Straight out of the chart:
ALLERGIES: Allergy season is kicking my butt =)
Wednesday, April 21, 2010
Tuesday, April 20, 2010
Ah, and part 3
Student health is way more entertaining than I thought.
This is, word for word, what a patient put on his check-in sheet for what ended up being an acute case of epididymitis (read: infection of the testicle):
Location: inside inside.
Describe your pain: at first it was slightly throbbing but it just hurts inside it so bad worsening
How severe is it on a scale of 1-10: 8, for real it's my freaking nut, it hurts
I quite literally "LOL'd" when I read that in the chart. Oops. He frequently referred to "his freaking nut" throughout the history/exam. He also wore his sunglasses the entire time, told me his life sexual history (without me asking anything about it), and told me how violated he felt after we were done.
Sent him to the ER for a rule out torsion (which would mean emergency surgery and probably losing the "nut") but thankfully it was only a case of epididymitis.
This is, word for word, what a patient put on his check-in sheet for what ended up being an acute case of epididymitis (read: infection of the testicle):
Location: inside inside.
Describe your pain: at first it was slightly throbbing but it just hurts inside it so bad worsening
How severe is it on a scale of 1-10: 8, for real it's my freaking nut, it hurts
I quite literally "LOL'd" when I read that in the chart. Oops. He frequently referred to "his freaking nut" throughout the history/exam. He also wore his sunglasses the entire time, told me his life sexual history (without me asking anything about it), and told me how violated he felt after we were done.
Sent him to the ER for a rule out torsion (which would mean emergency surgery and probably losing the "nut") but thankfully it was only a case of epididymitis.
Saturday, April 17, 2010
I love student health, part 2
So this kid comes in for an STD check. (A frequent occurrence only weeks after spring break...) Anyway, part of the check involves a urine sample. He gets the schpeil about peeing in the cup then putting it in the little metal box in the wall. The box opens on the other side, which is the lab where they can run the tests.
Kid goes in the bathroom, kid comes out.
A few minutes later the doc comes over and asks the nurse "where's the urine sample? did you already send it off?" Nurse replies "what urine sample? I haven't done any urine in a couple hours"
Look in the box, no urine. Look all over the lab, no urine. Look in the bathroom, no urine. Look in the OTHER lab on the other side of the office, no urine. Nobody has seen this pee!
They go back and ask the kid, "did you pee?" and kid answers in the affirmative - he put it in the metal box on the wall.
Where did this kid's pee go?
Doc walks back into the bathroom and starts looking around. Next to the toilet is another type of metal box ON the wall. His pee is in the dirty tampon box!
Eeewww!
Kid goes in the bathroom, kid comes out.
A few minutes later the doc comes over and asks the nurse "where's the urine sample? did you already send it off?" Nurse replies "what urine sample? I haven't done any urine in a couple hours"
Look in the box, no urine. Look all over the lab, no urine. Look in the bathroom, no urine. Look in the OTHER lab on the other side of the office, no urine. Nobody has seen this pee!
They go back and ask the kid, "did you pee?" and kid answers in the affirmative - he put it in the metal box on the wall.
Where did this kid's pee go?
Doc walks back into the bathroom and starts looking around. Next to the toilet is another type of metal box ON the wall. His pee is in the dirty tampon box!
Eeewww!
Wednesday, April 14, 2010
Healthful Foods
For some reason, I've been on a real "healthy foods" kick. I think it comes with the change in weather and my desire to eat more fruits and veggies (rather than scarf down the heavy meat 'n' potatoes of the winter months). I've actually tried a few things that were surprisingly delicious!
1) Baked Kale Chips
This sounds disgusting, doesn't it? For some reason, I always thought kale must be like arugula or other spicy greens. I could also never seem to find it in the grocery store when I was looking for it. Apparently I can't read because Chris found it first try... Anyway... Basically all you have to do for kale chips is pull off the stems, rub them with some olive oil and sprinkle with salt. You bake them in the oven and they are ADDICTIVELY CRUNCHY! Little curly little crisps, that somehow remind me of roasted pumpkin seeds. I made a half batch yesterday and used the rest in soup (see below), but I'm already craving more. Weird, huh? I need to experiment with this method using spinach, too!
Fun Fact: Kale is not only delicious but also high in calcium, vitamin A, C, and K!
2) Kale and White Bean Soup
Since I had kale to spare, I threw it into soup. Would it make a slippery, slimy mess? No! It was delicious! I also threw some leftover pork tenderloin in the soup to make it extra yummy. It was an unbelievably good lunch, and left me really full without hardly any fat!
3) Finally, one-ingredient banana ice cream
Yes! I've been wanting to make this for quite some time but somehow never got around to it. We had some bananas that were turning brown so I peeled them, froze them, then blended them in my fancy Cuisinart food processor. You have to be patient, but after a couple minutes of blending they turn into a light, fluffy, not-too-banana-y frozen custard! So good! I need to try this with a touch of peanut butter or honey...although it's pretty darn good plain or with a squirt of Chocolate Magic Shell on top.
1) Baked Kale Chips
This sounds disgusting, doesn't it? For some reason, I always thought kale must be like arugula or other spicy greens. I could also never seem to find it in the grocery store when I was looking for it. Apparently I can't read because Chris found it first try... Anyway... Basically all you have to do for kale chips is pull off the stems, rub them with some olive oil and sprinkle with salt. You bake them in the oven and they are ADDICTIVELY CRUNCHY! Little curly little crisps, that somehow remind me of roasted pumpkin seeds. I made a half batch yesterday and used the rest in soup (see below), but I'm already craving more. Weird, huh? I need to experiment with this method using spinach, too!
Fun Fact: Kale is not only delicious but also high in calcium, vitamin A, C, and K!
2) Kale and White Bean Soup
Since I had kale to spare, I threw it into soup. Would it make a slippery, slimy mess? No! It was delicious! I also threw some leftover pork tenderloin in the soup to make it extra yummy. It was an unbelievably good lunch, and left me really full without hardly any fat!
3) Finally, one-ingredient banana ice cream
Yes! I've been wanting to make this for quite some time but somehow never got around to it. We had some bananas that were turning brown so I peeled them, froze them, then blended them in my fancy Cuisinart food processor. You have to be patient, but after a couple minutes of blending they turn into a light, fluffy, not-too-banana-y frozen custard! So good! I need to try this with a touch of peanut butter or honey...although it's pretty darn good plain or with a squirt of Chocolate Magic Shell on top.
Tuesday, April 13, 2010
I love student health
Actual exchange with a patient today:
Me: So what can we do for you today?
Student: I think a bug crawled up my nose.
Me: Why do you think that?
Student: Because I fell asleep outside yesterday and I noticed something moving around in there.
Me: Have you done anything to try to get it out?
Student: I ate spicy food, sniffed febreze, and used tweezers. None of it helped, but I think the febreze made it angry.
Despite our best efforts, we were unable to retrieve (or find evidence of) any pests up this poor girl's nose. Personally, I think our recommendations were just as amusing: black pepper (for sneezing) and a Neti Pot to flush the little bugger out!
(Disgusting) Update! - The patient emailed my doc last night...apparently she used the Neti Pot and out came......
are you ready for this?
A WORM!
Eeeeeeeeeeeeeewwwwwwwwwwwwwww! A little white worm. Now she's afraid it laid eggs in there.
Me: So what can we do for you today?
Student: I think a bug crawled up my nose.
Me: Why do you think that?
Student: Because I fell asleep outside yesterday and I noticed something moving around in there.
Me: Have you done anything to try to get it out?
Student: I ate spicy food, sniffed febreze, and used tweezers. None of it helped, but I think the febreze made it angry.
Despite our best efforts, we were unable to retrieve (or find evidence of) any pests up this poor girl's nose. Personally, I think our recommendations were just as amusing: black pepper (for sneezing) and a Neti Pot to flush the little bugger out!
(Disgusting) Update! - The patient emailed my doc last night...apparently she used the Neti Pot and out came......
are you ready for this?
A WORM!
Eeeeeeeeeeeeeewwwwwwwwwwwwwww! A little white worm. Now she's afraid it laid eggs in there.
Wednesday, April 7, 2010
homeowners!
Holy cow, we got the house! They didn't accept our first offer but they countered and we countered their counter...and you know how it goes...but it ended up and they accepted!
Of course, everything is pending inspection and the bank and all those other hoops to jump through, but, we are under contract (yes! $8000 tax credit!) and all looks to be going in the right direction.
It was quite funny because Chris and I had still really been debating house vs townhouse and we actually didn't think they would accept our second offer. We had convinced ourselves that we didn't want the house anymore, and we wanted to get the townhouse...then we got the call...UH OH! I'm glad we hadn't completely made up our minds! But, we're super excited and happy and maybe for once in my life I'll feel like a grown up ;)
Now we need to start getting stuff to fill the house up...I've never shopped at IKEA but I have heard pretty awesome things. May need to make a trip up there soon. It's going to be a lot of fun to set up our new home!
We still have quite a bit of time left, though, as we don't close until June 1. That way we don't have to double up on as many rent payments WITH a mortgage...but June 1 seems so far off- I can't wait!
Sunday, April 4, 2010
Happy Easter!
Well, we put an offer on a house! For those of you keeping track, it was "option A" ... it's really exciting but still doesn't seem real. We're going to hear back from them by noon on Monday-I don't expect for them to just say "OK" to everything we wanted but you never know! We went back to look at it last week (with my super picky Dad) and the house just seemed right. The bathroom isn't that small, after all. The kitchen is beautiful...and there's a huge backyard (which I suppose is both good and bad!) We crunched the numbers and we can afford this house AND we can afford to put some furniture in it!
I've started my LAST rotation of medical school - which is also surreal. I'm working at the University Health Services Clinic. Basically it's all college students, and mostly acute problems. It's sort of slow, but I get decent practice using an EMR, good opportunities to learn about acute problems (like food poisoning, sinusitis, etc), and since it's two weeks after spring break, I'm becoming and STD expert!!
Friday night was my last performance in the Humanities Festival - a talent show for med students/faculty. I did not get the opportunity to play flute this year but I danced with the "Rhythm and Bones Dance Troupe" which was a lot of fun. We practiced SO MUCH this past week so I'll be glad to have my evenings back, but it ended up all coming together and being a lot of fun. There were supposedly videos made, so I will post up links when I get the chance.
As far as Easter goes, it doesn't feel like it's quite here yet! The beginning of Lent was very stressful with my Grandpa getting so sick and passing away, then with my long hours on surgery, I just don't think I had time to process it. Also, we practiced dancing so much this week I've missed a lot of the Holy Week services. We went to the Vigil Mass last night because a family friend was confirmed. It was a LONG service but, as always, it was nice. It's Chris' one year Catholic birthday, too!
Unfortunately, I forgot to take photos of the cake before it got devoured at our Easter gathering...it was very yummy though, so I'll give you the recipe just to tempt you! :) The recipe comes directly from here, and there is a delicious and tempting picture for you to drool over for a couple months before you finally break down and make it. Or does that only happen to me?
CHOCOLATE BOURBON CAKE
1 cup (2 sticks) unsalted butter, softened, more for greasing pan
2 cups all-purpose flour, more for dusting pan
5 ounces high quality, unsweetened dark chocolate
1/4 cup instant espresso (can use instant coffee)
2 tablespoons unsweetened cocoa powder
1 cup bourbon whiskey (can use 1/2 cup), more for sprinkling
1/2 teaspoon kosher salt
2 cups granulated sugar
3 large eggs
1 tablespoon vanilla extract
1 teaspoon baking soda
1/4 cup confectioners’ sugar (powdered sugar), for sprinkling
1 Preheat oven to 325°F. Grease and flour a large bundt pan (10 cup capacity), or two 8- or 9-inch loaf pans. Melt chocolate in a microwave oven or in a double boiler over simmering water. Let cool.
2 Put instant espresso and cocoa powder in a 2-cup (or larger) glass measuring cup. Add enough boiling water to come up to the 1 cup measuring line. Mix until powders dissolve. Stir in whiskey and salt; let cool.
3 Beat softened butter until fluffy (2-3 minutes on high). Add sugar and beat until well combined. Add the eggs one at a time, beating well between each addition. Beat in the vanilla extract, baking soda and melted chocolate, scraping down sides of bowl with a rubber spatula.
4 With the mixer on the lowest speed, beat in a third of the whiskey espresso cocoa mixture. When liquid is absorbed, beat in 1 cup flour. Repeat additions, ending with whiskey mixture. Scrape batter into prepared pan and smooth top. Bake until a cake tester inserted into center of cake comes out clean, about 1 hour 10 minutes for Bundt pan (loaf pans will take less time, start checking them after 55 minutes).
5 Transfer cake to a rack. Unmold after 15 minutes and sprinkle warm cake with more whiskey. Let cool. Sprinkle powdered sugar through a mesh sieve over the cake before serving.
I've started my LAST rotation of medical school - which is also surreal. I'm working at the University Health Services Clinic. Basically it's all college students, and mostly acute problems. It's sort of slow, but I get decent practice using an EMR, good opportunities to learn about acute problems (like food poisoning, sinusitis, etc), and since it's two weeks after spring break, I'm becoming and STD expert!!
Friday night was my last performance in the Humanities Festival - a talent show for med students/faculty. I did not get the opportunity to play flute this year but I danced with the "Rhythm and Bones Dance Troupe" which was a lot of fun. We practiced SO MUCH this past week so I'll be glad to have my evenings back, but it ended up all coming together and being a lot of fun. There were supposedly videos made, so I will post up links when I get the chance.
As far as Easter goes, it doesn't feel like it's quite here yet! The beginning of Lent was very stressful with my Grandpa getting so sick and passing away, then with my long hours on surgery, I just don't think I had time to process it. Also, we practiced dancing so much this week I've missed a lot of the Holy Week services. We went to the Vigil Mass last night because a family friend was confirmed. It was a LONG service but, as always, it was nice. It's Chris' one year Catholic birthday, too!
Unfortunately, I forgot to take photos of the cake before it got devoured at our Easter gathering...it was very yummy though, so I'll give you the recipe just to tempt you! :) The recipe comes directly from here, and there is a delicious and tempting picture for you to drool over for a couple months before you finally break down and make it. Or does that only happen to me?
CHOCOLATE BOURBON CAKE
1 cup (2 sticks) unsalted butter, softened, more for greasing pan
2 cups all-purpose flour, more for dusting pan
5 ounces high quality, unsweetened dark chocolate
1/4 cup instant espresso (can use instant coffee)
2 tablespoons unsweetened cocoa powder
1 cup bourbon whiskey (can use 1/2 cup), more for sprinkling
1/2 teaspoon kosher salt
2 cups granulated sugar
3 large eggs
1 tablespoon vanilla extract
1 teaspoon baking soda
1/4 cup confectioners’ sugar (powdered sugar), for sprinkling
1 Preheat oven to 325°F. Grease and flour a large bundt pan (10 cup capacity), or two 8- or 9-inch loaf pans. Melt chocolate in a microwave oven or in a double boiler over simmering water. Let cool.
2 Put instant espresso and cocoa powder in a 2-cup (or larger) glass measuring cup. Add enough boiling water to come up to the 1 cup measuring line. Mix until powders dissolve. Stir in whiskey and salt; let cool.
3 Beat softened butter until fluffy (2-3 minutes on high). Add sugar and beat until well combined. Add the eggs one at a time, beating well between each addition. Beat in the vanilla extract, baking soda and melted chocolate, scraping down sides of bowl with a rubber spatula.
4 With the mixer on the lowest speed, beat in a third of the whiskey espresso cocoa mixture. When liquid is absorbed, beat in 1 cup flour. Repeat additions, ending with whiskey mixture. Scrape batter into prepared pan and smooth top. Bake until a cake tester inserted into center of cake comes out clean, about 1 hour 10 minutes for Bundt pan (loaf pans will take less time, start checking them after 55 minutes).
5 Transfer cake to a rack. Unmold after 15 minutes and sprinkle warm cake with more whiskey. Let cool. Sprinkle powdered sugar through a mesh sieve over the cake before serving.
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