So much to say and it is way dang early to say it. Why may you ask, am I up? Well. Jamie and I godt back from Pitt yesterday around 3. We where supposed to meet with our dean's letter advisor (which we missed) and I had to run a chart i borrowed back to clinic so it could actually be used for pt. care. We then where off to make pasta salad and meet jamie's bro on his boat. From there (and after the consumption of much ETOH, we end up moored out side the tweeter center to listen to Jimmy Buffet (who I hate) for free with about 30 other boats. This lead to more drinking on my part, eating a TON of crappy food, and generally making a fool of myself (don't worry I was in good company) This was followed by a very nice cigar and a period of sobering up, so I could be ready to drive home when all was said and done. I had a great ride home, went promply to bed. Did you notice that I forgot something in there? It is called water and pain killers, both of which are an essential item for me to move right now. I feel like S@#T. I really hate feeling this way. It means no gym today, sleep late and be grumpy.
At least I had a really good time. (And we could not really hear the buffet all that well, thank you god)
So on another note. Pitt was a good time. Stayed with Jamie's father. Played a lot with his son cole (6yo) who loves me, and needs more friends his age. Had a good time talking with Dawn (as always). Cole and i drove the Gator (a 6 wheel ATV) around the whole farm (about 100 acers) a couple of times. I let me drive and he loved it. He ran over one of there dogs though, but don't worry the dog was not hurt. Had a nice time with jamie's sis. I have to be honest though, here husband did not come to see us at all. Even when we drove an hour to have dinner at a place a 5 min walk from his house. I think he is very selfish. He makes no attempt to help his wife, who is a resident, and does not extend himself at all to meet people on there terms. Jodie asked me what I thought, and for better or worse I told the truth. I warned her before I said it. Oh well. I knew he was like this before the got married, and if the truth be told, they do not seem very happy. But hell, what can you tell from the outside?
Go see it. If not today, tommorow!
Vote Dem!
Just took my last final of my third year. i am in my fourth year of med school.
This time next year I will be a doctor.
I did the pathways program today. It is a computer program designed to help figure out what kind of doc you should be. The ones that most closely match my priorities are:
Radiation Oncology
Dermatology
PM&R
Neuro
Optho Rheum
Allergy and Immunology
Otolaryngoloy
and Family practice
The more I think about e-mail the less I like it. I think about now, in my life, how many times a day I check my mail. It is sad. Yes I have important things going on that would lead me to need to check my mail. Yes, it really does not take all that much time. But I find myself sitting in front of the computer after checking my mail wishing the message I was waiting for came. That is just said. It dose make communication easier, not that most of us do communicate more because of it. It gives the illusion of making the world move faster, when it really does not. In situtiations where we used to pick up the phone an talk now we write. I would rather talk. Oh well off to check my e-mail.
So I was interviewed on the radio today. I had to get up at six to talk to this AM talk show host. I was asked to talk about the step 2 cs exam and what i thought of it. I dissed some of my fellow physicans, SO WE WILL SEE IF THIS COMES BACK TO HAUNT ME.
My cat is roaming out in the yard. It is amazing how lion like they are. He stalks and kills. My back yard is his savahna. while sleeping outside he looks like the great cats resting in my mid-day heat. They are little lions. It is funny to see the similarities.
We had jamies b-day party last night. Had a good time. I made a ton of different things on the grill. Freash tuna with capers, lemon tyme, pepper and garlic. Rosemary chicken with home grown rosemary. Home grown beefalo with soy, red wine. Chicken with lemon pepper. Potatos and corn on the grill. tomato basal salad. MMMMMM.
Sounds like she died secondary to cerberal edema. She got dehydrated for the MDMA and then was given to much water. That is relativly easy to do in some respects, when drugs are envolved. People can get really dehydrated. Despite what the "article" (if you can call it that) said there may have been other substances involved. MDMA is often laced with toxic and relitivly undetectable substances that can cause problems in people. Enough on drugs.
By the way, chalk up onther death on Bush's soul. They killed that american.
Vote Dem!
Jeff. I always had you pegged as a republican. I am proud of you boy. Your comments always crack me up. You where born to make people laugh.....
Little different situation. If you become EXTREMLY Dehydrated and then are given a fair amount of water (in inverse proportion to the dehydration) you can get brain swelling from the fluid shifts. This can cause uncal herniation and death. It would have to be pretty extream.
On people who drink water till they die. This I VERY hard to do. There is a rare mental disorder that cause people to drink untill they dilute there blood so much that they, well, die. This is because they become what we call hyponatrimic. That is when the osmolarity of your blood and cells gets to low, that is, the salt (which is essential for life) becomes so dilute that the cells in your body no long function. In the real world, when you see this, it is usally not because of a psych disorder, but because of a hormonal disorder. Someone cannot get rid of excess water. it is also iatrigenic, meaning doctors cause it (smile). Now in relation to this disorder, I know of no drugs that can cause it. I know the mdma can cause poeple to dehydrate, because they are not thirsty. MDMA also supresses ADH (anti-diuretic hormone) which allows the body to retain water. Does this help kimmy? Tell me more about this person.
So I have been asked to go on the radio tommorow. I will be interviewed on talk radio about a test medical students now have to takt. The step 2 cs. This is a test on how well our exam skills are and history taking. You guys know of what I think about how ell they have taught us.....
I made a bad mistake, which points to a life long problem of mine. Not paying attention to details. I submitted a manusript that I had worked on for a long time, in a version that was not complete with errors that could keep it form being accepted. Not that i think this journal will take it... but.. I f'ed-up because I was not carefull. At least it will work out. they are letting me fix it.... I need to work on this...
Oh HAPPY B-DAY Jamie! I love you!
Fat and full, home from gorging myself on food. Time to fall asleep. Tommorow is another dawn. I looked at my schools match list for IM today. Not very good.
I hope it does not effect J and I too much. Our school does not have the best reputation. oh well. I am sure we will do fine.
Things seem to have a Synchronicity about them. It is funny how the world speaks to you if you listen. There are so many voices. Sometimes we can not hear them. Sometimes we do not want to.
Two interesting peices of news today. One. Dogs understand language! It has been show (at least as much as we can "show" anything in sci.) that dogs can learn to understand any word in the right situation. Dogs learn like kindergarders! The can recall the words and demonstrate that they know them. The most important part in getting them to learn is the bond between the trainer and dog. That is like kids as well!
Two, There is a link between handedness and the direction of your natural hair part/cowlick. They tend to go in the same direction. That means that there is a genetic explination for your "Bad hair" (kidding). Cool euh?
Today was ok. I had my family med conferance this morning. Boring. Jamie is away. Godd nad bad at the same time. I miss her so i am sad, but I also like the time alone. What an interesting tension being in a realtionship. I always want to have sex when she is away too. That is irritating.
I am reminded of the Gin Blossoms tune. Why are we jelous? I think about that a lot. It prevents many good things from happining. i to am a subject to it, though my better sense tells me not to be. Some days I am not at its whim. I think it correlates with how much i am actually threatened.
Why the hell does everyone become a saint when they die? This man is evil. He created our debt, cut social services to nothing, murdered people over seas, lied to or country, and lost his mind while in office. Oh wait, which president am I talking about? I forgot. They seem so alike......
Was reading an article on all the street drugs that kids use now a days. Lots o choices. I am still convinced that the "vitamin" Drinks at ground zero had MDMA in them.
See how you do
http://www.puzz.com/analogies.html
Kim ditched me the last days. I suspect I know the reason and I do not like it. I talked about this with jamie. In theory, If jamie had a wedding to go to in colorado, she would not expect me to go to it with her. instead she would let me spend time with my friends, who I NEVER get to see in colorado. Hmmm.
One other comment. Sometimes you see dynamics in other people that they do not see themselves. You cannont always comment on it. In the the end I just want my friends to be happy. I mean that, no matter what else I think.
Today is the "Great bike race" in philly. They close of all sorts of streets and bike riders from around the world come here to ride. I like this day and I hate it, this being my third I have to live through on the bike race route. My porch is perfect for watching the bike race. which really does not mean a thing since the hill we are on is so steep that the bikes fly by. This date is really just a chance for all the idiots on my street to get drunk publicly. To vomit on my porch. To make way too much noise. I don't throw a party, though I guess I should. It just seems like a waste of booze. Oh well.
I drank to much last night. I was not "drunk" but I could feel it in my body in the morning. Kim and her sig other was here. We had a good time. Did old people stuff, like play cards and go for walks. I hate feeling the ETOH in my body the next day. I had a hell of a time running. It is so toxic.
Someone, who will remain nameless, thought the last entry reffered to them coming to visit me. Not True.
Has nothing to do with them. just a sense of foreboding.
Ok?
Just got back from the gym. I have I ever said how much i hate running? My mom is here, so I guess no walking around naked. My mind is currently full of half formed thoughts. I hate when that happens. It is like a tree that refuses to bear full fruit. The potential is there, but the actuality is lacking. I am not "being at work staying myself" in the fullest sense. ( sorry to those of you who actually know where that comes from and what a bad repersentation my use of it is. One free check up to anyone who knows the ancent greek for it).
I have a bad feeling about the next few days. For something wicked this way comes.....
I had never read this comic before. Quite funny. Perverted but funny. It is strange to think whose eyes might be running over my words. This format has the power to reach out across the world and touch people far away. I have asked myself several times why i post anything to this site. I think it is like montagine says. (to paraphrase) A true man of virtue has nothing to hide for the world. It is not in great acts that makes a man great, but in the acts which no one sees, the little acts. They way you treat your friends or wife. not the way you lead an army. A great man would live in a glass house for all to see. This is my glass house.
Kim is coming!. That makes me happy. I miss her. it has had to be more then a year since I have seen her. It is funny how much i still love my high school friends. I hope her boy meets mt standereds (which are needless to say, low. look at who I have dated) and I wish she could spend more then friday with me, but I guess I am just not that important. Oh well, take what you can get.