10.29.2009
Sorry I'm not sorry
No updates for a while. I know. My grandma got sick, so I just haven't really been in the mood to update. Finished Peds. Started Psych. I will update more some other time. I took my Shelf early and then flew home Friday to see Grandma. Let's just keep praying for her and our family. Peace out
10.08.2009
#200
I think this is my 200th post. Go me!
I am newly obsessed with mousse. No, not the stuff you put in your hair. Not the animal moose. The yummy yummy dessert. On Saturday Matt and I had his coworker and his fiance over for dinner. She has Celiacs, so I was trying to come up with something gluten free for dessert that wasn't too boring. Now, I know they can do some ice creams, but the one I know for sure (Tillamook Vanilla Bean) isn't available down here. Instead I decided to do a chocolate mousse that my cousin Jeff, the chef, suggested. I was nervous because I had never made a mousse. For some reason I thought it would be really hard like a souffle or something. Wrong. Pretty dang easily (with Jeff's directions at least). The chocolate mousse called for dark rum, but I looked it up and some Celiacs can't have it. Good thing I omitted it because she did confirm that she can't handle it. That would have been embarrassing. What else did I make you ask? Miso marinated fish (I need to find a better type of fish, and mirin, then it will be good), wasabi mashed potatoes (my new favorite), and DeDe's salad. mmmmmmm. It was great. My next food to tackle is....more mousse! I want to try peanut butter (with out it just being frosting) and pumpkin! Maybe this weekend.
As I have learned with cooking bacon, there are just some smells that like to linger. Bacon being one of them. Fish, alas, is one as well. Icky. It has kind of smelled fishy since Saturday even with lots of candles going. Ick. I would take the smell of bacon any day. ANY DAY!
Fall has hit Omaha. For about 2 weeks now we have had some pretty comfortable if not chilly temps. We went from the mid 70s (comfy) to the 50s (chilly). Problem is.....we may get frickin' snow this weekend!!!!!!!! I am not ready for that. It was 73 yesterday. Snow possible on Sat and Sun with highs in the mid 30s. Hello January! We skipped about 3 months there. A lot of people ask how fall is here. I think many judge a place on its fall. Or at least they pretend to. Lots of pretty colors? Nice temps? Well, Omaha sort of misses out on the colors of fall. Sad. And I think I figured out why. In Denver they sort of missed it because of the SUPER crazy weather. Here we miss it because it is so darn windy! The second a leaf dies just a little bit, it gets blown off the tree! Goodbye pretty colors!
Okay, time to go...do something.
I am newly obsessed with mousse. No, not the stuff you put in your hair. Not the animal moose. The yummy yummy dessert. On Saturday Matt and I had his coworker and his fiance over for dinner. She has Celiacs, so I was trying to come up with something gluten free for dessert that wasn't too boring. Now, I know they can do some ice creams, but the one I know for sure (Tillamook Vanilla Bean) isn't available down here. Instead I decided to do a chocolate mousse that my cousin Jeff, the chef, suggested. I was nervous because I had never made a mousse. For some reason I thought it would be really hard like a souffle or something. Wrong. Pretty dang easily (with Jeff's directions at least). The chocolate mousse called for dark rum, but I looked it up and some Celiacs can't have it. Good thing I omitted it because she did confirm that she can't handle it. That would have been embarrassing. What else did I make you ask? Miso marinated fish (I need to find a better type of fish, and mirin, then it will be good), wasabi mashed potatoes (my new favorite), and DeDe's salad. mmmmmmm. It was great. My next food to tackle is....more mousse! I want to try peanut butter (with out it just being frosting) and pumpkin! Maybe this weekend.
As I have learned with cooking bacon, there are just some smells that like to linger. Bacon being one of them. Fish, alas, is one as well. Icky. It has kind of smelled fishy since Saturday even with lots of candles going. Ick. I would take the smell of bacon any day. ANY DAY!
Fall has hit Omaha. For about 2 weeks now we have had some pretty comfortable if not chilly temps. We went from the mid 70s (comfy) to the 50s (chilly). Problem is.....we may get frickin' snow this weekend!!!!!!!! I am not ready for that. It was 73 yesterday. Snow possible on Sat and Sun with highs in the mid 30s. Hello January! We skipped about 3 months there. A lot of people ask how fall is here. I think many judge a place on its fall. Or at least they pretend to. Lots of pretty colors? Nice temps? Well, Omaha sort of misses out on the colors of fall. Sad. And I think I figured out why. In Denver they sort of missed it because of the SUPER crazy weather. Here we miss it because it is so darn windy! The second a leaf dies just a little bit, it gets blown off the tree! Goodbye pretty colors!
Okay, time to go...do something.
9.29.2009
Oh glorious outpatient
Hello to sleeping in and staying up to normal times! I just recently started (on Monday) outpatient pediatrics. We work 2 weeks in a community clinic, one week in the newborn nursery at Creighton, and one week in the Creighton peds clinic. I am on my 2 weeks in the community. And it is great. Not because I am enjoying the profession (not to say that I am not though either) but because of the hours. Her earliest patient is 10am. She had no scheduled morning patients today, so she just told me to come from 2 to 4pm. Woohoo. I spent the rest of the day being pretty productive though, which is good. I was really looking forward to outpatient as to get more studying done. And I am. Yay!
Matt and I went to a coworkers wedding on Friday. I know, Friday wedding...weird. I am assuming it is because they didn't want to miss the Husker's game. These people are insane. It was fun though. Really good food. The DJ kind of...stunk. The dance floor was totally not hoppin. I got to wear my little black dress, which is always fun.
I am really trying to think of other things I have done. And I can't think of anything. We went to a local sports bar for Sunday night football. The place was dead but pretty cool on the inside. Tons of TVs. Might be cool for March Madness. You know, I really do think of good things to say on here during the day. Good, deep, life changing comments, but by the time I get around to typing I have totally forgotten. Ughs. I am going to be way fun when I get old.
Matt and I went to a coworkers wedding on Friday. I know, Friday wedding...weird. I am assuming it is because they didn't want to miss the Husker's game. These people are insane. It was fun though. Really good food. The DJ kind of...stunk. The dance floor was totally not hoppin. I got to wear my little black dress, which is always fun.
I am really trying to think of other things I have done. And I can't think of anything. We went to a local sports bar for Sunday night football. The place was dead but pretty cool on the inside. Tons of TVs. Might be cool for March Madness. You know, I really do think of good things to say on here during the day. Good, deep, life changing comments, but by the time I get around to typing I have totally forgotten. Ughs. I am going to be way fun when I get old.
9.22.2009
Slacker
Peds has kept me pretty busy. A bad excuse. But an excuse none the less. I finished up my calls last Thursday. Yay! Only 2 more inpatient days. Yay! It isn't that I haven't enjoyed it (it hasn't been that bad for me); it is just that I like things moving forward. I like feeling accomplished. We had Dimensions in Clinical Medicine on Friday. Lame. Matt and I are also going to a co-workers wedding that evening. It should be good times.
What have I been up to? Good question. Reading. Sleeping. Eating. Little working out. Repeat. This past weekend I went to go get my oil changed at which point they showed me my tire that was about to blow. Oops. So glad it didn't do that to us in Minneapolis. So then I had to go buy 2 new rear tires. It now smells like new tires in my garage. Ick. They also had to fix my alignment. Gosh darn car.
Other news? I am heading to Seattle after the Peds Shelf! Granted, all who read this probably know that. Still. Bub happened to be coming to the states, and with everyone else living close we thought, "might as well." I am excited.
I saw dog costumes at Target tonight. I miss my Guster. I wish we got trick or treaters here in the apartment. Sigh. Holidays aren't as fun when you are a young adult.
The weather finally cooled off (for 2 days at least). It has been in the 80s over the weekend, which is too hot in my opinion for September. And our pool is closed.
Anything else? Nope. Other than a resolution to update more often. I'll remember more that way.
What have I been up to? Good question. Reading. Sleeping. Eating. Little working out. Repeat. This past weekend I went to go get my oil changed at which point they showed me my tire that was about to blow. Oops. So glad it didn't do that to us in Minneapolis. So then I had to go buy 2 new rear tires. It now smells like new tires in my garage. Ick. They also had to fix my alignment. Gosh darn car.
Other news? I am heading to Seattle after the Peds Shelf! Granted, all who read this probably know that. Still. Bub happened to be coming to the states, and with everyone else living close we thought, "might as well." I am excited.
I saw dog costumes at Target tonight. I miss my Guster. I wish we got trick or treaters here in the apartment. Sigh. Holidays aren't as fun when you are a young adult.
The weather finally cooled off (for 2 days at least). It has been in the 80s over the weekend, which is too hot in my opinion for September. And our pool is closed.
Anything else? Nope. Other than a resolution to update more often. I'll remember more that way.
9.12.2009
Pediatrics
Again it has been a while. Lots to update
Peds: way different. My first week was in the NICU at Bergan. Free food. Sweet hours. No work. Awesome. This week I went to Children's. Wow. Way different. Get there at 6am. Go home at 430 on a "normal" day. I only had 2 normal days out of 4 this week. I was on long call on Wednesday which meant I was there until noon the next day. Yes. Noon. 30 hour shift - awesome! With only 2 hours of sleep. Awesome. Wooooooo. Basically what we as students do is see patients in the morning, write a note about them, and then present them to the hospitalist/whole team in the morning as we walk from room to room. The thing is, these kids are actually sick. Pregnant ladies pretty much are all 'well.' The plan you come up with for them (something we have to do) is pretty standard. Get the baby out. Sick kids though...you have to think about drugs, doses, fluids, food, etc etc etc. Ugh. And then you have people commenting on what you should do. I lucked out this week and had a good hospitalist. Next week could be a different story. I also am on the 6th floor with older kids and kids w/ cancer. Yes, that is sad but not as complicated as heart patient kids. Nuff said
Labor day weekend Matt and I went up to Minneapolis. It was tons of fun! You know, I thought it was going to be a bigger Omaha. Totally wasn't. Had a nice downtown area with places to eat and shop. Had the Mississippi river, which we floated along in a paddle boat. Basically we did all the touristy things, which I personally think is a good thing the first time you go somewhere. We didn't do any museums, but we saw tons of stuff. When driving through the U of M campus, we saw a girl with a license plate from Spokane!!!!! Small world. My car passed 100,000 miles on the way up. I am so proud of him. It really tugged at my heart a little. I have no clue how many miles were on it when we got it, but still. He has made it so far. We may go back up there someday, but we may fly next time. Our next long weekend trip may be Des Moines. We stopped there for a bit, and it was actually kind of okay. Yay for exploring!
Last but not least, I forgot to celebrate my 10 year anniversary on here!!! Of what? My ACL surgery. I had it right before starting freshman year of high school in 99. And now here we are. All put back together again. Yay for strong knee!!!!! Granted it still tightens up on my and moves a little and I can't run really, but still. Okay. On long call again tomorrow. Blow. Only one weekend day this week. Blow.
Peds: way different. My first week was in the NICU at Bergan. Free food. Sweet hours. No work. Awesome. This week I went to Children's. Wow. Way different. Get there at 6am. Go home at 430 on a "normal" day. I only had 2 normal days out of 4 this week. I was on long call on Wednesday which meant I was there until noon the next day. Yes. Noon. 30 hour shift - awesome! With only 2 hours of sleep. Awesome. Wooooooo. Basically what we as students do is see patients in the morning, write a note about them, and then present them to the hospitalist/whole team in the morning as we walk from room to room. The thing is, these kids are actually sick. Pregnant ladies pretty much are all 'well.' The plan you come up with for them (something we have to do) is pretty standard. Get the baby out. Sick kids though...you have to think about drugs, doses, fluids, food, etc etc etc. Ugh. And then you have people commenting on what you should do. I lucked out this week and had a good hospitalist. Next week could be a different story. I also am on the 6th floor with older kids and kids w/ cancer. Yes, that is sad but not as complicated as heart patient kids. Nuff said
Labor day weekend Matt and I went up to Minneapolis. It was tons of fun! You know, I thought it was going to be a bigger Omaha. Totally wasn't. Had a nice downtown area with places to eat and shop. Had the Mississippi river, which we floated along in a paddle boat. Basically we did all the touristy things, which I personally think is a good thing the first time you go somewhere. We didn't do any museums, but we saw tons of stuff. When driving through the U of M campus, we saw a girl with a license plate from Spokane!!!!! Small world. My car passed 100,000 miles on the way up. I am so proud of him. It really tugged at my heart a little. I have no clue how many miles were on it when we got it, but still. He has made it so far. We may go back up there someday, but we may fly next time. Our next long weekend trip may be Des Moines. We stopped there for a bit, and it was actually kind of okay. Yay for exploring!
Last but not least, I forgot to celebrate my 10 year anniversary on here!!! Of what? My ACL surgery. I had it right before starting freshman year of high school in 99. And now here we are. All put back together again. Yay for strong knee!!!!! Granted it still tightens up on my and moves a little and I can't run really, but still. Okay. On long call again tomorrow. Blow. Only one weekend day this week. Blow.
8.29.2009
And that was OB/GYN
I am done with OBGYN (well...pending Shelf results, but I am pretty sure I passed), so I thought it would be time to summarize a little bit - both with some fun facts and my own experience
FUN FACTS
-Fraternal twins (rather than identical twins) run in families. Including mine. For some reason I always thought it would be identical twins
-The incidence of identical twins is about 1 in 230 across most races and countries
-Episiotomies aren't really standard anymore...sorry for all those ladies out there who had to have them for no reason
-C section scars are really only about 10cm long and pretty hidden from public eyes
-Term breeches occur in 3% of pregnancies and are now delivered only by c section for the most part - again, sorry for the women/babies who came into the world butt first (Mom)
-Baby's heart beat should be between 120-160
-When pregnant women exercise they should aim for a heart beat of around 140
My experience
I saw a total of 18 births - 8 c sections and 10 "regular." Of the latter, I got to "deliver" (hands on the baby as he/she came out) in 8 of them. Sadly, no one named a baby after me. That is okay though since most of them were boys. When choosing to do this rotation first, I was mostly thinking about going to weddings and which rotation would be easiest to get a little time off. Secondarily I thought about getting this one over with early because I "knew" it was something gross that I didn't really want to do. Now, I am not saying I want to go into this field, but these 8 weeks really opened my eyes. I thought all of it would gross me out, and while birthing a child is pretty gross looking, it was still a lot of fun. What I actually think I enjoyed about it (rather than hanging out with female parts all the time) was the "hands on" aspect. I liked being in the OR, I liked using my hands. This is something you often think about when looking at what to do with your life. Do you like doing procedures? Do you like thinking more? Do you like long term relationships with your patients? Are you the type of person that wants fast results? As I have learned through this rotation, I am definitely a person that likes to work with my hands and do procedures. That isn't to say that I don't like "thinking," it is just that I like to "do" in addition to talking about doing.
From talking to my friends, I am a little sad that I "wasted" this rotation early. I am not saying that because of the free time this rotation allows but because it is such a strong, good, friendly, exciting rotation. It is very well organized, and the majority of the residents and attendings want to teach you and want you to get your hands in there. They don't pimp you too much, and they all really knew how to teach the keys points. I think I am going to miss this rotation when looking back. Again, not because it is something I necessarily want to do but because of how much I got to do and how much faith and trust the residents had in us.
Whelp, that's it. I start Peds on Monday at Children's hospital (the harder of the 2 months). I think I will be working with 5years and up there. I kind of like that idea a little more than the younger kids simply because they can talk to me when they are this old. Okay, off to be lazy around Omaha.
FUN FACTS
-Fraternal twins (rather than identical twins) run in families. Including mine. For some reason I always thought it would be identical twins
-The incidence of identical twins is about 1 in 230 across most races and countries
-Episiotomies aren't really standard anymore...sorry for all those ladies out there who had to have them for no reason
-C section scars are really only about 10cm long and pretty hidden from public eyes
-Term breeches occur in 3% of pregnancies and are now delivered only by c section for the most part - again, sorry for the women/babies who came into the world butt first (Mom)
-Baby's heart beat should be between 120-160
-When pregnant women exercise they should aim for a heart beat of around 140
My experience
I saw a total of 18 births - 8 c sections and 10 "regular." Of the latter, I got to "deliver" (hands on the baby as he/she came out) in 8 of them. Sadly, no one named a baby after me. That is okay though since most of them were boys. When choosing to do this rotation first, I was mostly thinking about going to weddings and which rotation would be easiest to get a little time off. Secondarily I thought about getting this one over with early because I "knew" it was something gross that I didn't really want to do. Now, I am not saying I want to go into this field, but these 8 weeks really opened my eyes. I thought all of it would gross me out, and while birthing a child is pretty gross looking, it was still a lot of fun. What I actually think I enjoyed about it (rather than hanging out with female parts all the time) was the "hands on" aspect. I liked being in the OR, I liked using my hands. This is something you often think about when looking at what to do with your life. Do you like doing procedures? Do you like thinking more? Do you like long term relationships with your patients? Are you the type of person that wants fast results? As I have learned through this rotation, I am definitely a person that likes to work with my hands and do procedures. That isn't to say that I don't like "thinking," it is just that I like to "do" in addition to talking about doing.
From talking to my friends, I am a little sad that I "wasted" this rotation early. I am not saying that because of the free time this rotation allows but because it is such a strong, good, friendly, exciting rotation. It is very well organized, and the majority of the residents and attendings want to teach you and want you to get your hands in there. They don't pimp you too much, and they all really knew how to teach the keys points. I think I am going to miss this rotation when looking back. Again, not because it is something I necessarily want to do but because of how much I got to do and how much faith and trust the residents had in us.
Whelp, that's it. I start Peds on Monday at Children's hospital (the harder of the 2 months). I think I will be working with 5years and up there. I kind of like that idea a little more than the younger kids simply because they can talk to me when they are this old. Okay, off to be lazy around Omaha.
8.20.2009
1 week left
Well, really 4 days of this rotation. Scary. We take the shelf next Friday. This really has flown by. I've had at least 2 more calls since I last wrote. One was a Thursday night. 5 deliveries. All of course just far enough apart to keep me from sleeping. That made for a rough Friday. I was also on call this past Monday. 9 BABIES!!!!!!!!! Just during my shift. Actually, it was 10. I only helped with 7 though. This meant, however, that I had to see that many patients the next day. My classmates helped me out though, so I only had to see 5. I am on call Saturday night again. Part of me wants it busy, but part of me wants to be able to sleep. We will see how I feel come Saturday afternoon.
2 big things I missed:
Happy 97th to Grandma K. on the 13th!
Happy bday Dad on the 19th!
Fun things I have done that I don't know if I have written about
-Friday night live music at Soaring Wings Vineyard...the only one in Nebraska. The wine really wasn't that great (and a little overpriced), but it was beautiful out in the country and tons of fun just to hang with friends (something I didn't get to do much last year)
-Saturday night Vibes out at Village Point (outdoor shopping place). It is always nice to see some "normalcy" in Omaha
-Tuesday night trivia at JC's Old Chicago. $2 pints, $2 personal pizzas, and trivia. It was great
-Me eating something pizza-esque 6 days in a row a week ago. That was probably the highlight of my life right there. The rest is all down from here.
And on to really important business. When do you go ahead and take that leap of faith and make a change? It is such a big risk that affects so many people. Yes, you know what I am talking about. Deodorant. I contemplated switching brands lately. But then I thought: if this really doesn't end up working out, everyone around me is going to know. And worst of all, I would have to spend another $4 and go back to my old brand. Needless to say, I didn't make that switch. I can buy 2 hotdogs and a churro at Costco for the $4. No need to waste it on hygiene.
2 big things I missed:
Happy 97th to Grandma K. on the 13th!
Happy bday Dad on the 19th!
Fun things I have done that I don't know if I have written about
-Friday night live music at Soaring Wings Vineyard...the only one in Nebraska. The wine really wasn't that great (and a little overpriced), but it was beautiful out in the country and tons of fun just to hang with friends (something I didn't get to do much last year)
-Saturday night Vibes out at Village Point (outdoor shopping place). It is always nice to see some "normalcy" in Omaha
-Tuesday night trivia at JC's Old Chicago. $2 pints, $2 personal pizzas, and trivia. It was great
-Me eating something pizza-esque 6 days in a row a week ago. That was probably the highlight of my life right there. The rest is all down from here.
And on to really important business. When do you go ahead and take that leap of faith and make a change? It is such a big risk that affects so many people. Yes, you know what I am talking about. Deodorant. I contemplated switching brands lately. But then I thought: if this really doesn't end up working out, everyone around me is going to know. And worst of all, I would have to spend another $4 and go back to my old brand. Needless to say, I didn't make that switch. I can buy 2 hotdogs and a churro at Costco for the $4. No need to waste it on hygiene.
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