Hawai'i day one
Mar. 20th, 2010 05:07 pmWe landed yesterday about 9:45 pm local time (aka 3:45 home time). We got our luggage and then headed to get the shuttle to take us to the car rental place. And that's when things started to go a little downhill and I got very cranky from doing too much on too little sleep (see post below for why I was seriously sleep deprived).
( cut for length )
edited to change my icon
( cut for length )
edited to change my icon
A night in the life...
Mar. 20th, 2010 04:56 pmThis is a long and probably rambling post I wrote yesterday while in the San Francisco airport waiting to get on the third and final plane for the Hawai'i trip. I was thinking about what it's like to be on call and thought I'd share. I was running on minimal sleep so I apologize now for any bad writing.
( cut for rambling )
( cut for rambling )
Medical Musings
Mar. 15th, 2010 08:14 pmSince I decided to participate in the giant non-fandom friending meme (see post below) I decided I should actually publish some content.
Not that I've been practicing pediatric anesthesia for a really long time (I only finished fellowship a this past October) but I've already started seeing certain patterns.
I've noticed what I've decided to call the "positive clothing sign". What does this mean, you may be asking. I'll enlighten you. In my hospital, the patients for same day surgery patients get admitted on a different floor than the one the OR is on. They come down to our floor immediately before their surgery. They are supposed to come down wearing two hospital gowns, hospital socks, +/- hospital pajama pants. Not all children come down in these clothes. Some come down in various states of (un)dress. I have come to realize that the level of cooperation I am going to get from a child (and the level of help their parent is likely to be) is inversely proportional to the amount of street clothing they are wearing. Generally a child who comes to the holding area in street clothes is one who could not be convinced to change upstairs. This also generally means that their parents have a difficult time controlling them.
Case in point, my single most un-cooperative, mentally normal (I exclude autistic, mentally retarted, etc patients from this rule) patient came to the holding area wearing a tee shirt, sweatpants, sweatshirt, jacket, hat, socks and child work boots. After I gave the child an oral sedative (using the plug the nose and squirt in the mouth method that I absolutely hate using), the child induced vomiting and brought up all the medicine I had just administered. I've never seen anything like it before, but I truly understood why the child needed to come to the operating room to get their teeth cleaned.
Thankfully, children with a positive clothing sign are pretty rare. And I've gotten immune to being kicked, hit, having my hair pulled, loud screaming in my ear and I'm good at dodging bites. In these children, oral midazolam is my friend (if I can get them to drink it).
Not that I've been practicing pediatric anesthesia for a really long time (I only finished fellowship a this past October) but I've already started seeing certain patterns.
I've noticed what I've decided to call the "positive clothing sign". What does this mean, you may be asking. I'll enlighten you. In my hospital, the patients for same day surgery patients get admitted on a different floor than the one the OR is on. They come down to our floor immediately before their surgery. They are supposed to come down wearing two hospital gowns, hospital socks, +/- hospital pajama pants. Not all children come down in these clothes. Some come down in various states of (un)dress. I have come to realize that the level of cooperation I am going to get from a child (and the level of help their parent is likely to be) is inversely proportional to the amount of street clothing they are wearing. Generally a child who comes to the holding area in street clothes is one who could not be convinced to change upstairs. This also generally means that their parents have a difficult time controlling them.
Case in point, my single most un-cooperative, mentally normal (I exclude autistic, mentally retarted, etc patients from this rule) patient came to the holding area wearing a tee shirt, sweatpants, sweatshirt, jacket, hat, socks and child work boots. After I gave the child an oral sedative (using the plug the nose and squirt in the mouth method that I absolutely hate using), the child induced vomiting and brought up all the medicine I had just administered. I've never seen anything like it before, but I truly understood why the child needed to come to the operating room to get their teeth cleaned.
Thankfully, children with a positive clothing sign are pretty rare. And I've gotten immune to being kicked, hit, having my hair pulled, loud screaming in my ear and I'm good at dodging bites. In these children, oral midazolam is my friend (if I can get them to drink it).
All right all of my mommy friends I need some advice. I'm trying to wean A from the bottle. She'll drink water and juice from a sippy cup as well as a cup with a straw, but when I put milk in the sippy she won't drink it. Today at lunch I put her milk in the sippy, she took one sip and put it down. She ate all her lunch and then just sat there. No crying or anything, but she wasn't drinking. So I put the milk in her bottle and she downed it.
Whenever I put milk in a sippy cup (or if we're in a restaurant and the put it in a cup with a lid and straw) she take one sip and looks very confused. And then just refuses to drink it.
Any suggestions/advice would be appreciated.
Whenever I put milk in a sippy cup (or if we're in a restaurant and the put it in a cup with a lid and straw) she take one sip and looks very confused. And then just refuses to drink it.
Any suggestions/advice would be appreciated.
Holiday Movie Quote
Dec. 6th, 2009 09:41 pmWe've all done this before - I quote a movie, you name the source. This time with a holiday theme.
1. "Well Marie, once again my dear, you were as right as rain. I am, with out a doubt, the biggest pain in the butt that ever came down the pike. I meet someone who's company I really enjoy, and what do I do? I go overboard. I smother the poor soul. I cause him more trouble than he has a right to. God, I got a big mouth. When am I ever gonna wake up? I wish you were here with me right now. But... I guess that's not gonna happen. Not now, anyway. " - "Planes Trains and Automobiles" guessed by![[profile]](https://www.dreamwidth.org/img/silk/identity/user.png)
karelia
2. " Our Father, who art in Heaven, hallowed be Thy Name. And forgive my husband. He knows not what he does. " - National Lampoon's Christmas Vacation - guessed bycaity
3. " Seeing isn't believing. Believing is seeing" - The Santa Clause guessed bycaity
4."You know what I'm going to get you next Christmas, Mom? A big wooden cross, so that every time you feel unappreciated for your sacrifices, you can climb on up and nail yourself to it. " - The Ref guessed bycaity
5. "When what's left of you gets around to what's left to be gotten, what's left to be gotten won't be worth getting, whatever it is you've got left. " - White Christmas guessed bycaity
6. "Light the lamp, not the rat, light the lamp, not the rat!." - Muppet Christmas Carol guessed bykarelia
7. "I want the Turbo Man action figure with the arms and legs that move and the boomerang shooter and his rock'n roller jet pack and the realistic voice activator that says 5 different phrases including, "It's Turbo time!" Accessories sold separately. Batteries not included. " Jingle All the Way guessed by![[livejournal.com profile]](https://www.dreamwidth.org/img/external/lj-userinfo.gif)
krasnoludek
8. "Aunt Clara had for years labored under the delusion that I was not only perpetually 4 years old, but also a girl." - A Christmas Story guessed bykarelia
9. "Yes. You're, well, you're a tad off-base, sir. That thing looked like The Manson Family Christmas Special. " - Scrooged guessed bycaity
10. "What's this? What's this? There's color everywhere! What's this? There's white things in the air! What's this? I can't believe my eyes, I must be dreaming; wake up, Jack, this isn't fair! What's this? " - Nightmare before Christmas guessed bykarelia
nice work all, that didn't take very long.
1. "Well Marie, once again my dear, you were as right as rain. I am, with out a doubt, the biggest pain in the butt that ever came down the pike. I meet someone who's company I really enjoy, and what do I do? I go overboard. I smother the poor soul. I cause him more trouble than he has a right to. God, I got a big mouth. When am I ever gonna wake up? I wish you were here with me right now. But... I guess that's not gonna happen. Not now, anyway. " - "Planes Trains and Automobiles" guessed by
karelia2. " Our Father, who art in Heaven, hallowed be Thy Name. And forgive my husband. He knows not what he does. " - National Lampoon's Christmas Vacation - guessed by
caity3. " Seeing isn't believing. Believing is seeing" - The Santa Clause guessed by
caity4."You know what I'm going to get you next Christmas, Mom? A big wooden cross, so that every time you feel unappreciated for your sacrifices, you can climb on up and nail yourself to it. " - The Ref guessed by
caity5. "When what's left of you gets around to what's left to be gotten, what's left to be gotten won't be worth getting, whatever it is you've got left. " - White Christmas guessed by
caity6. "Light the lamp, not the rat, light the lamp, not the rat!." - Muppet Christmas Carol guessed by
karelia7. "I want the Turbo Man action figure with the arms and legs that move and the boomerang shooter and his rock'n roller jet pack and the realistic voice activator that says 5 different phrases including, "It's Turbo time!" Accessories sold separately. Batteries not included. " Jingle All the Way guessed by
krasnoludek8. "Aunt Clara had for years labored under the delusion that I was not only perpetually 4 years old, but also a girl." - A Christmas Story guessed by
karelia9. "Yes. You're, well, you're a tad off-base, sir. That thing looked like The Manson Family Christmas Special. " - Scrooged guessed by
caity10. "What's this? What's this? There's color everywhere! What's this? There's white things in the air! What's this? I can't believe my eyes, I must be dreaming; wake up, Jack, this isn't fair! What's this? " - Nightmare before Christmas guessed by
karelianice work all, that didn't take very long.
(no subject)
Nov. 8th, 2009 09:11 pmI had asked for people to guess the source of these items from fandom. Sorry I took so long to post the answers.
1. Energon - Transformers
2. Phata 7 - Sky Commanders
3. Tetracel White - Star Trek DS9
4. Tibanna Gas - Star Wars
5. Protoculture - Robotech
6. Melange - Dune
7. Fruity Oatey Bars - Serenity
8. Towel - Hitchhiker's Guide to the Galaxy
9. Interociter - This Island Earth (origin); also featured in MST3K, UHF, and others
10. Flux Capacitor - Back to the Future
11. Oscillation Overthruster - Adventures of Buckaroo Banzai Across the 8th Demention
12. Caf-Pow - NCIS
13. Veritaserum - Harry Potter
14. Omega 13 - Galaxy Quest
15. Lembas - Lord of the Rings
17. Multipass - The Fifth Element
1. Energon - Transformers
2. Phata 7 - Sky Commanders
3. Tetracel White - Star Trek DS9
4. Tibanna Gas - Star Wars
5. Protoculture - Robotech
6. Melange - Dune
7. Fruity Oatey Bars - Serenity
8. Towel - Hitchhiker's Guide to the Galaxy
9. Interociter - This Island Earth (origin); also featured in MST3K, UHF, and others
10. Flux Capacitor - Back to the Future
11. Oscillation Overthruster - Adventures of Buckaroo Banzai Across the 8th Demention
12. Caf-Pow - NCIS
13. Veritaserum - Harry Potter
14. Omega 13 - Galaxy Quest
15. Lembas - Lord of the Rings
17. Multipass - The Fifth Element
Quiz for fun
Oct. 8th, 2009 10:03 pmSo here's how it works. I'm going to post a list of items. Each one appears in a TV series/book series/movie with a cult following. All but one are from the Sci-Fi or Fantasy genre. Name the source I got these from.
1. Energon (Transformers - guessed byhkellick)
2. Phata 7
3. Tetracel White (Star Trek DS9- guessed byhkellick)
4. Tibanna Gas (Star Wars - guessed bycheyinka)
5. Protoculture (Robotech - guessed byfelicula)
6. Melange (Dune - guessed bykarelia)
7. Fruity Oatey Bars (Serenity - guessed bycheyinka)
8. Towel (Hitchhiker's Guide to the Galaxy - guessed bykarelia)
9. Interociter
10. Flux Capacitor (Back to the Future - guessed bykarelia)
11. Oscillation Overthruster
12. Caf-Pow (NCIS - guessed bycheyinka)
13. Veritaserum (Harry Potter -guessed bydmsj)
14. Omega 13
15. Lembas (Lord of the Rings - guessed bykarelia)
17. Multipass (The Fifth Element guessed bydmsj)
Sorry about the lack of #16; I was creating and recreating the list so many times I deleted one and forgot to re-adjust the numbers.
Leave your guesses in the comments; I'll post the answers in a few days.
And congrats tocheyinka for getting my non sci-fi/fantasy one.
1. Energon (Transformers - guessed by
hkellick)2. Phata 7
3. Tetracel White (Star Trek DS9- guessed by
hkellick)4. Tibanna Gas (Star Wars - guessed by
cheyinka)5. Protoculture (Robotech - guessed by
felicula)6. Melange (Dune - guessed by
karelia)7. Fruity Oatey Bars (Serenity - guessed by
cheyinka)8. Towel (Hitchhiker's Guide to the Galaxy - guessed by
karelia)9. Interociter
10. Flux Capacitor (Back to the Future - guessed by
karelia)11. Oscillation Overthruster
12. Caf-Pow (NCIS - guessed by
cheyinka)13. Veritaserum (Harry Potter -guessed by
dmsj)14. Omega 13
15. Lembas (Lord of the Rings - guessed by
karelia)17. Multipass (The Fifth Element guessed by
dmsj)Sorry about the lack of #16; I was creating and recreating the list so many times I deleted one and forgot to re-adjust the numbers.
Leave your guesses in the comments; I'll post the answers in a few days.
And congrats to
cheyinka for getting my non sci-fi/fantasy one.
2996 project
Sep. 10th, 2009 10:37 pmGo to my other blog tomorrow am for a 9/11 memorial post as part of the 2996 project. It's about my husband's best friend's uncle.
http://shoemoneytonight.blogspot.com
http://shoemoneytonight.blogspot.com
Overheard at the Mall
Aug. 28th, 2009 06:22 pmWe were standing in line at the Dunkin' Donuts. The woman in front of me ordered an iced tea. The guy asked her if she wanted sweetened or unsweetened. She then asked "what does the unsweetened taste like? Does it taste like tea?" When told that yes, iced tea tastes like tea, she ordered the sweetened.
Tissue Alert
Jun. 19th, 2009 03:04 pmPixar Rules! A girl in CA was dying of cancer and wanted to see UP. Pixar arranged a private screening in her house. You can read the whole story here.
Warning, have tissues at the ready when reading.
HT: Michelle Malkin .
Warning, have tissues at the ready when reading.
HT: Michelle Malkin .
This year, the chorus I sing with has started using a formal "audition"/ rehearing process. We sing in quartets (SATB) in front of professional and unbiased adjudicators (not our director). In the evaluation we are graded on note accuracy, rhythm accuracy, tone quality, vocal production, diction, intonation and sight reading (done individually).
Based on this audition we will be either - retained as members, retained as members on "probation" - needing additional help, or no longer members. The threshold being set was based on how others in your section did.
I was nervous mostly because I judge myself harshly and I wanted to do well. I wasn't concerned about not making the cut, but I thought my scores might be in the mid-range.
I lost a total of 5 points. One in rhythm (I rushed a 3/4 measure), one in diction (no one ever has perfect diction) and three on sight reading (I changed key in the middle and then corrected myself). I had perfect scores in note accuracy, tone quality, vocal production and intonation. I am completely amazed by my tone and intonation scores - because honestly, I really don't feel like I have the best tone or intonation (guess I was wrong).
Part of me wants to frame the scoring form.
Based on this audition we will be either - retained as members, retained as members on "probation" - needing additional help, or no longer members. The threshold being set was based on how others in your section did.
I was nervous mostly because I judge myself harshly and I wanted to do well. I wasn't concerned about not making the cut, but I thought my scores might be in the mid-range.
I lost a total of 5 points. One in rhythm (I rushed a 3/4 measure), one in diction (no one ever has perfect diction) and three on sight reading (I changed key in the middle and then corrected myself). I had perfect scores in note accuracy, tone quality, vocal production and intonation. I am completely amazed by my tone and intonation scores - because honestly, I really don't feel like I have the best tone or intonation (guess I was wrong).
Part of me wants to frame the scoring form.
A Change of Pace
Jun. 6th, 2009 12:28 pmSo we're having people over for dinner tonight. P's parents, brother C, brother N and sister-in-law L, their daughter A, and my parents are coming for a belated birthday celebration. In an interesting change of pace, I am doing most of the cooking for when everyone comes over. So I'm making fresh ground beef sauce and two pans of lasagna. Plus garlic bread (made fresh) and salad (which my mom is bringing). My MIL is bringing P's cake of choice on his birthday (ice cream) which is basically saving us from having to run out for it.
The biggest part of the sauce is done - it's now simmering on the stove. And I'm getting to listen to the newest stuff we downloaded off iTunes a few days ago (mostly 80s and 90s one hit wonders).
P's outside doing the weeding, lawn-mowing, etc. A is sleeping in her crib upstairs, Molly's on the couch next to me. And I have some time to relax, catch up on internets and maybe get some new pictures on Facebook. Yay.
The biggest part of the sauce is done - it's now simmering on the stove. And I'm getting to listen to the newest stuff we downloaded off iTunes a few days ago (mostly 80s and 90s one hit wonders).
P's outside doing the weeding, lawn-mowing, etc. A is sleeping in her crib upstairs, Molly's on the couch next to me. And I have some time to relax, catch up on internets and maybe get some new pictures on Facebook. Yay.
(no subject)
Jun. 1st, 2009 06:14 amHappy Birthday to my husband, partner, love of my life obi_wandreas !
obi_wandreas !Experiments in the kitchen
May. 31st, 2009 03:38 pmSo I just joined ![[community profile]](https://www.dreamwidth.org/img/silk/identity/community.png)
omnomnom and got inspired to do a little experimental baking. I've got a Berry Explosion pie in the oven right now. Will post later with pictures of results and how it turned out.
At the same time,obi_wandreas finally used his gift certificate to the home-brewing store he got last year for his birthday and bought some supplies. While I was making the pie, he was starting a batch of American Pale Ale (results of that experiment won't be available for a few more weeks.
omnomnom and got inspired to do a little experimental baking. I've got a Berry Explosion pie in the oven right now. Will post later with pictures of results and how it turned out.At the same time,
obi_wandreas finally used his gift certificate to the home-brewing store he got last year for his birthday and bought some supplies. While I was making the pie, he was starting a batch of American Pale Ale (results of that experiment won't be available for a few more weeks.The word Meme:
Reply to this meme by yelling "Words!" and I will give you five words that remind me of you. Then post them in your LJ and explain what they mean to you.
Fromhbbtrbbtbcnbt. These are the words she gave me
1. Sci-Fi Geek - someone who has a high level of detailed knowledge about a specific series (TV, movies, book) or a wide variety of knowledge of multiple series. A descriptor of someone which is not an insult but a compliment.
2. History - events in a person's past that serve to shape it into what it is today. It is the source of mistakes made, lessons learned, and insight into who the person is.
3. Family - a source of great joy, great frustration and great sorrow. The best definition is one I'm stealing from the movie Parenthood where Grandma compares raising children to a roller coaster - "You know, it was just so interesting to me that a ride could make me so frightened, so scared, so sick, so excited, and so thrilled all together! Some didn't like it. They went on the merry-go-round. That just goes around. Nothing. I like the roller coaster. You get more out of it. "
4. Sisterhood - The bond that exists between women who are very close (not necessarily bound by blood). True love and devotion.
5. Generous - giving something (money, time, etc) for the benefit of someone else.
Reply to this meme by yelling "Words!" and I will give you five words that remind me of you. Then post them in your LJ and explain what they mean to you.
From
hbbtrbbtbcnbt. These are the words she gave me1. Sci-Fi Geek - someone who has a high level of detailed knowledge about a specific series (TV, movies, book) or a wide variety of knowledge of multiple series. A descriptor of someone which is not an insult but a compliment.
2. History - events in a person's past that serve to shape it into what it is today. It is the source of mistakes made, lessons learned, and insight into who the person is.
3. Family - a source of great joy, great frustration and great sorrow. The best definition is one I'm stealing from the movie Parenthood where Grandma compares raising children to a roller coaster - "You know, it was just so interesting to me that a ride could make me so frightened, so scared, so sick, so excited, and so thrilled all together! Some didn't like it. They went on the merry-go-round. That just goes around. Nothing. I like the roller coaster. You get more out of it. "
4. Sisterhood - The bond that exists between women who are very close (not necessarily bound by blood). True love and devotion.
5. Generous - giving something (money, time, etc) for the benefit of someone else.
