May 05, 2011
re-emergence
sorry for the hiatus (both of you that look at this - especially since one is my wife)
have been distracted with my oral boards this month and kind of wrote this off for a while.
back in the saddle now. working on a new post. radio silence ended for now
have been distracted with my oral boards this month and kind of wrote this off for a while.
back in the saddle now. working on a new post. radio silence ended for now
April 01, 2011
March 25, 2011
bit of a blurt
sorry for a long delay. had a few strange instances in life right now that have taken some precedence, but back to some blogging for catharsis
caution - this one's a little more serious
so a few weeks ago i had a bit of a blurt. if you've followed this much, you've seen we're still in the church shopping mode still - although we've been here 7 months now. hard to think we still having difficulty getting the right fit. we'll we were trying a community church for the 3rd sunday in a row. its a little more charasmatic than we're used to growing up. usually powerful worship and reasonable speaking. i'm very open that i'm a little over critical about churches but i feel like i need to be if this is going to be a major influence stream on my family and I.
even the beginning was a little rocky as we dropped our 2yr old off. 14 kids - one 18 yr old teacher - oh and she had a 12 yr old helping her. i kinda had vision of a lord of the flies scene on our return which was pretty close.
things started with kinda some of the usual - the early "shake your neighbor's hand and meet somebody" that usually equals a good morning and a quick turn away. its quick. you don't know if they have coffee breath - thankfully they didn't smell yours. not for the timid and shy in the crowd - but a nice segway for a play on interaction amongst parishoners. worship was long and a little forced for meaning. and then during the sermon it happened. the "founding pastor" of the church spoke and said something that was not in alignment with scripture - and both my wife and i completely out of character blurted out "that's not true"
whoa moment. i'm not super confrontational - and my wife is definately not - the Spirit was leading. God spoke - even through us - lost sheep in a endless church hunt. it was evident our trial here was finished.
have you had one of those moments? when God spurts out of your mouth before you even thought about it. when he bellows from tainted depths? makes me a little nervous to walk into a church i don't know a bit about beforehand. the hunt continues - but we're for real narrowed to 2.
caution - this one's a little more serious
so a few weeks ago i had a bit of a blurt. if you've followed this much, you've seen we're still in the church shopping mode still - although we've been here 7 months now. hard to think we still having difficulty getting the right fit. we'll we were trying a community church for the 3rd sunday in a row. its a little more charasmatic than we're used to growing up. usually powerful worship and reasonable speaking. i'm very open that i'm a little over critical about churches but i feel like i need to be if this is going to be a major influence stream on my family and I.
even the beginning was a little rocky as we dropped our 2yr old off. 14 kids - one 18 yr old teacher - oh and she had a 12 yr old helping her. i kinda had vision of a lord of the flies scene on our return which was pretty close.
things started with kinda some of the usual - the early "shake your neighbor's hand and meet somebody" that usually equals a good morning and a quick turn away. its quick. you don't know if they have coffee breath - thankfully they didn't smell yours. not for the timid and shy in the crowd - but a nice segway for a play on interaction amongst parishoners. worship was long and a little forced for meaning. and then during the sermon it happened. the "founding pastor" of the church spoke and said something that was not in alignment with scripture - and both my wife and i completely out of character blurted out "that's not true"
whoa moment. i'm not super confrontational - and my wife is definately not - the Spirit was leading. God spoke - even through us - lost sheep in a endless church hunt. it was evident our trial here was finished.
have you had one of those moments? when God spurts out of your mouth before you even thought about it. when he bellows from tainted depths? makes me a little nervous to walk into a church i don't know a bit about beforehand. the hunt continues - but we're for real narrowed to 2.
March 14, 2011
toon
there are only so many ways to say i'm sorry.
sorry about the hiatus. had a stange few days. got a few cooking in the hopper.
March 04, 2011
March 03, 2011
ED senses...part 2
***so continuing my disclaimer about this series - likely slightly graphic and descriptive
hide yo children, hide yo wife...
3. smell - there's a lot of smells in the ED as you can imagine. homeless people, stinky feet, stinky "other parts" one distinctive smell is an infected wound - especially if its infected with a particular bug called pseudomonas - one look and one whiff and your on your way to an antibiotic cocktail and a bed upstairs. it has this unique quality.
then there's C. diff - its this awesome watery diarrhea from overgrowth of bacteria in your colon - it got one of those pungent distinctive rank to it. the kind where the vomit just gets to the back of your throat. i must say, i've proudly never actually puked in a patient's room in the ED. I've come really close before once when i was doing a rectal exam and got such an explosive whiff and a little bit of results that it nearly had me chunkin in the corner. thankfully some composure and plenty of laughs outside the room - whew, close call. that's not saying i haven't puked at work. one time back when i was a surgery intern i once puked 3 times in a patient's room while i was trying to examine her. even she told me to go home - too bad that wasn't really allowed.
there's one more distinctive odor worth mentioning - the infamous foul pelvic exam - usually BV's the culprit - this is where you merely have to walk in the room to do the pelvic without actually having to do it to know what's going on. In medical school they teach something called the "whiff test" where you are supposed to smell the vaginal discharge - if it smells "fishy" then you've got a ringer - no need to send it to the lab. nice and gross - i don't usually take it to my nose and whiff - the view and waft is usually all you need.
4. touch - this could be so many things - i'll probably keep it simple though.
some are simple joys - like when you feel a strong pulse of the patient's own heartbeat after some CPR - those are good. even if they only last for a little while. the indistinguishable clunk of a shoulder or hip reduction after its been dislocated from its socket. most are not so good. the opposite feel of no pulse in a cold leg, the cold clammy skin of patient dying of sepsis (bacterial overgrowth in the blood), the numerous amount of times a day i have to give a rectal to feel a prostate or check for blood (neither participant likes that part - despite what you think) - amazing i can go to so much school and i still get to stick my finger in places where the sun doesn't shine (most of the time)
5. taste - i can't say i taste much of anything in the ED - did you know in the old days they used to sip patient's urine to see if it tasted sweet and they were spilling glucose (sugar) out in their urine. awesome - thank goodness for the lab. not sure i'd see many patients if that was part of my repetoire
i'm starting to sense a theme....
hide yo children, hide yo wife...
3. smell - there's a lot of smells in the ED as you can imagine. homeless people, stinky feet, stinky "other parts" one distinctive smell is an infected wound - especially if its infected with a particular bug called pseudomonas - one look and one whiff and your on your way to an antibiotic cocktail and a bed upstairs. it has this unique quality.
then there's C. diff - its this awesome watery diarrhea from overgrowth of bacteria in your colon - it got one of those pungent distinctive rank to it. the kind where the vomit just gets to the back of your throat. i must say, i've proudly never actually puked in a patient's room in the ED. I've come really close before once when i was doing a rectal exam and got such an explosive whiff and a little bit of results that it nearly had me chunkin in the corner. thankfully some composure and plenty of laughs outside the room - whew, close call. that's not saying i haven't puked at work. one time back when i was a surgery intern i once puked 3 times in a patient's room while i was trying to examine her. even she told me to go home - too bad that wasn't really allowed.
there's one more distinctive odor worth mentioning - the infamous foul pelvic exam - usually BV's the culprit - this is where you merely have to walk in the room to do the pelvic without actually having to do it to know what's going on. In medical school they teach something called the "whiff test" where you are supposed to smell the vaginal discharge - if it smells "fishy" then you've got a ringer - no need to send it to the lab. nice and gross - i don't usually take it to my nose and whiff - the view and waft is usually all you need.
4. touch - this could be so many things - i'll probably keep it simple though.
some are simple joys - like when you feel a strong pulse of the patient's own heartbeat after some CPR - those are good. even if they only last for a little while. the indistinguishable clunk of a shoulder or hip reduction after its been dislocated from its socket. most are not so good. the opposite feel of no pulse in a cold leg, the cold clammy skin of patient dying of sepsis (bacterial overgrowth in the blood), the numerous amount of times a day i have to give a rectal to feel a prostate or check for blood (neither participant likes that part - despite what you think) - amazing i can go to so much school and i still get to stick my finger in places where the sun doesn't shine (most of the time)
5. taste - i can't say i taste much of anything in the ED - did you know in the old days they used to sip patient's urine to see if it tasted sweet and they were spilling glucose (sugar) out in their urine. awesome - thank goodness for the lab. not sure i'd see many patients if that was part of my repetoire
i'm starting to sense a theme....
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