Saturday, December 27, 2008
Sunday, December 21, 2008
The other night I was working in the Pediatric ED, when I happened to glance over at the adult side. There, in room 19, was a man in his 60s wearing a t-shirt that tugged at his beer belly, red suspenders, and blue jeans. His long white hair snaked past his shoulders and he had a full scruffy beard. Both hands were bandaged with gauze and were obviously now reduced to bloody meat as blood was ominously spreading across the dressing. As it turned out, he'd stuck not one, but both hands into his snowblower.
For only a brief second, I thought about grabbing the closest screaming tot and plopping him/her down on Santa's lap. Perhaps AG and I should start with a dog...
Friday, December 19, 2008
Saturday, December 13, 2008
Tuesday, December 09, 2008
Of course I said, "Yes!"
We have talked a lot about the future over the past few months, and although we had talked about marriage, I didn't think that he was going to propose before he left because there's been just too much other stuff going on. Being a traditionalist, he made what must have been a very anxiety-provoking phone call to my father to ask for his permission.
Now I just have to get used to saying the word fiance.
Thursday, December 04, 2008
Tuesday, December 02, 2008
Tuesday, November 25, 2008
Friday, November 21, 2008
Wednesday, November 19, 2008
ARE YOU TRYING TO MAKE ME BARF?
There should not be chunks of anything at the bottom of one's coffee, particularly when they have paid over $4 for said coffee! So please, please, please lose the chunks. I would like to just order a latte and not sound like a prima donna when I ask the barista to get me a Grande-Skinny-Gingerbread-Latte-No-Whip with all of the SH!T hand-strained out of it.
Tuesday, November 18, 2008
Friday, November 14, 2008
Thursday, November 06, 2008
The other week, I had two bizarre high-heel related injuries. The first was a young woman who got clubbed in the face by a stiletto. She had a D-shaped laceration present just below her eye. A few centimeters different, and she would have been like that guy in whatever horror flick that was dies after a stiletto to the eyeball by a crazy stalker woman.
The very next night, I had a 30's male come in with an eye injury. He had a lot of bruising and swelling just under his left eyebrow. He also had some loss of his peripheral vision, and his pupils were asymmetric, and the one on the left was not quite round like it should be. Into the CT scanner he went, and there was no bleed. Ophthomology came and saw him and diagnosed him with an iris sphincter tear. As for how he injured his eye, it turned out that it happened in a strip club. Apparently, he was sitting too close to the stage, and when one of the "dancers" swung around the pole, she ended up hitting him with her heel. As you can imagine, there was a lot of chuckling about his mechanism of injury.
So maybe instead of calling them FMP's, we should call them "Don't F With Me Pumps".
Tuesday, November 04, 2008
Sunday, November 02, 2008
This past week, we went to Chicago to attend the American College of Emergency Physician's annual assembly. It is basically four days of death-by-powerpoint followed by late-night drinking/dining with one's co-workers. My program pays for each senior resident to attend because it is also a good networking opportunity for residents to look for job openings across the country. AG was also able to go with me, so he spent the days exploring Chicago and then we would meet up each evening. The last night we managed to squeeze in a date night and went to see "The Brothers Karamosov" at Looking Glass Theatre. The stage itself was pretty small, but the performance blew us away, as we usually go to local community/college theater.
Halloween ended up being pretty quiet. We passed out candy to the local trick-or-treaters, and then went to see a local production of "Dracula", which turned out to be in a church basement of all places! It didn't quite compare with the professional theater company, but it still was a fun way to spend the evening.
So, it's been a busy couple of weeks, and I am not exactly looking forward to my shift tomorrow!
Tuesday, October 14, 2008
I wouldn't want to be a salmon!
After that, it was on to Seward Peninsula via the Alaskan Railroad (which has great views, but is a REALLY slow trip, so I was glad we took the motorcoach back!). We spent a couple of days on on Fox island at a fairly secluded hotel, where we dined on salmon, kayaked on the ocean, and took advantage of their personal chef.
The next day, we went on a wildlife-viewing day cruise. Highlights included spotting some whales and watching a glacier calve.
I think this sea lion was also on vacation:
Mama and baby whale:
It was difficult to go back to work, and I still have tons of photos to sort through, but I'm glad I went, and feel like I took pretty good advantage of the time that I had in Alaska. It's such a huge state, that there's no way to cover everything in one visit, and for some of the things that I wanted to see (Northern Lights), you really have to check it out at different times of the year. August was a great time to go though, as there was still plenty of daylight and tourist season was tapering down, so a lot of places that we went weren't as crowded.
Monday, October 06, 2008
I went fishing (for the first time EVER), while I was doing a four-day village stay to do annual check-ups and medication renewals. I didn't actually catch anything, but by the end of a couple hours, I was no longer casting into the weeds. The best part of it was that on the way out to the fishing spot, we saw a lynx swim across the river and there were a couple of bald eagles that flew by.
I really wanted to get a good picture of a musk ox, but even with my larger lens, this guy turned and stared me down from about 200 yards, so I opted for a non-gored liver and a distance shot.
Ready-to-pick fresh blueberries.
As for the actual month of medicine, I delivered three babies (ok, one of them popped out before I could get my gloves on). It was actually a primary care/family practice rotation, so a lot of time was spent seeing people in the outpatient clinic while covering any emergencies. I did do several flight transports, including one harrowing one where the patient was in hypovolemic shock, and we had no blood products with us, and were down to our last 500 cc of fluid on the airplane. It was nerve-wracking to just watch someone's blood pressure fall, with nothing to do but hope to get them to the hospital (and operating room) before they arrested. Another of my patients had a heart attack, but he was transferred quickly and did well.
I worked a ton of hours for those four weeks, but it was interesting to see how patient management has to be adjusted to the resources that are available. I also learned to advocate aggressively for my patients, dealing with unknown specialists over the phone to get them what they needed. It was a good month, but I don't have any intentions of returning... at least not for work.
Friday, September 19, 2008
Tuesday, September 09, 2008
Monday, September 08, 2008
72. Teachers that challenged me
73. Patients that trust me
74. Mexican hot chocolate (it's cinnamon-y!)
75. Long soaks in bubble baths
76. Foot massages
77. Post-shift bar trips
78. Long highway drives with the radio blaring
79. Running into someone I've helped in the community
80. The comics section in the newspaper
81. Learning more about other people's life experiences through blogs/comments
82. Covered parking
83. Waterproof hiking boots
84. Hours-long phone calls to de-stress with my buddy
85. That first "welcome-back" hug with a loved one
86. First-time "I Love You" and I guess the ones since then, too!
87. Starry nights and trying to find constellations
88. Campfires and s'mores
89. The way time seems to help me forget bad memories
90. My work ethic
91. My stall tactics
92. The way sumac turns impossibly-red in Fall
93. Twinkly Christmas lights
94. Memories of my grandparents
96. A future to look forward to
97. The smell of fresh-cut grass
98. My sense of humor
99. There are significantly less mosquitoes here than in Alaska
100. TO BE HOME!!!
Saturday, July 26, 2008
Thursday, July 24, 2008
Monday, July 21, 2008
I think I saw more than enough tattoos and belly flab to get me through the next year. There were a few young women who needed assistance from security getting their shirts and bikini tops back on. I gave my single guy buddy a hard time for missing out on the concert! It was entertaining just watching random shoes and water bottles flying though the air of the crowd.