Tuesday, February 5, 2008

Donna
in Hawaii has a new baby (in her belly) and bumps into
Ryan Ozawa (in that order).  I'm waiting for her
to run into B.J.Penn next.






THE UNBEARABLE HEAVINESS OF INTERESTING


"I'm three, I mean four today, appah!" my little girl runs out of her room in Hello Kitty pajamas to inform me.

"I know baby!  You're a big girl now.  I'll be back for the party," I reply before leaving for work.





To work I drive.  I park.  I trudge.  I resign mysef to the day ahead with each step.  Something inside me locks down as the hospital doors slide open. 





I'm post-call so I inform my colleagues via text pages about their new patients - the ones I got called about all fucking night long.  New ones and sick ones get seen first.  Actually, the coffee cafe gets seen first.  Life and death come after caffeine, otherwise how can you be expected to tell the difference.




I must admit I like the design of the new hospital tower.  Pastel bile and geriatric slate are a lot less depressing than crap brown and mucus beige everywhere.  Four out of five suicidal depressed patients have told me so. 





My patient list isn't a bad one.  A bald lady fighting lymphoma and another about to be diagnosed with it.  A jolly rectal bleeder.  A quiet psychotic.  A bronchitic smoker.  A drug-seeking prisoner.  A vertiginous Indian lady.  A cellulitic doctorate  with a memory span of under five minutes.  Her showdog-training control-freak patient-advocate-slash-daughter will not be missed though.  She thought I was great; I thought she was trying to train me like one of her show dogs.  Fetch this. 




When I ask one rambling old lady about her bowels, breathing, and everything in between, she just says, "It's short.  Isn't it?"

"What's short?" I finally bite.

"This is.  This life," she answers with thought.

"Yeah, that's what I hear."

The urologist's note for that day states, "Patient demented.  Frequent nonsensical tangents."





Elevators are the place for sighing and leaning.  I jump in mid-descent just to see if the laws of gravity have changed since the last time I checked.  They haven't.



"I saw your patient, Mr. Notlupus," Dr. Blackwater, the nephrologist tells me on the phone.  "His kidneys are better.  I have no idea why.  He's quite the... interesting patient."

"Yeah, too interesting," I answer.

"Ex-actly."

Interesting.  In my experience, it means answerless questions, wild goose chases, and a lot of frustration on all sides.  It's only interesting to me if 1)  there's an answer, 2) my patient gets better, and 3) in retrospect.  Otherwise it's just a chance for medical students to act even more interested and academic attendings to wax their academic poles while nothing is actually helping the patient.  Interesting is what you say when you're on the sidelines like watching war stories on TV.  Interesting is not what you call it when you're in the middle of it. 

You don't want to be the "interesting" patient.

Of course if you are, you already knew that.




Slow day.  Sometimes weekends are like that.  Snowstorms, sudden sunny days, holidays, the Superbowl.  They make people ignore their symptoms longer than usual, then they all bumrush the E.R. afterwards.



Overall, no one is worse, everyone is a little better today.  A good day. 

My work is done.  I make haste for the exit.  As any medical student knows: the longer you stay, the longer you stay. 

Stairs are quicker.  Gravity helps.
 




Happiness is coming home.

The ride home is short, but it always seems long, in context.


__________________________________________

GROUNDHOG PRINCESS DAY




I got home from work just in time for my baby girl's birthday party.  Amy had ordered an Asian Barbie cake at Meijer's (they actually had a black haired, tanned skin Barbie cake).  Maybe they thought she meant a blonde-haired Barbie with a secret  Asian-fetish or an Expatriate Barbie.  I don't know. 




There were a dozen or more people not pictured above.  But they were all married, so you shouldn't be looking anyways.  That's Sun Su and his cousin at the top sitting in my command center probably putting a railgun beam through some alien's midbrain.  Come on, with all the Hello Kitty stuff around, we need to keep a balance here.



They look innocent and cute, but in two minutes they are going to tear Barbie apart to the bone in pure sugar lust. 

My baby girl is growing up so fast.  Pretty soon she'll be old enough to do guillotine chokes and armbars on all the guys trying to get close to her.



After the party, some of my in-laws stayed to watch the Ultimate Fighting Championship.  A few people from my jiu jitsu club came over and watched too.  I didn't sneak any pictures of them because every one of them can break my arms, legs, and choke me out in six seconds: that's the Brazilian Jiu Jitsu way!  Nice guys though.

The cock-eyed guy in the picture (Tim Silvia) got CTFO (Choked The Fuck Out) later that night.  Jiu jitsu for the win!





It's kind of funny having these trained fighters, wrestlers, and grapplers, watching Ultimate Fighting while sitting on Hello Kitty rugs and baby furniture.




Long day.

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