Saturday, September 30, 2006

saturday night lights

Joe's watching college football. His favorite team, the Ohio State Buckeyes, is (are?) playing. He loves the football. And I, I do not love the football. I know some people endorse the act of feigning interest in your partner's sports obsession in order to, I don't know, strengthen the relationship or whatever, but I've already used up all my fake interest on my patients. (Ha! I kid! It's real interest! I mean, mostly.)


JOE
I have to watch this game, hon. It's the biggest game of the season.

MICHELLE
That's what you said about that other game a couple of weeks ago.

JOE
Well, this is a big game too.

MICHELLE
There are no small games. Only small players.

JOE
They're playing Iowa! It's the battle of the four-letter vowel states! It's important!

MICHELLE
What is a "Buck Eye" anyway? Some kind of a deer?

JOE
It's a tree.

MICHELLE
A tree? Your team is named after a tree? That's not very intimidating.

JOE
But they have a strong defensive line. Like a row of trees.

MICHELLE
But shouldn't a sports team have a really intimidating, aggressive mascot? Forget the tree, they should be called the Ohio State...uh...Monsters.

JOE
Good idea.

MICHELLE
What's the Idaho team's mascot?

JOE
Iowa.

MICHELLE
Idaho and Iowa are different states now? They should just stop being so confusing and just merge.

JOE
They're not even next to each other.

MICHELLE
Idahowa.

JOE
Ooh, the game's starting.

MICHELLE
And then they should merge with Ohio.

JOE
Shh, game's starting!

MICHELLE
Ohidahowa.

JOE
The Hawk Eyes.

MICHELLE
What?

JOE
That's the name of the Iowa team.

MICHELLE
Are you for real? The Hawk Eyes versus the Buck Eyes?

JOE
Yes.

MICHELLE
Someone should be the Bug Eyes. That would be more scary.

JOE
Shit, I'm getting paged! I can't believe I'm getting paged during the game!

MICHELLE
If we end up moving to Columbus, are you going to force us to go to these games? And if we do, can I get a nacho hat?


Currently reading: "Bad Blood: The Tuskegee Syphilis Experiment." From a medical ethics class I took in college. Not exactly entertaining, but interesting.

Wednesday, September 27, 2006

oh the pain

The worst thing about being on the pain service is the pager. That pager! Oh, the noise it makes! I hate, hate, hate carrying a pager. Since I switched to Anesthesia, I got fairly used to not getting paged very often (people know which OR I'm in and can always find me there), and invariably the pages I do usually get are of the non-urgent variety, like Pharmacy reminding me to turn in some paperwork, or headhunters asking DR AU, HAVE YOU CONSIDERED RELOCATING TO THE PACIFIC NORTHWEST FOR A LUCRATIVE PRIVATE PRACTICE OPPORTUNITY? But now I'm on the pain mangement consult service, and as such, I have to carry this squealing pager around on my hip all day. And that's, well, painful.

Still more painful is stuff like this:


PAGER
I must beep annoyingly!
(Beep beep beep)

INTERN
Hi, is this Pain?

MICHELLE
Yup. What's up?

INTERN
We have this patient? Who had surgery? And now she has pain? And she's written for a PCA but she still has pain?

MICHELLE
Is she pushing the button on her PCA?

INTERN
(Silence)

MICHELLE
Is she?

INTERN
Um...

MICHELLE
Why don't you go check.

INTERN
(Footsteps)

MICHELLE
...

INTERN
(Returning)
She said she didn't know she could push the button.

MICHELLE
Well, there you go. Explain to her how the PCA works.

INTERN
Oh, OK.

MICHELLE
Heed my advice, for I am a pain expert.


Or how about this one?


PAGER
I am very loud and insistant!
(Beep beep beep)

INTERN
We need you to pull this patient's epidural catheter!

MICHELLE
Sure, I'll swing by and see him in a bit.

(Five minutes later)

PAGER
I seek to make your life a living hell!
(Beep beep beep)

OTHER INTERN
We need you to pull this patient's epidural catheter!

MICHELLE
Yes, your colleague already called, I'm on my way to see the patient now.

(Five minutes later)

MICHELLE
(To patient)
Hi Mr. Old Guy, I'm here to take out your epidural.

OLD GUY
Epidural? I don't have an epidural!

MICHELLE
The tube in your back.

OLD GUY
I don't have a damn tube in my back!

MICHELLE
Oh, ha ha, you are so cute and old and belligerent, and possibly demented. Let me help you sit up so I can pull your cathether.

(Patient sits up, revealing a pristine back, with no epidural)

OLD GUY
I told you girlie, I don't have a tube in my back!

MICHELLE
Ah so.

PAGER
I am one of the four pagers of the apocalypse!
(Beep beep beep)

INTERN
So did you pull the epidural on that patient yet?

MICHELLE
You die now.


Things that would help:
1.) Surgical residents talking to their patients
2.) Surgical residents examining their patients
3.) Maybe if my pager exploded


* * *


Oh, we found the shoes! Strangest thing, our nanny found them in the stroller. But I swear I looked in the stroller already during my search and rescue efforts. How could they have not been there and then reappeared? Clearly the shoes are haunted.


Currently eating: A toasted plain bagel with peanut butter and jelly. I get this almost every morning. You'd think it would be cool to get the same thing every day from the same bagel place, because I could just say "I'll have the usual" and it would be very Cheers, but every time I order, I get this knotted-brow look from the bagel guy as though he's never seen me before, let alone ever heard of anyone eating peanut butter and jelly on a bagel.

Sunday, September 24, 2006

transamerica

So those new shoes we got Cal last weekend? Gone! Missing! Come back, shoes! One second Cal was playing with them (Now hear this! Babies like playing with shoes! Dirty dirty shoes!) and the next second they were LOST. I figured he just left them somewhere so I checked all his usual hiding spots (dresser drawers, garbage can, stuffed into the air conditioner) but they seem to have vanished into thin air. Then, just for good measure, I combed through Cooper's Corner for signs of foul play, just to make sure she didn't bury them or eat them or something. No dice. I'm sure they'll turn up a few months from now, all dusty and too-small useless, and we will then unceremoniously toss them into some box of outgrown things, perhaps never to be seen again. Shoes, we barely knew ye!


* * *


So Joe is applying for a fellowship in oculoplastics. Which is a field that I never even knew existed until he decided to apply for said fellowships. I am going to be married to a plastic surgeon. How very Dr. 90210.

The thing with this fellowship is that it's very competitive. I think there's only, like, a dozen spots available each year, and that's across the entire country. From California, to the New York island. From the redwood forest to the gulfstream wa-aa-ters. This land, was made for you and me!

We already agreed that Joe will be taking a year off before fellowship. There are a couple of simple reasons for this. One is that he is finishing residency this June, one year before me, and if we're going to move to a whole other state, we need to be able to move together. You know, because of the marriage and everything. The second reason is that I have decided that after this year, we are never, ever to both simultaneously be in any form of medical training. Because it sucks too much. All this call stacking and call swapping and stressing about who's going to be able to get out of the hospital in time to relieve the nanny is MADNESS, MADNESS, I SAY, and I will not willingly do it again after this year. So next year Joe's going to get some sort of patchwork attending job (mercenary ophthalmologist for hire, perhaps) while I finish up my indentured servitude, and then we will be able to cast off somewhere together, if need be. If I decide to do a fellowship, I will do one after Joe finishes his. But no more training at the same time. Ever.

So Joe's applying for a fellowship to start July 2008, but even though that's, like, two years away, the application cycle starts now. So he's running around getting letters of recommendation and writing personal statements and forcing me to take pictures of him standing in front of various blank walls to include with his application. It's all very enervating to watch. And what's even more enervating is the idea of having to actually move. There is an oculoplastics fellowship position available in New York, but...that's one spot. So statistics-wise, we probably shouldn't assume that we are staying in the city. And here's where I start getting nervous. I looked down the list of the other cities offering positions that year, and try to think calming things, and perhaps imagine myself living there, in a "house" maybe, with a "lawn" that has "grass" on it. Here's the (partial) list.

COLUMBUS, OHIO
This could be...OK. It's near Joe's parents. (Apparently, in the Midwest, a 3-hour drive is considered "near".) It's next to a university. Joe likes their football team. It's cheaper than New York. Well, I guess anywhere is.

SALT LAKE CITY, UTAH
c
Um, family-oriented, I'm assuming? Nice scenery, I hear. Lots of...skiing? And maybe we could get in good with Jesus before the second coming.

MIAMI, FLORIDA
This could be fun. Don't people go to Miami? Like, on purpose? Multicultural flavor. Warm. Possibly disproportionately populated with geezers.

PHILADELPHIA, PENNSYLVANIA
Ooh, I've been there! When I was a kid, there was an exhibit at the Franklin Museum where you could walk through this giant model of the human heart. Like YOU were the BLOOD. Also, I think I applied to U. Penn because of parental pressure and took a picture next to a bronze Ben Franklin sitting on a park bench.

BIRMINGHAM, ALABAMA
The only thing I know about Birmingham is vaguely related to stuff I remember about Martin Luther King Jr. from elementary school. Which is to say: very little.

CHICAGO, ILLINOIS

This is supposed to be a nice city. They have a subway and everything! And, uh, deep dish pizza? And...improv?

LOS ANGELES, CALIFORNIA

OK, if Joe ends up being a plastic surgeon in L.A., I WILL DIE.

BALTIMORE, MARYLAND

Well, we have family in Baltimore, anyway. But honestly, I don't really like the city all that much. However, on the upside--crabs!


So clearly I don't know anything about anywhere. And look, when it comes down to it, we really don't have that much say in the matter. When it comes down to it, Joe will be happy to get a spot, any spot, and with the archaic match system found only in medicine, we basically will have to go where the motherboard of the NRMP computer tells us to go. Might we match in New York? Maybe. Might we not match in New York? Maybe. So I'm preparing myself for some fairly big changes in two years.

However--possibly crabs! Or cheese steak! Or Jesus!


* * *

I'm done with my Peds rotation. Tomorrow I start my month on the Pain service. Thus realizing my manifest destiny.


Currently reading: "Don't Let The Pigeon Drive The Bus!" Heh.

Sunday, September 17, 2006

brown suede shoes

Lo, I have seen the yawning gates of hell, and it looks like Sunday morning in the children's shoe section of Harry's Shoes.

Cal's been walking for about four months now, but so far he's mainly been either barefoot or shod in these soft soled leather slippers that are all the rage these days. However, it's getting colder and wetter around here now, and let's face it, these city sidewalks have all sorts of pointy crap all over. So we decided to get him some real shoes.

Time for some fun factoids!

DID YOU KNOW that the price of children's shoes are not scaled to size? That a shoe that is one third the size of an adult shoe is inexplicably not one third of the price? And in most instances actually costs the same amount, if not more, than my own shoes?

DID YOU KNOW that going to a children's shoe store in September ranks somewhere between being trapped in the Peds ER during flu season and being incarcerated in the Ministry of Love for thoughtcrime? And that Lord of the Flies-esque bullying and intimidation will take place right under the noses of unsuspecting adults, who, while hurriedly trying to contain the carnage of scattered shoes, will turn their backs on kids beating each other up with the latest in Goretex-lined winter bootwear?

DID YOU KNOW that Morgan Freeman works at the children's shoe department of Harry's Shoes? He does! I mean, the guy looked like Morgan Freeman! And he was all calm and grandfatherly. I didn't even mind it when he pronounced my first two choices of shoe "inappropriate" as a "primary walking shoe" (I thought they were just sneakers, but I guess I was wrong) and then proceeded to give us a whole analysis about Cal's foot-type and his shoe-ing needs. I figure either there's a lot more to this whole shoe-buying thing than I initially thought (Step 1: measure foot (optional), Step 2: buy shoe) or he was totally snowing us with fancy-talk.

Either way, we bought the shoes. We got these:




Which, you know, are pretty OK-looking, and didn't make Cal fall down. I don't know that they would have been my absolute first choice, but we got them because Morgan Freeman told us to.

My first choice, by the way, were these:




I found them sitting on one of the chairs at the shoe place, and I just loved them, they were so flexible and light and they just looked cool. But I was instantly suspicious, because there were TWO shoes sitting there (you know, the matched pair) and all the other display shoes were just ONE shoe, to thwart theivery. But then I just figured maybe some kid had been trying on those shoes, decided not to get them, and then left. So I was holding the shoes, checking them out, and trying to hustle Cal into them before the salesman boxed them up and took them back to The Back Room Where The Shoes Live. But then this mom-type lady came up to me and asked me for the shoes back in this cold voice, and I realized that they were actually the shoes that her kid wore into the store. Like, from their house. In fact, the store didn't even have that model in stock--I checked, after they left. So that's why we didn't get those shoes.

But (I checked when I came home) they do sell the cool blue sneakers on Zappo's, so I could always get them for Cal next time. Morgan Freeman, child shoe expert, said that at this age, we could expect that Cal would outgrow his new shoes in about ten weeks. TEN WEEKS! Doesn't that sound fast to you? Fact or scam to sell more shoes, I cannot determine. They didn't teach me about toddler shoe fitting in my Peds residency.

Currently watching: "The Office." This show is so funny, I can't believe it's on network TV. (I downloaded it off iTunes.)