Waiting for the other shoe

July 30, 2006 at 3:12 am | Posted in Hurricane Katrina, personal favorites | Leave a comment

Am I the only one feeling it? The vague uneasiness, the edginess? The sense that something should be wrong, and yet all appears well?

It’s hurricane season, and there haven’t been any hurricanes.

I’ve lived on the Gulf Coast most of my life, and I’m sure there have been hurricane seasons before this where there were no hurricanes till August, or even late September. And I hardly even noticed. So why does it make me uneasy this year that two months have gone by without even the threat of one in the Gulf?

Yes, it’s anticlimactic, after all the pre-season anxiety and hand-wringing. But that’s not entirely it. It’s like, I have a fear now that I want to face, and I can’t. I’m ready, but it’s nowhere to be found. And I feel like if I relax about it, and let down my guard, I’ll be caught unprepared when it finally does happen. And it’s just a matter of time.

Obviously I have a mild case of PTSD. And given that I got off easy compared to most people in this catastrophe, I can only imagine the level of anxiety other people are feeling right now.

It was supposed to be another killer hurricane season. So where are the hurricanes? We should be on the E’s or F’s by now, and instead we’re still on the letter B. We’re all psyched up for battle, but there’s nothing to fight.

Of course, I’m not entirely sure my house can withstand another hurricane, and I seriously doubt the city could at this point. But we do need to start facing the fear at least in small ways before it becomes a bigger monster in our imagination than it is in real life. So how about a nice tropical storm for starters? People will think I’m crazy for saying so, but we could use one right about now. We need to have one pass nearby and do us no serious harm. Start small and make sure the levees will hold for that. Then maybe a real hurricane.

And I don’t really want to experience the destruction and horrific aftermath of Katrina ever again. But I don’t think we’ll ever fully recover until we can face the fear of it and know that we’ve conquered the problems that made it more than just wind and water.

Dark horse

July 28, 2006 at 1:07 am | Posted in neurosurgery | Leave a comment

So I’m trying to figure out where to apply for neurosurgery. The application target date is three weeks away, and I still don’t really have a clear idea. On one hand, I’ve been told to target my application to programs offering good mentorship in research, but on the other hand, most of those programs are not known for their collegial training environment. And I really don’t want to go someplace where they think it’s their job to break me down mentally in order to rebuild me into their vision of the kind of person I should be.

Not that any program has been successful at that yet, no matter how heroic their attempt.

Still, everything has a breaking point. I just don’t think it’s always necessary to find it. All you need to know is that the thing will support the load it will encounter, with a margin of safety acceptable for its intended use. My own breaking point is well beyond any conditions I’d encounter in the normal course of my professional life, and I’m content knowing that.

I also don’t really need to plan my steps with a chairmanship in mind, since I’m not gunning for that. Still, I’d like to train at a place that will open doors for me. With my undergrad degree, I’ve seen what that can do for my career, and I’d be foolish not to want that again.

But I just don’t know how good an applicant I am for those sort of places. I have average to above average scores for matched candidates, decent grades with some preclinical and clinical honors, I have a second doctorate, I’ll have done respectable translational research with its own grant support (albeit small and from a non-neutral source) and hopefully will have submitted a manuscript by the time my application is due. Also, I have a pretty good story to tell about my medical school experience, and my interest in academia is well supported by the kinds of extra things I’ve done throughout medical school. So you’d think I’d have little to worry about.

But to hear some other people talk, you need 260+ step scores, 10 pubs and AOA just to get in the door at one of those places. I know it’s just trash talk designed to scare off the competition. But even knowing that, it’s hard to ignore.

Songs

July 23, 2006 at 12:15 am | Posted in Uncategorized | 1 Comment

So now I’m in the not-so-fun phase of research: compiling results and writing the manuscript.

People say I write well. Perhaps, but writing doesn’t come easily to me. My primary method of writing is to stare at my computer screen until I break into a cold sweat, and then start surfing the web until I run out of Diet Coke. Then I go to the store to buy more, and repeat the process indefinitely until something coherent ends up on the screen. Then I have to put it away for a week or two. Or a month. Then I look at it again, become nauseated that I could have written something so awful, and then cut, paste and rewrite until I end up with something completely different.

Thank God for iTunes. It makes the process slightly less painful.

Lately I’ve found a bunch of new favorite songs. I got introduced to Coldplay on my NS rotation, which was a band I’d heard of but never really paid attention to. I didn’t even know which songs were theirs, which is the case for most music I hear on the radio. Some people are good at keeping track of that stuff, but me, I have to make a special effort. It must be handled by the same part of my brain that deals with associating names and faces, because there’s that same sense of knowing I should know, but never having consciously made an association.

Anyway, I was flipping through channels one night and saw that Austin City Limits was on. ACL is totally hit-or-miss as to the artists they invite. But one thing’s certain, if they’re on ACL, you can bet it’s good music from an artistic standpoint. It may not be cool, or current, but the artists are always good musicians.

This particular evening the artist was Jason Mraz, whom I’d never heard of. But there were a bunch of young trendily-dressed women in the audience, so I figured I’d find out what the young’uns were listening to these days. Once I got used to the musical style, it was actually really good.

So I’ve added both of them to my playlist. My current Top 10:
1. Coldplay “Speed of Sound”
2. Jason Mraz “You and I Both”
3. Five for Fighting “The Riddle”
4. Jo Dee Messina & Tim McGraw “Bring on the Rain”
5. Jimmy Eat World “The Middle” (a little overplayed, but still good on a bad day)
6. Alanis Morissette “21 Things I Want in a Lover”
7. Dixie Chicks “Not Ready to Make Nice”
8. Norah Jones “Nightingale”
9. 10,000 Maniacs “These Are Days”
10. Sting “After the Rain has Fallen”

Runner-up: Bruce Springsteen “Born to Run”

Other goodies: the Cure “In Between Days”, Jackson Browne “Running on Empty”, the Who “Pinball Wizard” and “Baba O’Riley” (now known as the theme for CSI:NY), and a boatload of others, old and new, that I don’t have the patience to list.

As I said, thank God for iTunes. Man it sucked when you had to buy the whole album to get one great song, just because it was never released as a single.

Placement issues

July 20, 2006 at 12:28 pm | Posted in Uncategorized | 1 Comment

I seem to be spending a disproportionate amount of my time lately on social work issues. Housing, health care, financial support, that sort of thing.

All for myself, unfortunately.

I spend at least a half day every day trying to find places to live on my away rotations and shepherding my financial aid from theoretical money towards real cash status. I don’t seem to get very far very quickly, and for every two steps forward, I take at least one step back. Sometimes two or three.

Like yesterday all of a sudden my financial aid addendum disappeared. Three weeks ago I got email confirmation from my financial aid advisor that all my documentation had been received, and then yesterday the very same guy tells me they’re missing my paperwork.

So I forwarded him the email he sent me confirming receipt of the paperwork. And yes, I cc’d his boss. Not that that’s going to make a difference. But next week if I still don’t have money, I start cc’ing his boss also. And on up the chain till I get my financial aid. Surely somebody in that chain of command can be held accountable. Because for sure they’re not accountable to their customers.

Normally I’m not so obnoxious. But no corporation would get away with not paying its employees on schedule, and the financial aid office should operate the same way with regard to students. Just because we can’t quit over not getting paid doesn’t make it OK to dick around over getting the paperwork done. And just because the University doesn’t care when the money actually gets there, doesn’t mean our landlords don’t.

Anyway, so on the heels of my documentation disappearing, now today the whole financial aid status site has disappeared. So I can’t even check to see the status of my loans, or payments, or anything.

The only effective way to deal with Financial Aid, when they’re acting like this, is to go sit in their office and force them to deal with you. But I’m in Houston and I can’t do that. So I’m just sitting here fuming about it, and sending polite but pointed emails in the hope of getting these people to do their jobs so I can go back to learning medicine instead of being a social worker.

Thinking outside the cat box

July 15, 2006 at 12:00 am | Posted in Uncategorized | Leave a comment

I was just thinking…I don’t need this apartment at all after December. I should be done with any rotations that require me to be in New Orleans. All the ones I have left can be done either in Pineville or some small town where they provide housing as part of the deal. So I can just pack up my stuff, put it in storage and stay with friends and family till it’s time to move for residency.

In fact, I could move out now if it weren’t for my cat. My cat is the wrench in this whole plan, as usual. My mom says I should just put her to sleep, but there’s no way I’d do that. She may be old, but she’s been with me through everything and I’m not going to get rid of her just because she complicates my plans.

Or, I could just rent a room from someone who’s cat friendly, and that would solve all my problems.

Thinking outside the cat box

July 15, 2006 at 12:00 am | Posted in Uncategorized | Leave a comment

I was just thinking…I don’t need this apartment at all after December. I should be done with any rotations that require me to be in New Orleans. All the ones I have left can be done either in Pineville or some small town where they provide housing as part of the deal. So I can just pack up my stuff, put it in storage and stay with friends and family till it’s time to move for residency.

In fact, I could move out now if it weren’t for my cat. My cat is the wrench in this whole plan, as usual. My mom says I should just put her to sleep, but there’s no way I’d do that. She may be old, but she’s been with me through everything and I’m not going to get rid of her just because she complicates my plans.

Or, I could just rent a room from someone who’s cat friendly, and that would solve all my problems.

Hotel Honda

July 14, 2006 at 1:05 pm | Posted in Uncategorized | Leave a comment

So I’m back in NOLA to get a few errands taken care of. Oh, and also I need to find a place to live in Houston for the next three weeks.

I suppose I could live out of my car. I’ve been thinking it over, and it’s actually pretty feasible to do. I could rent a locker at the Rec Center to keep my stuff in, and then just swim every morning and get ready afterwards. I’d do my laundry here in NOLA on the weekends, and eat all my meals at the medical center. It’s certainly a very economical option. But I’d need to bring a pillow and blanket, and I didn’t have one with me this past week.

Call rooms are another option. Although I only know the code to one of them, and that one doesn’t have a shower. That means it’s essentially equivalent to my car, plus there’s the possibility of getting caught. I’m not sure what the penalty is, but I really don’t want to find out. So, not the best plan.

Or I could call one of my friends in Houston and ask to stay at her place. But I’m a little uncomfortable around her husband, and frankly I think she’s a little uncomfortable having me around him. Probably if I gained 50 pounds and got all Cushingoid again it’d be OK, but my car is totally a better option than that.

So I’ll have to ask my brother if I can stay with him.

I’ll stay there if he lets me, but I’m bringing the pillow and blanket just in case.

It only LOOKS chaotic

July 11, 2006 at 6:37 am | Posted in Uncategorized | Leave a comment

Interesting few weeks…

I just rearranged my schedule for perhaps the 5th or 6th time these last two years. I was supposed to do my OB/GYN rotation, but the slides came back from Aberdeen with positive results, and now my research mentor wants to do a host of other tests as part of the overall investigation. All the tests are basic techniques of research that I need to learn, plus I’ve already put a significant amount of my time and energy into this project. So when she asked me to come back and continue working on it, of course I want to do so. It involved getting permission from the dean, but so be it. It’s important to me, and I’ll do what I need to do to make it happen. It’s true there was an unspoken element of “come finish this or else,” but I’m not going to turn down a fabulous opportunity just because it came in the form of an ultimatum that involves rearranging my life. And obviously there are no guarantees about what finishing the project means for my residency chances. But the project is worth the time, even without that.

Substance is far more important than form.

The other interesting thing that happened was the admission committee selection. Without going into too much detail, I have to say I was really surprised by the results. I went in there thinking that there were a couple of people who were complete shoo-ins. But the people who stood out during the interview were entirely different. It was really hard to make that last decision. We could have flipped a coin and not done a disservice to the committee in terms of finding outstanding people to serve on it. But it would have been a disservice to the people applying, for us to decide in that manner. So we talked it out until we had a consensus. And the funny thing is, after comparing and contrasting and paring down the list applicant by applicant using more objective criteria, we ended up with the same three people we’d all first mentioned as a gut reaction the minute we finished interviewing.

I think that’s a good sign.

Happy dance

July 3, 2006 at 4:16 am | Posted in Uncategorized | 2 Comments

Woohoo, we have staining!

What kind of National Guard can we call in for this?

July 2, 2006 at 7:43 pm | Posted in Uncategorized | Leave a comment

Mental health services in New Orleans should be the next item on the agenda after crime.

Trip down memory lane

July 2, 2006 at 1:36 am | Posted in pharmacy | Leave a comment

Tonight I’ve been entering all my info into ERAS. That’s the main residency match application service. I’m mostly done. I just have one behemoth task yet to do, and that’s to enter all my employment, volunteer and research experience. And the only way to get it done is just to put my nose to the grindstone and keep plugging away till I’m finished.

So I’m entering my work experience, and I got to the job I had just before medical school. Just for grins, I decided to look up the departmental roster and see who’s still there. It’s on a separate website from the main university medical pages, and they keep it pretty well updated. There are easily 100 clinical pharmacists working there–all of them really and truly clinical pharmacists, and not just glorified distribution people.

I was happy to see the names of many people I remember. There were people of all ages there, and a substantial group in their late 20’s and early 30’s. Very cool, very smart people, that I was just getting to know when I left. Lots of new names too, but the people who were the foundation of what made the place great were still there.

I also noted that the jerk who was the other pharmacist on my service was still there, and had driven off yet another partner. I don’t think anyone has ever stayed on that service with him longer than two years. If you’ve ever read that book, “Dealing With Difficult People,” you’ll know what I mean when I say he’s a classic sniper. But I pretty well had him neutralized, at least with respect to me, by the time I left. Although he was one of the two reasons that weighed heavily in favor of choosing med school over staying there.

The other one was a guy who was obviously never going to get off his butt and go out with me, despite being interested to the point where it was obvious to everyone in the department. He was waiting to find out whether the local medical school was going to admit me, and, well, they didn’t. He didn’t want to go to Louisiana, and I wasn’t about to turn down a medical school acceptance. If I hadn’t been determined to go to medical school, I’d never have quit my job in Houston, and never would have met him in the first place. Nobody goes through the stuff I went through just to get cold feet when it’s time to commit, and give it all up for a guy whose interest in me was obviously only conditional, and with no equivalent concession on his part.

Call me crazy, but that doesn’t sound like the kind of relationship that anyone should be in.

So those were the events leading up to the start of med school for me. And med school hasn’t been at all what I expected. It’s actually been much better than I ever thought it would be. It was difficult to be older than most of my classmates, and completely uninterested in the kinds of things that 22-26 year olds do. But once I got over the idea that I had to fit in with that crowd, it’s been much more enjoyable.

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