Mr. Davis got in contact with me. Not of course of his own doing but of Kim's (she always fixs everything. that is her role. To clean up other messes) and we love her for it. It is strange how the core group of ryan, kim and I +- shelby have stayed in communication, but some people where lost. Brennon, Josh, steve and at least to me (though not to kim or ryan (snicker))) andrea. It will be interesting to see how he is doing, and what he is doing. I will invite him to the wedding (it would be his chance to see everyone) if he would like to come. Off to get ready for Boston.
So am old friend of my HS groups has been getting back in contact with people. I seem to be the odd man out. This person has gotten in contact with My friend kim and my friend ryan, but not me. Is he unable to find my address? Did he not like me? Strange Ghosts from my past....
So, someone, who will remain unnamed, put a $500.00 pocket computer next to the small garbage in his study. Accedently knock the computer in the garbage, then took it out to the curb, where it was the promply crushed by the grabage truck.
Douh!
I am really greatful. I must admit. I so often lose sight of all the good things, throught the fog of stress and anxiety. This are going well. If I let myself, I could be very happy. I am always preparing for the worst, and that has ingraned the stress reaction in me. No more. Of to Boston in a few days. Should be fun. I will be close to MGH. Easy to get there. And it looks like I will be living in a nice place. Off to learn to read EKGs again. For like the tenth time. You don't use it you lose it.
Hope all you out there are well.
Kooks always have something to say about everything. Listening to the comments about the Dem convention is very interesting, especially with the static on the right......
I am sitting here listening to the dem comvention. Bush has really polerized this nation. He has made apathetic dems angary in a way I have never seen, not even with regan, I am proud to be a Dem. I am proud to be associated with there values. I don't know anyone with a social awarness can vote for Bush.
I feel anxious. Before I statred in med school this never really happened to me. now I feel it all the time, even on vacation. I am not sure what to do about it. take xanax? I have tried a lot of ways to get rid of it, but the only thing that works in not having anything to do with school.
Thirteen Ways of Looking at a Blackbird
Among twenty snowy mountains,
The only moving thing
Was the eye of the blackbird.
II
I was of three minds,
Like a tree
In which there are three blackbirds.
III
The blackbird whirled in the autumn winds.
It was a small part of the pantomime.
IV
A man and a woman
Are one.
A man and a woman and a blackbird
Are one.
V
I do not know which to prefer,
The beauty of inflections
Or the beauty of innuendoes,
The blackbird whistling
Or just after.
VI
Icicles filled the long window
With barbaric glass.
The shadow of the blackbird
Crossed it, to and fro.
The mood
Traced in the shadow
An indecipherable cause.
VII
O thin men of Haddam,
Why do you imagine golden birds?
Do you not see how the blackbird
Walks around the feet
Of the women about you?
VIII
I know noble accents
And lucid, inescapable rhythms;
But I know, too,
That the blackbird is involved
In what I know.
IX
When the blackbird flew out of sight,
It marked the edge
Of one of many circles.
X
At the sight of blackbirds
Flying in a green light,
Even the bawds of euphony
Would cry out sharply.
XI
He rode over Connecticut
In a glass coach.
Once, a fear pierced him,
In that he mistook
The shadow of his equipage
For blackbirds.
XII
The river is moving.
The blackbird must be flying.
XIII
It was evening all afternoon.
It was snowing
And it was going to snow.
The blackbird sat
In the cedar-limbs.
One week to go before I start at Harvard. The thing about med school is, you forget more then you remember. You spend lot of time feeling really inadaquate.( which is good I guess because you will be dealing with something really important, peoples lives, and you should always be learning more).
What brings this up is the fact that I am doing an Infectious Disease rotation, and I am having to relearn so much. this alone is not surprising, but I won the god dang award in ID durng second year, you think I would know something....
So now I am just wasting time. Don't want to study more on vacation, to early to go to bed and my knee hurts so no gym. Sigh....
Well after a long time not writting i am back. I spent time with Ryan, went on a whirlwind tour of PGH and came back to work on battle tech war for days with ryan. I am now waiting to play with ryan over the internet. I see why I spent so much time playing games when I was younger.....
Been Travel past days. Hectic. Catch up soon.
Sorry its been a while. Ryan is here.We have been haning out and having a really good time. It is son nice to have a person you really connect with come hang out for a couple days. We have well, eaten talked and played video games. I feel a lot less stressed which is nice but I know that is just an atifical thing. I know I will start to feel the same way when he leaves....
So I am still sick day 7-8. I keep worring as I am working out, what if I get dialated cardiomyopathy? I was reading today in my ID book and it came up. So on a fun note, ryan is coming to see me wed. It should be a blast. I have free time so we are going to hang out.
If anyone else wants to fly in, feel free.
On another note. I will be in boston in august, for a whole month. Should be a blast. I will be staying in cambridge.
Well. We went on a two day trip with jamies brother, his wife, j's mom and step dad. on a speed boat. To MD land. It was fun. On thing though. So here we are crusing along in the boat. And wham, we hit a wake. unknown to me, Jamie does not relize that when you are speeding along in the water at 40mph you need to hold on. I turn around and jamie is on the floor, with shoes off. Very scary. What it seems happened was (I did not see it i was in front) jamie was standing talking to her mom. Wham we hit the wake. One Jamie in the air. Boat slows, one jamie into the very hard boat dash. Then one jamie hits the floor. Luck she was not really hurt (becuse she could have been) and just a little brusing. i spent the rest of the day worrying about her and looking for signs of a cranial bleed in her.
Other then that the trip was fun. I am now very tan. Boats can be a kick. Especially with good people. (john and I DID NOT talk politics. that would have been ugly. So we just ignored that disscusion). I feel very fit and trim. People are noticing the way I look. J's mom commented on it. And i caught a lot of people checking me out. Makes me happy. (not that i base my happiness on externals....)
So i got to read the first rec that someone wrote for me. I am very happy. It is a great rec, and the person who wrote it is fabulous. It is nice to have people like you, regardless if you desrve it or not.
You know I spoke in toronto right?
Check out
http://www.aafp.org/fpr/20040700/4.html
It is in print!
What is Bell's? Well.
Patients with Bell's palsy typically present with the sudden onset (usually over hours) of unilateral facial paralysis. Common findings include the eyebrow sagging, inability to close the eye, disappearance of the nasolabial fold, and the mouth drawn to the non affected side. Decreased tearing, hyperacusis, and/or loss of taste sensation on the anterior two-thirds of the tongue may help to site the lesion in the fallopian canal, but is of little practical use and is used more as an indicator of severity than anatomical diagnosis.
Facial movement is assessed by observing the response to command for closing the eyes, elevating the brow and frowning, showing the teeth, puckering the lips, and tensing the soft tissues of the neck to observe for platysma activation. The examination also includes a general physical examination, neurological examination, and particular attention directed at the external ear for vesicles or scabbing (which indicates Zoster), and for mass lesions within the parotid gland.
The diagnosis of Bell's palsy is based upon the following criteria:
There is a diffuse facial nerve involvement manifested by paralysis of the facial muscles, with or without loss of taste on the anterior two-thirds of the tongue or altered secretion of the lacrimal and salivary glands.
Onset is acute, over a day or two; the course is progressive, reaching maximal clinical weakness/paralysis within three weeks or less from the first day of visible weakness; and recovery or some degree of function is present within six months.
Associated prodrome, ear pain, dysaccusis, is variable.
A key point is to determine the time of onset; a prolonged, slowly progressive, or relapsing course suggests a tumor, especially if paralysis persists with no recovery . Discrete involvement of only one or two distal branches of the facial nerve also suggests tumor, and active middle ear disease or a parotid mass suggests that the palsy is associated with that finding .
No change in mental function is associated with Bell's
I spent today in a class meeting. Heard abount infx control for the 8,000 time. Got my picture taken for the yearbook. Now off to save the world. i have a soul of med planning meeting to be ignored at. oh, Annals rejected my case report, but said the might accept it as a letter. If I cut out 500 words.....
Happy fourth. despite the fact that all this county stands for is being destroyed by the forces of evil, i hope all of you have a happy fourth!
Anyone but Bush 2004!
So We had the BBQ. it was a mess. First I think people where bothered by the fact that I knew th ename of the cow we where cooking. 2nd one of the girls kind of freaked out that the meat was a little undercooked so I then fried the hell out of it. Third, politics came up. Jamie's brother and wife are in the armed forces. The republican. If you had not guessed it, i am not. I HATE bush. I think he is a lier and evil and greedy. I usally attempt to avoid political disscusions with jamie's family. this one just happened. I pretty much kept my mothe shut though other people in the room did not. The most interesting thing to me is the premisise that republicans always come back to. It is a direct attack on what ever is uncomfortable about what they are doing. Bush does it all the time. Instead of responding to questions about what is going on he either attcks the persons knolwedge, or give a platitude. Most republicans respond in the same way. Let me remind you. this is a free country. If the facts support you, let them be know and LET THE PEOPLE CHOOSE. Did you know that 19,000 people lost the right to vote in florida by accident? 70% dem.
How much did bush win by in florida? whose brothers state is it? I really hate his guts and I really think he is a criminal far worse them Hussan. I think he should be tried for crimes against the US people and the world. Lies for money. People think he has improved our morals. Bullshit. Or should I say Bushshit.
God it is nice to have time off. i feel so much better. Since I took the first block off, I have 4 WEEKS! I am really excited. I have a lot of stuff to catch up with, not to metion reading up on ID so i look good at harvard. We are having a BBQ tonight. just a simple one. Bunch of friends coming over for a nice chill night. Throw some of "pete" on the grill (that is the name of the cow that we have meat from) and kick back.