Sunday, October 13, 2013

A Christmas Letter -- because, let's be honest, it's awkward to talk about your family so much in a Christmas Card

Here are the current life stats:

1. Boyd -- aka "The Engineer" -- is still 5'11. Still weighs 160 pounds. And still is neurotic about how he loads the dishwasher
2. Lindsay -- aka "The Doctor" -- is still 5'5 (and 3/4, thank you very much), will refrain from posting her weight, and preheats her bed with an electric blanket at night. Much to the chagrin of The Engineer
3. Edie -- aka "The Parakeet" -- is 2'10" and 21 months old. She clocks in at 23 pounds. She will tell you that she is indeed a "gurlo" and not a boy. 

Well, the last year has treated us well. What has happened, you ask? Oh, not much. We still live in the southside hood where the marijuana flows like a swirling, whirling cloud of hallucinogenic storefronts with green crosses. The word "marijuana" is never in sight. These people must not know how to read. You know, back when we lived in Boston, they had a joke about people that didn't know how to read. Ha, yeah. They went to MIT. 

Let's see. Boyd still works at Heatcon designing composite repair equipment. This company is in Tukwila, but they have a Seattle address. Coincidence? Boyd's title is that of electrical AND mechanical engineer, yet I don't recall any degree in electrical engineering. It just gets stranger and stranger I tell you. Boyd has also mastered making breakfast in the mornings for The Parakeet. His rotation even includes such stovetop varieties as scrambled eggs and oatmeal (with toppings!). Very advanced indeed. He has read the following books this year: Zoobiquity, Anti-fragile, Born to Run, Nurture Shock and Dave Berry's Homes and Other Black Holes. Hmmm. It is not looking good for us buying a house with books such as that last one on his reading list. I may need to plan an intervention.

Edie is our resident Mormon Jew. She is currently in daycare at the Jewish Community Center and her favorite part of the week is "Tot Shabbot." I can't even make this stuff up. She will tell anyone who will listen about the deliciousness that is Challah. Somehow, in the past 6 months she has learned the English language. Pretty much in its entirety. I'm not even kidding. It's cute until it gets annoying, which it does get. Her favorite phrases are, "Play hello song on the radio, please," "Edie I wanna blankie," and "I wanna play toys right over der." A master doddler and creator of the 45 minute dinnertime drag, those blonde curls and big blue eyes the face of manipulation. Oh yes. And she isn't even two yet. Watch out world. 

For me, intern year has come and gone. Thank goodness. I have no desire to ever do THAT again. And what, you ask, did I accomplish exactly? Well, thanks to the new residency requirements to log every. little. single. thing that we do, I can tell you. I delivered 66 babies the natural way, assisted on 25 c-sections, performed 3 c-sections as primary surgeon, cut off 5 foreskins, placed 6 IUDs, admitted 100 patients to the hospital, intubated 5 of them, pronounced 12 people dead, ran 3 code blues (last month of intern year only), pumped about 130 bottles, sewed up lots of people (don't have to keep track of that one), worked an average of 70 hours per week, worked 1/2 of all weekend days, worked 4 weeks of nights, finished all three seasons of downton abbey and read the following books: Mistborn, Half the Sky, The Giver series, Where'd you Go Bernadette?, Blindness, Nurture Shock, Runaway, Into Thin Air, and Born to Run. My mom has now officially gotten me addicted to "The Blacklist." This is not good, as I have only exercised a total of about 10 days in the past year. Something had to give, you know?

So, here's to a year with more than 1 blog entry! I promise to be as real and snarky as ever. So a toast: to passing my last board exam this week, being on time to work, and getting Edie to use the potty. Here's to 2nd year. Um, due to technical difficulties, pictures to follow.


Tuesday, August 28, 2012

A happy ending of pink fishy jammies

It was a dessert kind of night. You know, the kind preceded by a terrible, horrible, no-good, very bad day. Edie was being lazy this morning and decided that biting me was a-ok. I, however, was not a-ok with this, and tried flicking her cheek when she did this, but she got such a quiver lip and cried tears--real tears--that I was at the brink of tears too. And this was all before 6:30am.

I was at the beginning of my ED shift taking care of a man who I spent 30 minutes with taking a thorough history and performing a complete physical exam including a real, full, neuro exam (which any good medical student will tell you takes 15 minutes to properly perform start to finish) for his complaint of new-onset headaches...when I simultaneously get chewed out by the attending for taking too long because "we're just going to scan his head anyways" and paged by our clinic administrator frantically wondering where I've wandered off to this morning because I have a list of patients waiting for me in clinic. (note to self: evidently there are two clinic schedules and one is not correct).

--Whereas in any normal job telling your supervisor that you are in the Emergency Room will surely get you some sympathy--

I go to clinic.

First patient is an extremely complicated morbidly obese woman with a sad history and recurrent infections in her pannus (look it up--urban dictionary). And...not really my patient. She sees another resident who is on vacation (note to self: thank the residents seeing my patients when I am on vacation). But she is nice enough.

Second patient is the mother of a 3 year old with recurrent scabies. Because we all know that the real patients in peds are often the moms, let's be honest. And she was kind of mean about it when I told her the whole family needed to be treated again and for crying out loud wash the stuffed animals! Only after I told her my diagnosis did she offer up information about how, oh yeah, their cousin has scabies and hasn't been treated. Also their house has a cockroach infestation and could that possibly be causing the rash? Do cockroaches bite? Let's just say I wore gloves in there. And for the record, only Philippine cockroaches bite. That is purely anecdotal, but I believe it to be true. Please leave a comment if you know otherwise.

Have I mentioned I haven't pumped all day? At least my poor nipples got a break from all that biting this morning. Ahhh motherhood.

Back to the ER and some guy who's not very sick and not very emergent is going berserk because he was told at urgent care that he needs a surgery to pin his wrist in place and he wants it NOW. Can I call the head of ortho? Oh and by the way, no pain meds work on him EVER for ANYTHING and he's in 10/10 pain. He proceeds to laugh at some joke he makes that I do not find funny. I'm pretty sure that when I was in 10/10 childbirth pain I was not laughing. Just for the record.

I spend the next 1.5 hours trying to find someone--anyone--in radiology (where are those doctors anyways? Have they all moved to Hawaii?) who will be willing to load his x-ray from urgent care. Evidently there is a protocol for that and paperwork yada yada. So can I get the patient to sign the financial consent form that he might be charged for a re-read? Oh he's going to love that.

I am just now realizing while typing this that my patient had narcissistic personality disorder.

All's well that ends well though. I got to come home to Boyd and Edie and plenty of smiles and babbles. She is scooting around pretty successfully these days which proves to be quite amusing as she discovers all sorts of treasures on the floor. She loved eating the little cubes of beet I roasted for her for dinner. And I got to snuggle her and put her to bed in her pink fish jammies.
So happy 





Sunday, July 8, 2012

Residency...Go!

And it begins...

Residency I mean.

Can I stop the post right there? Naw. That would be too dramatic. It probably doesn't deserve that much drama. Well, the nurses might think so, but I digress.

What are the stats you ask? Since July 1st I've...

-Delivered 4 babies
-Stitched up 2 moms all by myself
-Broken one woman's water
-Been first assist surgeon on 3 c-sections
-Helped one woman get started breastfeeding
-Pumped milk 22 times
-Done about 20 cervical exams
-Managed 8 women in labor
-Been in clinic 8 hours
-Written 4 prescriptions
-Missed bedtime twice
-Woken Edie up 3 times to feed her before I leave
-Unintentionally skipped 4 meals
-Been chewed out by 1 attending in front of the entire nursing staff
-Been reprimanded by 2 senior residents
-Been late 0 times
-Made cookies twice
-Cried 3 times
-Been called "honey," "sugar," and "sweetie" by 3 separate nurses in front of my patients
-Been asked by 2 separate clinic support staff, "how could you leave such a precious baby girl at home and come to work?" when my nanny brought Edie in one afternoon for me to feed her. That may or may not have been one of the times I cried.

And I've also made a pan of brownies. What can I say? I feel deprived missing meals so I clearly deserve extra dessert. Thankfully, while breastfeeding this doesn't seem to matter to my waistline. I do not, however, want to ask my pancreas how it feels about the sugar overload.

I love being on OB because childbirth is truly such a miracle. It is so painful and so awesome all at the same time and it is so incredible to be a part of that in someone else's life. I get to be the first person to hold their baby! I also hate being on OB. There is a lot more sadness and burnout there than a lot of people realize. It's hard. Being an intern is really hard.

I miss Edie. I miss Boyd. Only 155 weeks to go!

Edie eats sweet potatoes. Mmmmm.

Um, guys, I have a question (brightest witch of her age)



Friday, March 16, 2012

Match Day Disappointment

This is such a cruel irony. I am so incredibly humiliated and disappointed right now I have no words for it. I know I need to count my blessings, and I think tomorrow I'll be able to do that, but right now I just can't. I just feel defeated.

Let me break it down for you. I've worked incredibly hard in medical school. In December I was awarded a scholarship for being #1 in my class. Not #2. Not #3. Number 1. The UofA doesn't even officially release their rankings, but the top three students won this award--so they know who they are. It was an incredible honor. During my first two years of medical school I published three papers--one first author paper--in peer reviewed, highly regarded medical journals for my research that I finished at Mass General in Boston during my internship after first year of med school. I scored A's on every test. EVERY ONE. And when I took the medical boards--steps 1 and 2--I blew them out of the water. Scores that people going into plastic surgery would kill for. Scores like that. I volunteered at our school's refugee clinic and loved every minute. I was awarded AOA--the medical school honor society--as a junior, and Gold Humanism Honor Society as a senior, which looks more at how you interact with patients instead of just academic achievement. I honored every clerkship during 3rd year. Even psychiatry. And surgery. I really cared about the patients I was asked to see and take care of, and I would come in early and leave late. I scrubbed into hours-long surgeries pregnant and had things thrown at me during psych, but you know what? It was worth it. Because I learned things I wouldn't have been able to learn any other way.

So when I walked up to the stage this morning, Edie in tow, to read my residency placement, I was really excited. I just knew I would match into one of my top two choices in Seattle. Everyone said so. Everyone. Even the programs themselves. I doubted myself so many times during the process. Worried and fretted that for some reason my top programs wouldn't like me. But friends, family, and every doctor I talked to at the medical school said I was a shoe-in for my #1 choice. Why wouldn't I be? It is well known that family medicine is one of the least competitive specialties in medicine. And I was one of the most competitive applicants.

So when I opened that envelope in front of hundreds of people and I matched at my #4 choice in Renton, WA--Valley Family Medicine--I was crestfallen. Not because Valley is a poor program, on the contrary. It's a great program. Flexible with talented attendings, happy residents, and a beautiful hospital. Its adult medicine, pediatrics, and OB services are all run by family medicine, and it's only 30 minutes outside of Seattle. I'm sure I'll be reminded of all these things when I start there. But I was humiliated. I have never been more embarrassed. It is practically unheard of for someone going into Family Medicine to have to go down more than three ranks to match. I was pretty conceited going into the whole process that I would get my first choice. I never dreamed it would be different. And if I started to waver in my pride, someone was always there reminding me that I couldn't possibly need more than 3 ranks.

I'm not sure why it ended up this way. I hope there's a reason behind it that I discover when I'm there and think, "that's why we're in Renton." School has never let me down before, and I think it was time to be humbled. I have a great marriage, a beautiful daughter, and I am privileged to become a doctor in a country with exceptional medical training.

But for today, I'm just disappointed.

Wednesday, February 29, 2012

On Breastfeeding, Cloth Diapers, and Sleeping Through the Night


Let's start with this: I live and breathe baby. School? What is that? The dean of students actually had to call me the day my rank list was due for my residency choices to ask me if I was going to do it before the 6pm deadline. Three months ago I would have had obsessed over and finished that list weeks before the deadline. I did think about it, but let's just say it was more of an afterthought to my recent obsessions with breastfeeding, cloth diapers, and sleep, just to name a few.

Oh sleep. How I miss you.

I've never thought of myself as the motherly type. I still don't. I didn't immediately bond with little Edie. It's been a slow process. This is likely partly because breastfeeding was a nightmare at first. For school I've been doing a reading elective on breastfeeding...learning all its benefits to mom and baby and society at large. I was determined to make it work. I knew deep down that it wasn't going to come easy to me. For starters, I've always had really sensitive skin and I thought it might be painful. What I wasn't prepared for was the absolute ripping, searing pain that occurred nearly every 2 hours like clockwork for Edie's first 3 weeks. Instead of the loving bonding that was supposed to be happening during those precious awake hours with my little girl I spent most of it sobbing. Ha, labor was easy and finite compared to this never-ending torture. 2 midwives, 1 pediatrician, 3 lactation consultants and 1 occupational therapist later, we finally got a diagnosis I had never heard of--Edie had a posterior tongue tie so her tongue didn't work the way it was supposed to. Two hours driving up to Phoenix and one five-minute procedure later and 7/10 pain was now 2/10. We still had to spend some time teaching Edie to un-learn the bad habits she had picked up with her odd anatomy, but finally, after 5 weeks of post-partum depression directly correlated to my pain level, I felt sunny again.

Right around the same time Edie started sleeping a longer stretch at night. First 5 hours, then 6, and then 7-8 hours starting around 7-8pm. So for the past two weeks I've felt soooo much better since she only wakes up at 3am to nurse. Except tonight as I write this it is 8:30pm and after an hour of complete silence in her crib from 7-8 she is screaming. However when I picked her up, worried that something was really wrong, she started cooing and smiling so I'm pretty sure she's fine. I'm not looking forward to the nights ahead if this is going to be a new normal for her. I was just starting to enjoy sleeping through the night (which is evidently defined as 6 hours straight). And I'm not sure if I should let her cry it out or not. Most books say it's too young for that (she's only 7 weeks), but she seems to know exactly what she wants (to play and not sleep), so I feel like I'm creating a bad habit by giving in to her. Sigh. I just don't know how to do this parenting thing. OK-so after 20 minutes of crying she gave it up and I can see on my video monitor that she is sound asleep. Hmmm...it's all so frustrating really. Can you tell I'm not exactly into attachment parenting?

Lastly, we've decided to do cloth diapers. I LOVE them. When our diaper sprayer broke we did a few days of disposables that we had been given and she got the angriest diaper rash I've ever seen. One day of cloth diapers again and it was gone. I realize that's completely anecdotal, but I love our little TotsBots tinyfit newborn diapers. I'm trying to decide what to put her in when she outgrows these around 12 pounds. I want to do a one-size diaper next. Suggestions?

So that's what's been on my mind. Mommy stuff. This is so much harder than I expected. Part of me wishes someone would have told me, but I realize that I wouldn't have really listened--wouldn't have really heard it--anyways. I do love our little girl, but the newborn stage just isn't quite my thing. I'll take my next one potty trained, thank you very much.


Thursday, January 26, 2012

The long awaited...the birth story

For pictures of the birth (everything PG) visit my friend Elizabeth Ashdown's amazing photography blog: http://elizabethashdownphotography.blogspot.com/


Ok, deep breath. Here goes:


A couple things happened the week I went into labor. One was that the blue and black cohosh didn’t work. I tried diligently for about 4 hours, alternating the tiny sugar-tasting pills, which I wouldn’t even blame the manufacturer if they truly were placebo. I was making enchilada sauce that day and taking the stupid little pills every 15 minutes instead of tasting my creation was truly maddening. Another was that I started up running again. At least if I wasn’t jump-starting labor I could lose myself in my ipod and work on getting fit for labor. Lastly, was finding two things online that really helped—the UK babycenter January birth club and a friend’s birth story. Both included women who were well over their due date and into their 41st week and still hanging in there. And with that I cancelled our original induction date/time at TMC for Saturday morning.

On Wednesday I called the birth center to see if I could get my membranes stripped. Somehow I knew I was close. Wednesday had been different; I just felt more somber. My 5 miles turned into 2 ½. The midwife did the strip which I laugh now thinking that I even though it was uncomfortable at the time. After the excruciating pain of labor it was like eating ice cream. Then I promptly went home and like anyone about to give birth, I made a lasagna from scratch. Best lasagna ever. Also hardest to make ever. I was contracting during cooking and they weren’t exactly painless. I was getting hopeful, but as the night wore on and Boyd and I enjoyed out last night together as a twosome the contractions died out. I went to bed at 11pm thinking I would wake up to enjoy yet another day baby-less. Wrong. And I was in for the roller coaster ride of my life.

At 5am on 01/12/12 I woke up to a pretty painful contraction. I had never felt anything like THAT before. Excited I laid in bed with my heart pounding. But nothing. Then 5:30—wham. Like being hit in the abdomen by a baseball. From the inside. Then nothing again until 6:00am. Then 6:20, 6:40, 7:00am. I wondered how long it was going to go on like this and if it would die off again like it had so many times before. But somehow I also knew this was it. I remember not wanting Boyd to see me during a contraction because I didn’t know how to hide my pain and I thought it might just be false labor. I didn’t want to be silly. But he came in the room to say he was leaving for work at 6:40am and saw me crouched over the bed. We didn’t talk about it. He went to work anyways, letting me save face like he knew I wanted to. I know that might seem strange, but it was what I needed. Come 7am, though, I was screaming it from the rooftops. He needed to come home and come home NOW!

My contractions were so intense I suddenly had this overwhelming panic about natural labor—if I was still only dilated to a 3 like I was during my visit the day before how was I going to do this? In the moment I did everything I could just to rinse the shampoo out of my hair. In a matter of minutes every class we had on relaxation, every technique we had learned was out the window and the only way I was dealing with the pain was by throwing up when the contractions hit a new level of intensity which they seemed to do every 20 minutes or so. Boyd came home by 8am (he had run to work, !?*&%!). At this point I didn’t know how I was going to sit in the car for the excruciating 20 minutes to the birth center. I also realized in that moment that waiting for real labor to start to pack my bags was a bad idea in general. I kept remembering things in between contractions and Boyd was frantically trying to stuff it all into a too-small suitcase. I truly regretted later not packing anything but a bar of dove soap for my shower afterward. A nice-smelling shower gel or at least shampoo and conditioner would have been a real bonus. Ah well, there’s always next time!

Boyd started out driving fast to the birth center, and I have to imagine that he was probably excited to use the “my wife’s in labor” excuse just in case. Because truly, there was no mistaking my state. But we hit that first speed bump on the way out of our complex and I think I squealed in hysterics. So much for a Hollywood entrance into the birth center. We did manage to make it there, albeit with a little more throwing up, and the first thing I hear when the nurse met us outside in the parking lot was, “ah a true sign of labor” at the sight of my bile-stained bowl.

I hobbled into the birth center and for the first time all day things started to feel under control. The midwife met me and instructed me to tone down my hysterical soprano notes a few octaves and to relax my pelvis during a contraction. She showed Boyd how to squeeze my hips during the worst of it, and before we knew it we were whisked into the pink room, bath running and ice chips waiting. Ice chips. Can I just have a moment of silence for this amazing invention? It was the one thing I specifically requested on my birth plan because I have an irrational love affair with ice chips. Since the birth center didn’t have the crave-worthy hospital ice (you know the airy kind), the nurse put the cubes through the blender for me! Ahhh such spa treatment! But I digress. At that point it took every ounce of effort I had just to hoist myself onto the bed so the midwife could check me. The whole time I just kept thinking, if I’m only 4cm we’re going to TMC and getting an epidural because this pain is ridiculous. Thank goodness I was a solid 7cm. That gave me a lot of motivation—transitional labor already! I could do this!

The next 3 hours were a blur of contraction upon contraction upon contraction spent in the bath tub. I only really remember Boyd staying by my side the whole time and feeding me ice chips. It’s ironic, because one of the reasons I thought I wanted to deliver at a birth center was because I wouldn’t be hooked up to anything, and so could walk around and eat etc…HA! To even imagine that someone in that kind of pain could walk is ridiculous to me. And eating? Well, we already heard about my propensity to toss my cookies, so that was out of the question. After 3 hours there was a still a small lip of cervix that was keeping me from the elusive 10cm and pushing. But the midwife said I was making sounds like I was starting to push (this was all news to me) and she was worried about me tearing my cervix so she gave me the option of either manually pressing my cervix back through a contraction and having me continue to gently push or having me stop any type of pushing while I finished dilating. At this point I felt like I was going to die with every contraction. I remember thinking—this is why women get epidurals.

They say that pushing is a relief, but I think that the contractions are just so painful when you reach 9-10cm that pushing is just enough of a distraction to keep you from going crazy. All I can say about the pain is 1) it felt like someone punching me in the abdomen every 2 minutes except that the punch was sustained for about a minute; it took all the energy I had just to remember to breathe and 2) it was so intense and such an out-of-body experience that I’ve already forgotten the sheer terror of it. So naturally, not pushing was NOT an option. But having her fingers hold back my cervix during a contraction was torture too. Needless to say my first hour of “gentle” pushing on the bed felt like the longest hour of my whole labor. Once I was fully dilated I still didn’t feel the intense urge to push and evidently this was because the head still wasn’t full engaged. My midwife had me get up on hands and knees and push as hard as humanely possible to try to break my water, which shortly afterward exploded on the bed.

The final hour of my labor was spent on a birthing stool on the floor. I gripped that thing so hard I’m surprised I didn’t bend the metal frame. After my water broke it was amazing how much pressure I felt. Her head felt like it was tearing and burning me from the inside, but once the head was delivered it was so strange how the rest of her body was perfectly smooth. I know now why I have been able to deliver so many babies as a medical student—because frankly, I could have cared less who was down there catching her. My first thought when they handed her to me was just how loud she was and how I hoped she wasn’t as traumatized by it all as I was. But I also felt such an amazing relief that the contractions were gone. I kept bracing myself for a few minutes afterward but then felt these amazing gushes of relief that the pain didn’t come.

I thought I would cry, but I didn’t. I also thought I would have some sweet image burned in my head of Boyd holding her for the first time but when they handed her to him while they sewed me up I couldn’t see his face. I wish I wouldn’t have missed that.

I also remember how beautiful I thought she was when she was born. And how perfect her little body was. Later that night after taking a shower and looking into the mirror at the hundreds of tiny popped blood vessels on my face and in my eyes, I remember how unbeautiful I looked. And how haggard, swollen, worn-out, and almost destroyed my body felt.

It was an amazing experience. One that I don’t think can be adequately described. One that already the snows of memory have softened. But one thing I can say, even when I felt so kicked to the curb that night, was the amazing sense of accomplishment I had. And when, at 3am, everyone was sleeping and I was overcome with the greatness and gravity of it all, I finally understood the scripture, “Mary kept all these things, and pondered them in her heart.” Truly, that says it all.

Sunday, January 15, 2012

Baby Edie!


She's here and she's wonderful!


Edith Lucy Gunnell was born at 3:09 PM on Thursday the 12th. She weighed 6 pounds, 11 ounces, and was 20 inches long. She has long fingers, toes, and fingernails, and lots of hair. She likes riding in the car and being wrapped up nice and tight. She does not like cold hands.


Many thanks to everyone who's given food, diapers, books, clothes, and so on!

Just before leaving the Birth Center--this is the room where she was born!

She's so little, she almost gets lost in her car seat.

Baby's first spa day. She relished having her hair washed.
Mowgli has been eager to introduce himself.


Wednesday, January 11, 2012

40 weeks 5 days and counting...


I posted pictures of my beautiful nursery on my facebook profile. Check them out! Here is proof that I am still pregnant. Taken today with my budding skill at using my fabulous new Christmas present Canon Rebel and tripod!

Tuesday, January 10, 2012

I'm starting to think it might just be a tumor...

I'm getting pretty disheartened, discouraged, depressed...call it what you want. I know that many pregnancies are late, especially for first-time moms, but I'm starting to lose faith in my body and my ability to have this baby. I feel like I have absolutely no control and that I'm spiraling down the path of losing the kind of birth I really want to have with every passing hour of uterine silence.

Everyday for the past two weeks I've woken up and thought, "maybe today!" with excitement. Sunday I even had contractions getting closer and closer together (for a grand total interval of 8 minutes!!) which helped me be strong in church to face the constant, painful barrage of "what are you doing here?" and "not in labor, huh?" comments. Well, I'm not even excited anymore.

Every morning now I wake up and think, "oh man, I didn't go into labor overnight" (which is the most likely time because of our natural hormone circadian rhythms). Then I spend my days trying to come up with semi-productive activities to fill the annoyingly long and arduous next 16 hours. Everything from massages, cooking, cleaning every last spotless corner of our already clean house, washing baby clothes and cloth diapers, reading, researching medical questions (mostly about pregnancy, let's be honest), rearranging the baby's room AGAIN, texting and calling back well-meaning friends and family that, NO, our baby is NOT here. Painful. My mom even tried to recruit me to strip an old bench of hers and--gasp--I'm actually considering it!

I've run (ok, more alternating power-walking and running) about 5 miles a day since 39 weeks and the midwife has told me two weeks in a row that this baby's head is still floating in deep space nine, also known as NOT MY PELVIS. I've been dilated to a pathetic 1cm for two weeks despite cervical evening primrose oil, membrane sweeping, red raspberry leaf herbal tea, and yes, sex, which if I can be perfectly frank, is just ridiculous this pregnant. Effacement? Let's just say I went backward from last week from 50% to 30%. Is that even possible??

When I started writing this, I was kind of sad, and listening to Rascal Flatt's "Easy"--you should youtube it, it's a great song. But now after this long rant I'm more mad about it all and my itunes has crawled down to Glee's mashup of "Rumor Has It/Somebody Like You" which is a more appropriate angry/sad montage. The first verse aptly starts off with, "She...she ain't real." Yep, that pretty much sums it up about how I'm feeling about this mystery baby who I don't even really know.

On a final note, I have a gorgeous new camera and this post probably deserves a picture of my 40+ weeks pregnant self, but I'm still trying to muster up the courage to let Boyd take one of those. Stay tuned and you may get lucky in the next few days with just such a pic.

I really don't want to go to TMC or be induced. I had visions of something in my life not being shrouded with medicine, so I hope something happens in the next 3 days or that's where we're headed, sadly enough. I'll even happily accept a Friday the 13th birth. And if you've read this far into my horrible rant perhaps you should win the "delivery date" prize from my previous post because it looks like everyone's guesses are going to be under.

Ok, with that off my chest, here's to some positive thinking!

Wednesday, December 21, 2011

The big debut

So...I was doing some reserach today to try and find what are my chances for delivering over the next few weeks. Here's what I found out (there are many studies and this is approximate):

5% of babies are born pre-term (<37 weeks)
8% are born between 37-38 weeks
12% from 38-39 weeks
20% from 39-40 weeks
35% from 40-41 weeks
15% from 41-42 weeks
5-10% post-term (>42 weeks)

So now, I'm polling for guesses as to when she will show up!--the closest to the due date will win a special surprise from me! Right now I am 37 weeks and 5 days (due date: Jan 6th) and it looks like she may stay put for awhile (at least, she's still stuck in my ribs so clearly she hasn't "dropped"). It turns out that most first-time moms deliver, on average, 5 days past their due date. Second-time moms? You may be surprised to hear that they too deliver, on average, 3 days past their due date.

I've done a lot of lit searching about the risks of a post-term delivery and have decided to be induced at 42 weeks if it goes that long, so the latest due date possible will be January 20th. It also may be helpful to know that I was about 4 days early and Morgan about 3 days late. Happy guessing!

Tuesday, October 11, 2011

CSA...The Plunge

So Boyd and I joined a CSA. Which, for those of you have escaped the debates over the last decade or so on agri-business, stands for community supported agriculture. Basically we bought a share of local produce which we pick up each week and must figure out how to cook, even if it includes Komatsuna or Kohlrabi. We have debated for probably 3 years whether or not we should take the dive, because I wasn't sure I was ready to try and figure out the mystery ingredients, but (after two years of watching Food Network's "Chopped") we finally gave in. I think our recent reading of the Omnivore's Dilemma probably clenched it for us. The Tucson CSA also includes optional shares of locally-raised grass-fed beef and lamb, free-range chickens and turkeys, pork, goat's cheese, artisan bread, honey, and eggs.

So I know you are all dying to hear what our loot included this week:

1. A bag of purple beans
2. A bag of basil
3. 2 lemon cucumbers
4. 2 green bell peppers
5. 4 red potatoes
6. A bag of fresh roasted red bell peppers
7, 4 heirloom tomatoes
8. 1 loaf artisan wheat bread
9. 1/2 lb. italian sausage
10. 1 dozen eggs
11. and 1 Jack ‘o Lantern Pumpkin

Not bad, eh? I'm really excited to be eating some delicious tucson-grown delights this week. I hear that purple beans turn green when you cook them, though...so maybe we'll just be having green beans. Either way, I'm nervous for the week where I have to cook dandelion greens, but so far, I think this is a pretty safe introduction to deliciousness.

Thursday, September 1, 2011

Happy Day



Picture A: Lindsay then. Just a little peak of what I'll be cleaning up in approximately two years time. Sorry for the random butt in the picture. My cropping skills are nill. Thank you to my mother who graciously brought this little gem over for me the other day.



Picture B: Residency photo. Now, doesn't she look like someone who would be a good family doc? I think my parents did a fine job transforming my body art self into someone respectable.

And the real post, ready go: Pregnancy has been hard. I don't think I need to dwell on this twice, as many of you have already heard a mouthful and half about it. So I'm not going to talk about that today (i.e. on the horror of discovering my first stretch marks the other day). Things like that. So let's move on.

Today has been a really good day and I thought my blog deserved a little happy TLC. I submitted my residency application to 10 programs. It's DONE! I'm really happy with how it turned out. The picture was even pretty decent considering I weigh 15 pounds more now than I did just a few months ago when I could have gotten it taken (a small oversight). I applied to 6 programs in the Seattle area, 2 in the Portland area, and 2 in Tucson. Now the waiting game begins. My personal statement actually sounded grown up and familiar without being cliche. So, you know, a good success I'd say. Also, now that my September away rotation in Safford is practically here I'm resigned to the fact that it probably won't be the worst month of my life after all. I even looked up the local institute schedule to give me something productive to do in the evenings. Progress.

So we turn to the next big thing in my life: baby miss. She's moving around and I have to say it's pretty cute now that I don't mistake her for gas anymore (I'm a novice, what can I say?). I'm trying to plan a nursery and I'm thinking a green, white, and espresso clean, slightly modern, slightly shabby-chic nature theme. You know, with birds on a wire and one light green wall and a crib with crisp, cream, quilted bedding. Ok, so I may or may not have stolen this from Pottery Barn kids. Can you blame me?

But I have a few questions ladies...what are baby room essentials? Baby clothes essentials? Do any of you have positive opinions on cloth diapers or any suggestions for that realm, because I'm open and interested (please no haters...I know you're out there and frankly, I don't care what you think). How about thoughts on breast pumps? Also, while you're at it, vote on your favorite baby name in our poll. And if you hate them all, I understand, I probably hate your baby names too. All's fair.

Monday, August 22, 2011

A big apology.

I made a big mistake. I really hurt and offended a friend of mine with my last post.
I inappropriately mentioned someone that I work with and used her name without permission on a public blog. I want to apologize to my friends, family, and readers and know that I did not mean to hurt any of my readers with my candid thoughts.

When I was younger, Pam, one of my many wonderful moms, once corrected me when I used a sterotype about a friend of mine. It was a positive sterotype, so I didn't think it was wrong. But I was saying it out of jealousy that I did not have that trait. She reminded me that talking about others without their consent in a sterotypical way that can invite mean-spirited comments is always wrong, even if what we are saying seems like flattery.

Please know that I never meant to hurt anyone with my writing, nor do I wish any malintent upon anyone--especially those women who are brave and selfless enough to carry a perfect, unborn child. I can be a very passionate person and often over-step my bounds when it comes to speaking my mind. The words tumble out and I don't always mean them the way they are taken. I hope those I have offended will understand and accept my sincere apology.

Please no comments.

Monday, July 25, 2011

You know you're an adult when...

1. You actually change the Brita filter on time
2. You have a credit card that you pay off every month
3. You have a fridge full of ingredients
4. Your Pandora switches from Ne-Yo to Colbie Callait
5. You have a pet...or at least a plant...that you've successfully kept alive
6. Your furniture matches
7. You start calling school "work."
8. You have to stop and think how many years you've been married
9. You read non-fiction books
10. You start going to the dentist again
11. You start getting "long-term" callings in your ward
12. You have friends with kids
13. You start shopping at stores like The Loft and Banana Republic
14. You own your own copy of "What to Expect When You're Expecting."

Friday, May 20, 2011

Surgical beauty

What can I say? Surgery has left me a little bit speechless. There is something about having your arms elbow-deep in some guys' warm, peristalsing guts during a laparotomy that just changes you for life. This is what I've learned:

I may never feel beautiful again. The other day, I wore these awesome, new, light gray, linen pants that I had paid a slightly discounted price for at Banana Republic, but probably not discounted enough if you know what I mean. Up until this day during the rotation I was feeling a distinct lack of beauty in my life. I mean, how are you supposed to feel beautiful when you are required to don the ridiculous hair net and hideous teal scrubs with distinct yellow lining broadcasting to the entire world that you're a size small? Heaven forbid I ever have to move up to the depressing brown ribbon of "medium."

So it was a rare day neither on-call nor post-call and I made the executive decision to dress up. I wore what I thought were sensible heels. Ecco brand, 2 1/2 inches; because my clogs had seriously started to smell like the Bovie (i.e. the surgical cautery). I had even put on some powder, although I skipped the mascara because the face shield in surgery feels like a sweat lodge. Needless to say, we were just doing a hernia repair and when my resident commented on my poor choice of shoes while we were scrubbing with the nasty yellow iodine and I was somehow getting yellow soap foam in my hair, I remarked that they were more comfortable then they looked. Right? 8 1/2 hours later in those stupid heels, gray pants long wrinkled in the locker room, and without water, food, a chance to pee, plus the distinct knowledge that I was NOT allowed to itch lest I risk being labeled as "that" medical student who has to waste another pair of sterile gloves because she can't keep her darn hands out of trouble...and I was hurting...bad.

6 hours into this hernia repair which actually turned out to be a laparotomy with lysis of adhesions, bowel resection, and THEN a ventral hernia repair (nobody told ME this when they needed a medical student--STAT--to hold retractors) a giant neon blue poster of the pain scale was staring back at me in the OR--the little faces getting more and more sad from 1-10. I recalled my education in these pain matters. I knew full well that "10" was necissarily reserved for femur fractures and childbirth but I was seriously at a 5. I kept rehearshing in my head how I would frame my plee to scrub out as the surgeon was cursing at the giant mesh he was trying to sew into this guy's non-existent abdominal fascia. Oh the agony!!! What was I even doing here at 8:30pm? My biceps were shaking with every passing second of holding those stupid retractors and I thought, "this is hell. It has to be." And without the guts to bring up that I was well past my legal duty hours, I started to silently cry under my sterile garb without anyone noticing.

I came home that night and crumpled on the bed without brushing my teeth trusting my iphone was preset for 4:30am without bothering to check. Said morning came with my feet still throbbing and the worst breakout my skin has seen since high school--compliments of the powder I didn't wash off the night before I'm sure.

And so today, three days later, I can officially cross general surgery off of my list of future careers. And that is your medical school update.

Tuesday, March 22, 2011

Two Dates Worth Re-living

The other day, I asked my friend Hannah what day she would pick if she could go back and re-live one day in her life. She picked high school graduation. She had just started dating the boy of her dreams, had an entire free summer ahead of her, and a felt like her whole life was just about to begin. The perfect day. So, naturally she asked me the same question--because she has good social skills like that--and I lamely said that sounded like a good day to me too. Hey, I was dating a boy I thought I loved, and was vaguely excited to start BYU. And (bonus!) I was also wearing a pretty hot miniskirt that day, so why not?

But it wouldn't be my day of choice, not really. Or even my 100th day of choice. So I quickly followed it up with, "...or my wedding day. Or night. Or whatever." And the whole conversation degenerated, naturally.

Today I was really thinking about it though. I flipped through 30 or so days in my file of hours lived to savor the really good ones. The life-changing ones. The ones I would pay decent money to re-live, to melt in my mind like a good piece of chocolate making sure to taste the intricacies.

I picked a few. Here they are:

1. October 1, 2005. The day I ran the St. George marathon. My heartache from John's death was healing better than expected. I had finally thrown away the picture of the engagement ring that John had hidden in his sock drawer and that I so desperately wanted him to give me. In the months leading up to this October day I had sweated all my sorrow into my organic chemistry class from which I came out on the other side with a big fat A. All of John's college friends had supported me and protected me, and in the wake of the biggest tragedy of my life Boyd was there, tried and true. I should have seen the neon sign when he told me he'd drive me to the marathon, stay overnight with my sister's friends who were also running, and cheer me on the whole time, only to turn right around less than 24 hours later to drive me right back. Morgan ran with me the whole way and we both mused that we had brought along some pretty swell men to watch us sweat through our sports bras. Nothing says sexy like a salty sports bra, right? The run was gorgeous; the finish, sureal. Boyd kissed me for the very first time that night, and I knew my life was starting.

2. February 3, 2007. The day I found out I got accepted to medical school. Boyd and I had just moved into our concrete block of an apartment in MIT family housing. Everything we owned was piled on the cold tile floor of the front room that had waxed-in hairs from the previous occupants. The kitchen was the size of a bathtub. But it was ours, and it was right on the gorgeous (and at the time, frozen) Charles river in Boston. I had just gotten the acceptance call from Massachusettes General Hospital that they were giving me the job of a lifetime--doing reserach in the neuroendocrine unit right in the historic Bulfinch building where the very first surgery done under anesthesia had been performed. It was that magical time after you get hired and before you have to start. And then the letter came. It was a fat envelope--always a good sign. It was from Albert Einstein University in the Bronx, the first medical school I had interviewed at in the fall. I ripped it open and there it was, they wanted me to come to their medical school (albeit for a pretty penny), but I didn't care. I was going to be a doctor for real. My life was starting a second time.

There are so many more. The kindergarten day our incubating eggs hatched into fluffy yellow chicks. The day I did my very first back-handspring in gymnastics--bent knees and all. Christmas morning where we got a trampoline, and discovered it after a 5am treasure hunt. The day I got picked for student-of-the-month in middle school after years of trying to be a model student. The first day I ever made chocolate chip cookies and they turned out like I was Martha Stewart herself (at least that's how I remember it). My very first day of high school wearing my totally cool red horse shirt where I met my future prom date in our mutual weight training class--bowler hair cut and all. The day my high school science fair project won at the UofA. The Wednesday my dad took Morgan and I out of school to go skiing at Mt. Lemmon. When I pole vaulted for the very first time and then the day I got to pole vault in the state competition my junior year only to come out with a second place finish. My first run on Mt. Graham's web peak trail. Finishing my dizzying AP Calculus test and then getting that envelope that pronounced I had earned a "5". The day I saved my very first little girl in the pool as a lifeguard. My very first ballroom dance class at BYU. The day Boyd proposed with that darned tiffany's ring I so deperately wanted. The day I surprised Boyd by visiting him in Boston the fall before we got married. Our wedding day. The day I was sick from work while living with Mary Beth and Andrew and we baked all day together. My first day in the anatomy lab. The first baby I ever delivered. The first tough diagnosis I made all on my own during my neurology rotation that both the attending and radiologist missed.

There are so many times where I want to press fast forward in my life. I find myself wishing that I could just skip my 6 week surgery rotation coming up here in May. Or just fast forward to when residency is finished. I wanted to skip our engagement so we could just be married already. And I know I wanted to fast forward undergrad after seeing the testing center for the millionth time. But looking back, some of my best days were during times I wanted back then to delete from my life. Yes, the sweet comes with the bitter. But I'll take it.

Tuesday, March 15, 2011

SPRING BREAK!

That's all. BYU really needs to get with the program because spring break is seriously the best week ever invented. Full stop.

Tuesday, January 18, 2011

The decision is made. Babies it is.

Wow, I suck at blogging. I'm not just bad at it, mine is the blog that ends up at the very end of the sidebar list with links to people's "friends & family" blogs because I haven't updated in 2 months. Meanwhile, I don't even have links to the blogs I follow because I'm that lame at blogging in general. Yet I love reading other people's, and I get sad when they don't update. Hypocrite. I think that's the name for that. And now, outfitted with my brand new iphone 4 (because I have medical things to look up...of course), it just makes the excuses all the more lame.

Also, I suck at blogging because I suck at taking pictures. And who wants to read a blog without pictures? It's like reading a novel; and we all know that what people really want to read is one of those board books with quipy, rhyming one-liners that are outnumbered by adorable illustrations all in a "safe-to-chew" package for easing toting to church...

So. Anyways. Here I am. Still no baby pictures. Still no life-altering news. And really in no mood to rant or gush or make a scrapbook out of my life. Sorry if that's what you wanted to read.

Right now I'm doing my family medicine rotation in Safford. It's amazing and puzzling and foreign all at the same time. I've decided that family medicine is for the healthy that are paranoid because really what family docs specialize in is preventitive care. That must be why I love my family doc.

So family medicine is definitely interesting, but not quite my style. Which is actually a welcome relief since up to this point I’ve been having a really hard time deciding what I want to specialize in. But not anymore! I’ve decided that I’m going to specialize in (drumroll, please….) OB-GYN! The one truly unique thing about Safford family medicine is that they still do their own OB-GYN because the town is so small, and although I’ve been seriously considering OB-GYN for awhile now, these past few weeks have cemented it. I’m keeping track of how many deliveries I do in my life. My current total is 6. Not bad for a 3rd year who hasn’t yet done her official OB-GYN rotation! Now, before you start to groan and wonder how any sane person could actually choose this specialty, let me say that this feels right for me. Somehow, I know this is what I’m supposed to do. Ironically, when I started medical school I immediately eliminated two major specialties because I thought they would equal a death sentence for ever having a normal family life: Surgery and OB-GYN. Clearly I was extraordinarily ignorant at that point since OB-GYN is actually a surgical specialty. And it wasn’t until a few months ago when my dad kept asking me if I had yet considered surgery that I realized I didn’t want to consider it. Because I knew that if I did, that’s what I’d end up doing. It took a lot of soul-searching to realize that I needed to put those options on the table…that Heavenly Father is driving this ship, and I have to let go now. I have to trust.

So I’ve realized that OB-GYN is perfect for me. I honestly had no idea what an OB-GYN did until just recently. You’re just a glorified midwife, right? WRONG. OB-GYNs do basic primary care for women over the lifespan (menarche to menopause and beyond), delivery babies of course, manage high-risk pregnancies, perform surgery on women with cancer of the cervix, uterus, ovaries, or any pelvic organ, perform incontinence surgery, diagnose and manage infertility, perform perinatal surgery in utero for fetuses with problems requiring surgical intervention, advocate for women in situations of domestic violence or with psychiatric issues, are experts in contraception, take care of any woman with a complex medical problem who gets pregnant and much, much more. So there you go. I'm thrilled.

Next up...where to move for residency?

Tuesday, November 23, 2010

Timeline

You know when your whole 10-year plan gets thwarted? I was re-reading my journal the other day and actually that has happened so many times I should just be expecting it at this point, but I never do. I always lay everything out perfectly...so I know exactly what year I'll be doing what in my career, how old I'll be, when I'm going to get married (or now, when we're going to have a baby in all that ridiculousness) etc...etc...

Have any of you ever seen the movie Lucky 7? It's with the girl from Father of the Bride and Dr. McDreamy (can't think of his name either right now) from Grey's Anatomy. Anyways, the girl's mom dies when she is 7 years old but before she does she writes out a whole timeline for her little girl that includes when she'll go to summer camp, when she'll run for class president, what she'll major in during college and study in grad school, and how many boyfriends she'll have over the years, including when she'll get married. The movie fasts forward to the girl's life with boyfriend #6. So far, the timeline has been right--predicting all of these wonderful things she'll do in her life, including going to law school, and touring Europe. But then she falls hard for boyfriend #6, when she was supposed to fall hard for boyfriend #7, and suddenly her life plan is wrong and she starts second guessing herself and her timeline.

When I was in seminary at age 15 I remember our teacher asking us to think hard about what we would be doing in 5 years. So I was thinking, okay, 20 years old...I better be sleeping at this hour! And I'll probably be in college, hopefully at the airforce academy doing an engineering degree. Clearly I was deranged about my career plans at that point, because what person in their right mind would want to do an engineering degree at the air force academy? Thankfully my dad talked me out of that one (or at least, that's how I remember it). Then she asked us to imagine where we'd be in 10 years and I was thinking, hmmm. 25 years old. That's tough. Maybe I'll be getting married then. Hopefully I'll be working for NASA as an astronaut. I guess my childhood astronaut dream hadn't quite fizzled at age 15. Fast forward a few years and I thought I was going to marry my high school boyfriend when he got home from his mission and major in math education. By age 18 I decided to go to medical school and basically not date at BYU at all because I didn't want to get married young. One more year under my belt and I was reluctantly saying yes to the most persistent (not to mention attractive) boy in our apartment complex--in the infamous Peaches. I thought I was going to marry him too and when he died in a climbing accident I about died from heartbreak. Fast forward to junior year and Peaches' best friend, Boyd, becomes my best friend, and I realize that this was how it was supposed to be all along. It was fast...a year and half later we were married, but he was leaving for grad school and I knew this was my chance, take it or leave it. For once in my life I followed my gut and threw my 10 year plan out the window and got married at 21 when everyone thought I was crazy and way too young. But that turned out to be the best decision I ever made.

So now I am 25 and maybe I'm done with 10 year plans. I try to figure out how we're going to fit in 4 kids in the next 10 child-bearing years of my life along with my residency and Boyd's plans that probably include more school down the line. I think I've decided that I don't know who buys nice homes anymore because I cannot ever imagine a time when we'll be able to afford such a luxury and maybe our kids will have to be okay with apartment living. If we can even have kids! You know how those things haunt you? Things like infertility and never getting out of school and never having a real job? Sometimes I just want to be a real adult. I mean, there are physicians that I work with who are still asking me what I want to be when I grow up, and patients wanting to know when they're going to see the "real" doctor. And I know what they mean, but it's still depressing when you realize you have 1 1/2 years more school and then 3-5 years of residency where you're still not a "real" doctor. And each year in our ever-changing ward we get younger and younger. Because, we must be 22, right? Maybe 23? Newlyweds obviously, and are we doing our undergrads at the UofA? Flattering as that is...

I'm not sure where my timeline goes now. I've reached 25 and it ends. I often wish that someone could just give me the briefest glimpse of my life in 10 years so I can see that we will have kids, and maybe a house, and that light will stream into in the nursery with a rocking chair just like it always does in my reoccuring dream.

Monday, October 25, 2010

HELP!

I'm having a quarter-life crisis trying to figure out what to specialize in. I have to turn in my elective choices for the end of 3rd year/4th year and that means I need a pretty solid idea of what I want to do for the rest of my life. Yikes! Only 11 months before I have to make my final decision--I didn't think it would come so fast. I feel like I pretty much enjoy everything in medicine (except maybe psychiatry) and so now more than ever I have no idea what I want to go into. I've put up a poll for everyone to put in their two-sense. I won't tell which way I'm leaning until after it closes.

For those not familiar with internal medicine, because I have a lot of people asking me what that is exactly, that includes the following: cardiology, nephrology, infectious disease, pulmonology, gastroenterology, rheumatology, endocrinology, allergy/immunology, and hematology/oncology. So basically everything between the neck and the hips.

To be continued...