Sunday, November 29, 2009

A LONG LETTER TO NOVEMBER

Dear November 2009,

I am writing this farewell letter as a way to bring closure and wish you well during your departure. I hope that you don’t mind my frankness, but now that we’ve become close acquaintances, I have to let you in on a little secret: I was ready for you to leave well before you were willing.

I hope that this revelation receives a soft acknowledgement instead of seeming like an unprovoked verbal brick to the face, but I think we both knew that our time together wasn’t exactly koombaya around the campfire. Let’s face it: you spent the whole month on a climactic mood swing, fluctuating between warm and cool temperatures (and it seems you are still trying to find your niche), while I was trying to come to terms with my own feelings about being in Enid, Oklahoma. I realized early-on that I was experiencing prolonged flare-ups of (gasp!) negative feelings, something that I usually try to internalize and take care of at onset. I guess it was a mood-swingy month for both of us.

In all reality, the feelings started brewing at the end of October. After being away from home all month, the prospect of being away yet another month wasn’t at the top of my list; however, I was still excited to be going to a new place where I would meet new people and have new experiences. I think the full force of the feelings came out once I discovered that a) there was no internet access where I lived, and b) my working days were 11+ hours long with a 30 minute lunch break on a good day. I started out using my available lunch break to find free internet so that I could blog or check my email; however, I soon found that this was proving to be a significant stressor, and so I used the allotted time in the manner for which it was originally intended: to enjoy a midday meal.

This letter is taking on quite an overall negative tone itself, isn’t it?!?! I want to reassure you that our time together was not completely unfavorable. To make up for it, I’ll share some of the more interesting and positive aspects of our journey.

My first day at the clinic was a very interesting one, to say the least. My preceptor – I’ll call him Dr. Z –made it very clear that the medical student who was my predecessor left quite an impression. I discovered this via a letter that was written and taped to Dr. Z’s office door. (I learned later that this letter was, in fact, a chapter of a book that that he was writing to his daughters.) It chronicled the subject matter of various conversations of the previous month and was a small window to the obvious man crush that had developed. In addition to hearing my predecessor’s name a few times each day (Marsha, Marsha, Marsha!), I would learn very quickly that Dr. Z liked to philosophize and debate the unknowns of life. In those early days, he once randomly shouted, “Why do the mysteries of life envelop me?!?!?” The man was truly burdened.

Something else caught my eye in those first few days at the clinic. Without going into too much detail, let me just say that there is this man that is an icon in the osteopathic realm, and, oddly enough, Dr. Z resembled this man. (goatee and all) Hopefully this isn’t too vague (I’m trying to avoid my post turning up in future searches of this man’s name), but there is this classic picture of this man holding a femur that any osteopathic student would recognize. It looks like this:

Dr. Z has this classic picture in his office. After looking more closely, however, I realized that it wasn’t a duplicate of the original but instead a picture of Dr. Z portraying himself in this iconic pose! My immediate thought when combining this discovery with his open exclamations: This guy takes himself a little too seriously!!!

Fortunately, my first impression of Dr. Z was not entirely accurate, and he laughed when I later shared this early impression with him. As the days progressed, Marsha was mentioned less frequently, and Dr. Z became increasingly light-hearted. I transformed from a quiet observer to a chatty and interactive student, prompting Dr. Z to repeatedly tell me, “I liked you better when you were quiet!” (At the risk of sounding dense, I never took the bait to fully enter one of his philosophical discussions. I haven’t quite figured out at this point if this qualifies as apathy or diplomacy.) Nonetheless, I think that I would be doing Dr. Z an injustice if I didn’t mention that he was truly the most genuine physician that I have ever met. He spent more one-on-one time with his patients than any physician I have rotated with thus far, and he even made a daily effort to call each one of his patients to discuss their lab results. He also ended many of his patient encounters with a solemn, “May it be well that you live long and prosper!” I aspire to have the same sincerity in my future practice, but I think I'll let him keep the catchphrase.

I cannot write this letter without mention of Troy and Marcia (not to be confused with my earlier reference!), one of the kindest and warmest couples I’ve ever met. They welcomed me into their home when the student housing was full, exclaiming, “If you don’t make yourself at home, it’s your own fault!” the entire time. And so I did, using their dishes for breakfast in the mornings, their towels when I forgot mine the second week of the rotation, and their washer and dryer when I forgot my work clothes on my last day there. (In fact, I ended up wearing the OSU t-shirt that I slept in the night before to work on my last day-- it was either that or a Cozumel t-shirt since I decidedly was not going to buy a new one. ) I am grateful for their hospitality, and for introducing me to La Fiesta, a Mexican restaurant with the best frozen strawberry margarita I’ve ever had. (By the way, the goat mentioned in a previous post is named is Bo-Jo, not Bo-Jack. Oops!)

Well, November 2009, I think that I am going to end this letter/novel on this final note, wishing you all of the best in your future endeavors. I hope that you find clarity in discerning whether you are meant to be a fall or a winter month, but I suspect that perhaps you are supposed to be a little bit of both. Those with seasonal allergies will forever curse you, but those who are not yet ready to lose the colorful and calm fall to a cold and frigid winter will forever embrace you. Ironically, I happen to fall into both of those categories.

May it be well that you live long and prosper, friend.

Until November 2010 –

Crystalle

Sunday, November 15, 2009

A WARM RECIPE FOR A COLD DAY

Before I return to the dark place of long workdays and no internet access , I thought I would share a recipe that is a favorite in the Evans' household.

This isn't the healthiest of soup, but it is oh-so-good! If you are going to go out to eat it, why not at home?

Broccoli Cheese Soup

Ingredients:
-- 1/2 cup butter
-- 1 onion, chopped
-- 1 (16 ounce) package frozen chopped broccoli (I use 2 packages because I love broccoli!)
-- 4 (14.5 ounce) cans chicken broth (I use Knorr's veggie broth cubes to make a vegetable broth)
-- 1 (1 pound) loaf processed cheese food, cubed
-- 2 cups milk
-- 1 tablespoon garlic powder
-- 2/3 cup cornstarch
-- 1 cup water

Instructions:
1. In a stockpot, melt butter over medium heat. Cook onion in butter until softened. Stir in broccoli, and cover with broth. Simmer until broccoli is tender, 10 to 15 minutes. (I simmer a bit longer until the broccoli is tender and mash the broccoli into smaller pieces)
2. Reduce heat, and stir in cheese cubes until melted. Mix in milk and garlic powder.
3. In a small bowl, stir cornstarch into water until dissolved. Stir into soup; cook, stirring frequently, until thick.

And, last but not least, serve with a fresh salad (spinach, apples, pecans, and feta tossed in a light balsamic viniagrette is one of my favorites!), and some delicious, crispy bread.

WHEN I GROW UP...

I think that I’ve reached my threshold this month. I say this because I am experiencing a feeling that flares up each time I think of having to stay yet another week away from home. Sadness mixed with a little dread, maybe?

I am not enjoying this month’s rotation as much as I have previous months. Being away from home for the second month in a row is a definite contributor, but I suspect that the environment is playing a larger role in my discontentment. And by environment, I mean the Family Practice clinic at which I am working/learning.

Until recently, I was heavily considering the avenue of Family Practice. However, after experiencing three months of this specialty at various locations, I am finding that it is not enough to keep me excited about the job. In short – and I realize that this revelation could be self-incriminating (especially if I do end up in Family Practice. Ha!) – I think that it is boring.

This realization started to sneak up on me during my Pediatrics rotation, particularly while working in the clinic, and I definitely felt twinges last month. You see, in these clinical settings, a lot of things that are seen are very repetitious. In Pediatrics, my clinical experience could be summarized by an onslaught of upper respiratory infections and well-child checks. (Stop @&#!! smoking around your children!!!!) And I think I could summarize my Family Practice experiences as such: medication refills and (most of the time, futile) counseling about diabetes management, diet, and exercise to grossly overweight individuals who think that walking to their car qualifies as a cardio. I find it monotonous and can finally acknowledge that, if I want to maintain my sanity, I am going to have to see what else is out there.

And so this leads me to further assess what I do/do not like doing.

I like to suture. A lot.

I enjoy performing minor procedures. (The few I have done, at least.)

I have mixed feelings about OB/GYN, but I’m pretty sure that the negative feelings override the positive ones. Beautiful, OMG-inducing, and a surefire advertisement (for me, at least) to eat birth control pills like candy.

I'm thinking that I am going to have to go on a date with Emergency Medicine.

Sunday, November 8, 2009

A GOOD FALL WEEKEND

I feel like the gap between my last time-invested blog is so big that I don't even know where to begin.

Since my weekdays are spent working and staying in an unfamiliar, pseudo-comfortable place, my entire weekends have been spent at home with Jerm and the dogs. I have found that I am highly attached to the comfort that accompanies doing nothing in particular at home, even though it makes for some boring blog material. : )

A few pictorial/editorial updates:

Jerm and I attended a Halloween party on a last-minute whim. I bought a six-dollar wig and butchered it so I would have shorter hair, bangs, and some extra hair for that lovely piece of art on top of my head. Can you guess who we are?



Lady Gaga and the paparazzi! Jerm had a camera and some sweet sunglasses as a part of his ensemble but, unfortunately, was not wearing them in this picture.

On Halloween evening, we handed out candy to the cutely dressed neighbor kids and watched the OSU game. This was an opportunity for burgers, potato salad, baked beans, home-made guacamole and salsa, and chips. Every once in a while, I crave these type of lake/potluck/tailgating foods, and this instance did not disappoint. Kristen and I tried our hand at making instant pies with pecan sandie crusts, but let's just say that those recipes (granted, we kind of "winged" it) have found their eternal resting place somewhere other than my kitchen. So much for trying to save calories! Anyone got a good tried-and-true french silk pie recipe that they want to share?

A weekend favorite: taking the canine children out for a leisurely car ride. The weather has been amazing, and the girls LOVE to ride in the car. We also like to take advantage of Sonic's happy hour. Gotta love those half-price drinks!


Are you snoring yet?

I know these menial details of my life don't make for a very interesting blog, but they are all I can conjure up in the few minutes that I have. My mid-week evenings this month will be spent working late, and, with limited internet access, I simply just run out of time.

So, with that being said.....

Until next time!

Thursday, November 5, 2009

(SHORT) LUNCH TIME BLOG

I've discovered that my lunch breaks are inconsistent. Yesterday, I didn't get to leave for lunch. (Because we were running behind, which is a fairly common occurrence; my preceptor likes to talk to his patients for extended periods of time) Today, I have thirty minutes, fifteen of which I've wasted doing internet errands. (Okay, okay...and looking at Facebook!)

I work from 9am to a little after 8pm during the week, which is leaving me very little time for anything other than "working". Tuesday, I visited the local YMCA and signed up for a free membership courtesy of the residency program here in town. Last night, I went running after work and then to Wal-Mart to pick up a few items.

And now I have to go back to the clinic to work. : (

Tuesday, November 3, 2009

WHY I'VE BEEN M.I.A.

Hi, friends!

Well, I have no excuse for not blogging all last week and this weekend. I do have pictures that I intended to post sometime this week, however, I've arrived at my next rotation only to find out that the lovely couple with whom I am staying do not have internet. Actually, they have dial-up, but I believe that that these words were spoken about its efficiency: "I could run from here to Dallas before that thing ever got you hooked up to the internet, and you see how fat I am."

I arrived here in Enid for short orientation and then met my host family. Their names are Troy and Marcia, and they live about 6 miles or so outside of town on a plot of land that resembles a farm. (They have a horse, lots of outside cats, four outside dogs, and a goat named Bo-Jack.) A classmate is staying at their house as well, and they gave us a tour around town last night and ended up taking us out to dinner. It was a nice evening.

Right now I am at one of the local hospitals for lunch, and, fortunately, they have wireless internet so I could jump online real quick to say hi.

So this is all I have time to type for now. Until next time...whenever that may be!