Saturday, July 31, 2004

01:46:00 to freedom

it took 1 hour and 46 minutes to make it back home. not bad, considering it was rush hour. i'm so happy to be back, it's ridiculous. i'm glowing happy. i guess if anything, this lumberton experience is making me appreciate my regular life in durham.

the pediatric highlight of the day was the fact that i palpated my first giant spleen! really, i've felt big spleens before, but only on physical diagnosis rounds or after a resident has told me to go into someone's room and check out Ms. X's bulging spleen. this spleen was my very own; no one knew it was big until i discovered it.

this spleen belonged to cute 3 year old lumbee boy, who had been vomiting and had a fever as high as 103 (down to 100 toda on motrin). his throat didn't look too horrible, but he had nice cervical lymphadenopathy. i'm thinking he has mono. the monospot test was negative, but i would think that this early it probably would be. his lymphocyte count wasn't elevated, though, so maybe it's something else. apparently rocky mountain spotted fever can blow up the spleen, but he was spot-free. i think that at duke he might have been started on empiric doxy anyway, but my doctor was not a fan of that idea. she is not really a fan of duke in general, i don't think.

she went to tell another doctor about this kid and when he asked how enlarged it was, she says, "the medical student found it," meaning, "obviously, it wasn't subtle!" i laughed, and so did she and the other doctor, but i thought that was kind of mean.

well, whatever. at least i won't be living out the prime of my life in lumberton.

the morning went quickly, but the afternoon d r a g g e d, because i really wanted to go home! i managed to drive home without event. i have fallen into a new habit of listening to books on tape during long drives because it really does seem to make the time go faster. i'm 4/5 through a book called the curious incident of the dog in the nighttime, which is about a boy with asperger's syndrome. the way his mind works is fascinating to me.

some ways in which i am like the character in the book with asperger's syndrome

1. i like to make lists
2. i don't really like change all that much
3. i like to know what time it is and have control of my time

some ways in which i am absolutely not like the character in the book with asperger's syndrome

1. they notice everything in a given scene, and i tend to notice almost nothing
2. i don't have an inability to understand other's emotions; in fact, i am probably hypersensitive in some ways
3. my social skills are much, much better than his are

once i got home, after happily reuniting with josh (it had been 4 whole days, and it was really hard. am i pathetic?), we went out to eat at verde. verde is quasi-tapas and sort of trendy. we sat outside and drank wine. josh decided that my college friends would like that place, and this got me all excited for them to come.

me: so it sounds like you're looking forward to everyone coming! aren't you just so excited to have a house bursting with estrogen?
josh: yeah, i am!
me: really?
josh: no.

actually, he is looking forward to it, but he likes to jokingly make fun of the fact that he will be outnumbered 6:1. when we all go out together, he's going to look like a pimp.

3 comments:

Anonymous said...Best Blogger Tips[Reply to comment]Best Blogger Templates

Hi this is Josh - another very funny entry - you are brilliant! Also, this is so sad that I have to talk to you via computer - I am at the hospital and on this stupid pseudo-call - nothing is going on but whenever we mention "we just have to stay until things are done" the intern says, wow, you'll be here forever then! What a joke. All three of us med students are sitting around reading email right now.

I just have to follow up on a chest xray on a patient who just got a central line and then I'm out of here! Praise Jesus.

Also, I hope other people reading your blog will leave comments.

Also also, I don't think I can write a blog. Maybe later, but somehow I had to set up a blog in order to post comments on yours - so now I have an empty blog.

See you soon! The intern just said "I can't think of anything else for you to do!"

vickie said...Best Blogger Tips[Reply to comment]Best Blogger Templates

if you feeling like a pimp, go and brush your shoulders off

D Entertainment said...Best Blogger Tips[Reply to comment]Best Blogger Templates

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chém gió
trung tâm tiếng anhơng sinh trưởng điên cuồng, thân thể hắn cao lên. Thay đổi mạnh mẽ, chỉ là nháy mắt công phu, vốn Tử thân cao hai thước, đã tăng trưởng hơn mười lần. Quần áo trên người hắn dưới lực lượng cường hãn biến thành bụi phấn. Một tầng tinh thể màu tím dày ngưng tụ thành thật thể, tựa như khải giáp kiên cố nhất trên thế giới, từ trên da hắn sinh trưởng ra, bảo vệ thân thể hắn kể cả những nơi nhỏ nhất.
Thân thể hoàng kim bỉ mông cũng cường tráng, nhưng nếu lúc này hoàng kim bỉ mông đứng trước mặt Tử, lại kém hơn vài cấp. Bả vai rộng rãi của Tử, tương đương với năm lần của hoàng kim bỉ mông. Thân hắn cao kinh khủng cũng đạt tới hai mươi lăm thước. Hắn lúc này, làm cho người ta chỉ có một cảm giác. Đó chính là hung khí. Hung khí thân mặc Tử tinh khải giáp.
Diệp Âm Trúc kinh ngạc mở to hai mắt nhìn, hét lớn một tiếng, “Tử, ngươi làm sao vậy?”
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Cả thế giới tựa hồ biến thành màu trắng, hoặc là biến thành màu tím. Trong nháy mắt đó, bất luận là Diệp Âm Trúc hay là Tô Lạp, lục cảm đồng thời biến mất. Nhưng tay Diệp Âm Trúc không có ngừng lại,

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