand what he meant.

Much has happened since my last post, I'll try to recap the highlights.

My daughter Kaitlyn turned 15 Friday and to celebrate, Kathy, Rileigh, Dylan and I drove down and spent a very nice extended weekend at Susie and Bruce's. For those who don't know, Susie is my ex-wife and the mother of my 3 oldest children and Bruce is her husband. We wind up spending many weekends at their house where all the kids are together and we have a great time. I suppose it seems weird to most people, but I am really glad we all get along and get to spend so much time together with the kids. So, anyway, Friday we all went out to a pretty good cheeseburger place and followed it up with a barbecue and swimming in their pool. Here are some pictures from this weekend:

Cheeburger-Cheeburger is over-run by our not so little clan:



Johnny STUNS us all by whipping out his card and offering to pay:



Kaitlyn opening presents:



The birthday girl and her mommy. (mommy is the shorter one..hehehehe)



Kaitlyn and Meagan



Kathy and Dylan enjoying the weather



Our little camera-shy monster



One of my favorite pics: Rileigh donning protective glasses to counteract the glare bouncing off the top of my bald head!





Meanwhile, I have scheduled both of the next "big" exams for finishing medical school. I was originally slotted for mid-September, but got lucky and was able to switch to a spot in Chicago on June 10th for my USMLE Step 2 CS exam. This is a practical exam that consists of 12 patient encounters with professional actor patients where we are graded on things like communication skills, clinical examination skills, our ability to formulate a differential diagnosis, and writing a note documenting our findings and ordering the next set of labwork/imaging studies/diagnositic studies etc.. (and yes, there is a whole module dedicated to making patients wait 45 minutes in an uncomfortable paper gown while we sit in an office and surf the internet- in case you were wondering) I finalized my travel and hotel arrangements just a few minutes ago , so we are all set.

Also scheduled is the "written" part of my Step 2 board exam. It is actually computer based, consists of 400 questions, and takes about 9 hours. D-Day is August 10th. Yay!


Peds is going along okay and I will save some material for an upcoming post.... stay tuned.

Monday, May 18, 2009

Dog-gone Stupid

I am convinced that I am in the wrong business.

I took this picture while in a book store last week:




I apologize for the crappy picture, in case you can't read what it says,

Zen Dog

Music and Massage for a Stress-Free Pet

Enlightened Advice for Nurturing a Happy, Healthy Dog


The kit consists of a music CD , a plastic little palm-brush (to facilitate the Massage) and of course a book chock-full of 'Enlightened' advice. All for $12.95 What a bargain!

In case you are interested you can pick up your very own Zen Dog kit here.

From the product Synopsis on the Barnes & Noble site:

"De-stress Your Dog with Music and Touch. Tap into the power of music to calm your dog and learn the art of gentle massage to improve your pal’s mental and physical well-being!"

If I sat around the house all day licking my own balls, could be entertained for all of eternity by chasing my own tail, and was perfectly content to drink water directly from a toilet bowl- what kind of stress could I possibly have?

Im just sayin'.

Blogmnesia

I have been so busy lately, that I have forgotten to post any of my inane ramblings for some time now. My apologies to the 2 of you who read this regularly. Anyway...



After doing only a week of GI, I have started my Pediatrics rotation last week. Apparently there was a major scheduling SNAFU between the hospital and the hallowed halls of my school's clinical affairs office.

:-0

See that? That was my shocked face.

Tentatively, I am scheduled to return to the GI Department at the end of these 6 weeks and finish my rotation there.

As for Pediatrics, so far so good. Because of the scheduling, I am the only medical student on the rotation for the next couple of weeks, which has both pluses and minuses. I suppose this arrangement would be ideal for someone with an interest in Peds as a career, given the "spotlight" of being the only student. For me, I never heard the crying calling to become a Pediatrician; although I'm sure that most of what I learn here will be valuable in my upcoming life as an ER doc.

I have only been here just over a week but I have made some observations.

For instance:

  • The stereotype seems to be true- Pediatricians really are Shiny Happy People. I guess working with the Cute and Cuddlies attracts happy people to begin with, and the enviornment seems to keep them happy. I wont make any obvious comparisons here because I don't want to get anyone's scrubs panties in a bunch. ;-)
  • Perhaps it is because I am a father, or getting older, or perhaps it is just something that we are all evolutionarily predisposed to, but I really do understand the attraction to treating children exclusively. First, they are all so damn, ..well....cute. Aside from this, they are pound-for-pound the most honest, brave, optimistic, and loveable little creatures you'll ever come across. Not to mention entertaining- nothing will snap you from your "rambling attending daze" than watching a 2 year old sneeze into the (open mouthed) face of her examiner.
  • The flip side of this coin, of course, is the agony that comes with the territory. When all the medicine in the world won't make a difference; and you are forced to helplessly sit by and watch the light fade from the Cute and Cuddlies as they die. There are fewer things that are sadder than to look into the eyes of a suffering child. It must be like falling in love and having your hear broken for the first time- over, and over, and over again. Fortunately, this doesn't occur as often as it does at the other end of the age spectrum, or there would be considerably less Shiny or Happy to go around.
  • And finally, this is something I learned long ago, but was recently reminded. There are some people who are so shockingly ill-prepared to be human beings themselves, that the idea of their being entrusted with the life of a helpless child is figuratively and literally, criminal.

Thursday, May 7, 2009

Relay For Life


It is that time of year again.

My oldest daughter, Meagan is once again captaining a Relay for Life team and this year has recruited her sister Kaitlyn to share the captaining duties.

For those who do not know, the Relay for Life event is a 24hr walking marathon around the high school's track. At all times someone from each team has someone walking around...and around...and around...and.... More info about the event here.

Last year yours truly made it to the event and despite being extremely sleep deprived, I had a great time. This year I look forward to again walking around aimlessly- a skill I have significantly mastered over the last year!

Last year her team raised $2300.00 $2500.00* for the American Cancer Society and this year they are looking to do the same.

This is where you guys come in.

I don't ask for much on this blog, but this is a worthwhile cause; so if you can find it in your hearts to click on their team's page and make a donation, however small, I would be terribly obliged. Thanks.





*which earned the team the Bronze team title. Thanks for correcting me Meg!

Tuesday, May 5, 2009

Cinco de Hellmann's

Tody is Cinco de mayo, which is of course, Spanish for, "must do Tequila shots!"

To all my liver-exercising brethern..."Uno mas, por favor"

For those that do not know, my Pediatrics rotation has been delayed by a few weeks; so in the meanwhile ,I was able to secure a spot doing a GI elective. The GI stands for Gastro-Intestinal, if you were wondering.

So far it is a very laid-back rotation. I show up in the afternoon! (9 am actually..although it feels like the afternoon after doing Surgery) I am given a few patients to see and write consults on, I meet with the Fellow and discuss the cases, and he signs off on my consult. No muss. No fuss.

These people (if you will excuse the very obvious pun) have their shit together!

Thursday, April 30, 2009

Terrible Twos

We knew it wouldn't last forever.

I am not sure if it is her way of adjusting to her baby brother invading her well-marked space or just the age, but our little princess has officially entered the Monster stage of her development. I hope I live through it.

Over the last couple of weeks Rileigh has taken to letting us know she is "all-finished" eating by launching her plate (behind her head, or across the room, or simply tossing it over the side of her chair) and having it crash down splattering food all about the room. Joy.

We have tried several methods of dealing with this- all with less than effective results:

  • A serious look and a stern "NO" in my most intimidating "dad" voice- usually met with the "cute doe-eyed face" and the phrase "I dropped, I dropped" ( as if to blame it all on gravity) This method was modified from the previous one that consisted of me yelling an assortment of expletives- Kathy informed me that this was not going to enrich her development and may only serve to expand her vocabulary- good point.
  • A brief trial of not yelling at her, but "explaining" that it is not nice to hurl plates of food about also failed miserably. She would usually stare at us intently and nod her head in complete agreement and say, "I know". Still the plates flew.
  • Even a little spank on the offending hand was only met with a pitiful confused look and continued aerodynamic testing of our dinner wear.
  • My lovely wife even advocated a trial of "ignoring" the dish as it flew past. This plan never got off the ground- the other day Kathy was in the middle of trying to calm down a screaming Dylan while Rileigh was having lunch. I was in the back room reading , when I heard my wife yell in frustration.
Lately we have decided to be more pro-active and employ what I call the "microwave popcorn" approach. This consists of being vigilant during meals and snatching the plate from her whenever the popping eating slows down and there is more than several seconds between bites and she gets that "I'm finished" look in her eyes. So far it has worked pretty well. Until tonight.

Apparently we had let our guard slip down just enough and.... oh look, it's raining rice, corn, peas, and chicken cutlet!



I went back to my stern-face-"NO"-routine and put her in her crib for a brief "time-out". She has recently learned to say, "I'm sorry" and after a few minutes I got her out. I was about to clean up the mess when she walked over and looked down at her handiwork and employed her latest tactic:

Plead ignorance, blame it on someone else, and when all else fails, dazzle them with cuteness.



Tuesday, April 28, 2009

A Beautiful Tuesday

Today I forced myself to take a break from some incredibly painful phone calls (trying to straighten out some student loan issues) and go for a walk to the playground with Kathy Rileigh and Dylan. The weather has been exceptionally gorgeous lately and it felt great to get outside.

Some pictures from today:

Rileigh taking a break during our walk to hop up on a bench and demand, "Cheeeeeese", which is of course Rileigh for "Father, would you please take a photo of me"



Such a ham!




Rileigh enjoying the swings:






Meanwhile Dylan napped:


Free Hugs...Almost

Came across this video and it made me giggle... a lot.



Friday, April 24, 2009

Kinkos, Eat Your Heart Out!

Today was the last day of my surgery rotation!

At the hospital today we had to "sign-out", a process that involved an oral exam with one of the attending physicians, a review of our case logs, a card where we had the procedures that we performed signed-off and turning in our pagers, keys, evaluation forms etc.

Several of us had our oral exam yesterday and it wasn't as bad as we had heard. Anyway, a few students and I were in the library where I was completing my patient logs (a requirement for school) when fellow student and friend Jersey Pete walked in.

Me: Hey Pete

JP: What are you doing? Oh, patient logs huh.

Me: Do you need any blank ones or are you finished?

JP: Nah, I'm gonna print mine out- I did them in Excel.

Now, for those of you who don't know Jersey Pete: this last sentence was the mental equivalent of hearing Snoop Dogg covering a Puccini aria! Whiskey Tango Foxtrot indeed!

He walked away and headed toward the back of the library toward the printers.

JP is not exactly what I would call, the most" tech-savy" guy I know. As a matter of fact, he was notorious for only checking his email account once a semester or so. Rumor had it that it took his computer that long to log in. And recently when I was at his apartment his "laptop" was the computing equivalent of a rust-eaten 1974 Ford Maverick. He asked me to take a look at it because in his words it was "running a little slow". While the full extent of his computer problems probably deserve their own post, suffice it to say that I half expected to open up the case and find either a small Asian boy with an abacus or a gerbil furiously running on an excercise wheel about to give up the ghost.

Anyway, after a few minutes, Pete returned form the printer area and sat down next to us- but it was no longer the same friend I had met 3 years ago. He was somehow...different- the flicker of light that lived behind his eyes had dimmed ever so slightly- but noticably. He was no longer "good old Jersey Pete".

The pressures of medical school it seems has claimned another victim. Some people turn to violence as in the alleged "CraigsList Killer" and others are so radically transformed that they are barely recognizable as the people they once were. Allow me to explain...

When Pete came back from the printer he wasn't carrying a standard stack of 8x11 printed pages, no this was something alltogther different. When he sat down what he placed on the desk in front of him was thing that Legends are made of. It was a binder, nay , a bound masterpiece that any OCD patient would be proud to call his own. Pete had somehow printed and compiled not only his Patient log, but his Surgery Case Log, his Patient Case Write-Ups, and a List of ALL the cases that were discussed during our "morning report", the hospital's version of grand rounds. Not only this- but each section was separated with neon-brightly colored tabbed dividers and he EVEN INCLUDED A TABLE OF BLOODY CONTENTS on the first page!!! But my meager descriptions fail to do this epic tome justice; so allow me to present:

The Jersey Pete Complete Surgery Rotation Compendium and Reference Manual Vol 1
(Click on the pictures to enlarge)

(drum roll..........)



Notice the glossy polyvinyl cover, and that personal touch of orange highlighter on the spine!



No longer do you have to aimlessly flip pages (all 30 of them) to find what you need! This semi-automatic Table of Contents will guide you there in a jiffy!



Is that 100% Naugahyde© ?



It certainly makes a handsome addition to any bookshelf. A treasure to be cherished for generations!

My fellow students were excited beyond words to be photographed with this Masterpiece:






The Creator and his MASTERPIECE:



Now, to fully understand the transformation that this represents, consider the following facts:

  • For 11 of the last 12 weeks, Jersey Pete's lab coat has resembled a Jackson Pollack masterpiece of stains. I often joked- that to find out what the cafeteria has for lunch, I just look at JP's coat. He has had a series of coffee stains so absolutely prominent I thought he would be mistaken for a Holstein cow. The man walked around with a soy sauce stain in the shape of Africa on his sleeve for 3 weeks! I bet that one could culture his lab coat and produce a whole new species of life never before encountered on this planet.
  • One morning Pete showed up to rounds late, and without pants- well, to be fair- without SCRUB pants. He decided to "borrow" a pair of white Tyvek pants from someone in the maintenance department and walked around proudly all day in his (see-through) white disposable pants.
  • At any given time during our rotation Pete had the equivalent of the entire New York Metropolitan Area Phone Book jammed, stuffed, folded, wedged, and hidden in his various pockets. Every time he tried to pull something out of a pocket, the ensuing eruption resembled a bulimic Pica patient who had been locked in a paper factory.
  • Through no fault of his own, for the last month, JP has been living in an apartment with no electricity. An ongoing dispute with his landlord and the electric company has left our poor hero, literally, in the dark. Despite several offers by yours truly to come stay with us, he has been living by candlelight- which makes the above book even more impressive!
Please, don't get me wrong... Pete is an incredibly bright and knowledgeable guy who I would feel safe having treat my family, but to say that a color-coded, Table-of Context-ed, neatly printed and bound complete collection of all pertinent data is a tad "out of character" would be quite the understatement.

Clearly, his were balls that needed to be broken.

Mission accomplished!

Tuesday, April 21, 2009

A Flicker of Light at the End of the Tunnel

Last night was my last on-call night during my Surgery rotation, and , unless the shiny happy people of Pediatrics have some sinister side I do not yet know about, it is the last on-call of medical school!

Looking back, Surgery has been one of my favorite rotations so far. The hours were "less than ideal" but I felt like I really learned a lot and enjoyed myself during most of it!

Up next is Pediatrics and then a series of shorter 4 week elective rotations if scheduling goes well I should be finished all of my rotations by January/ February and will graduate in April!

Loaded Web

Blog Directory for USA