Wednesday, December 5, 2018

#43 is in the Books...

Today I visited National Park #43/60.

Even though it was a cold and rainy day, I wasn't dissuaded.
I have one free day while I'm in 29 Palms to do this,
and I took advantage of my free time this afternoon.

Some people really love the desert.
I'm more of an ocean and forest girl, but I can appreciate the beauty
in the stark vastness of the desert.

But if you look closely enough,
you start to see life in unexpected places.

Although, I wouldn't want to get to close to this...

Or these...

These are actually called "jumping" cholla cactus because 
if you inadvertently brushed against one of these
one of the branches might stay stuck to your clothing...
or in you... 


A few more shots...

Got the stamp...

Only 17 more to go...!

Friday, November 30, 2018

NaBloPoMo2018 - Day 30

I thought I would leave this as the final thought as this month wraps up.

Emergency medicine comes down to this... the lesser of two evils, or as I like to always say, there needs to be balance and symmetry in all things.

About 75% of everything I see in the emergency department comes down to poor choices, poor habits, or poor coping skills. I see the devastating toll that substance abuse takes on bodies, on families, on the community.  I've seen every possible complication that meth can produce on the human body; from simple delirium to full blown psychosis, from a simple lesion to a person literally digging the skin off their neck because they are convinced there are "worms crawling in there," from skin infections to full blown sepsis requiring ICU admissions... people have had heart attacks, strokes, miscarriages, and temperatures so high they've essentially "fried" their brains and died... meth mouth is a real thing... tweakers are real... and zombies do roam our streets wearing tattered clothing with vacant stares mumbling incomprehensible words... I've seen teens on meth as well as 70 year olds on meth... and I've told my students time and time again, "Meth be bad, m'kay..."

So the next time you're tempted to "meth around" drive to your local donut shop and have a chocolate glazed instead.... I'll help you with your diabetes later...


Thursday, November 29, 2018

NaBloPoMo2018 - Day 29

Today is my beautiful girl's 7th birthday...

I can't believe it's already been that long...

Here's the blog post I wrote on her first night home:
You can read all about her first two years on this blog...

And you can see her first birthday video here:

I love my Dixie... 

She's traveled with me all over the Western United States...

And when I travel without her,
even if it's just going to work,
she's always waiting for me when I get home...

Here's one of my favorite photos of her
she's about 6 months old:

Happy Birthday my Dixie Girl...!


Wednesday, November 28, 2018

NaBloPoMo2018 - Day 28

I think the worst part of having diabetes is it really limits the foods you can eat... well, that's not to say you can't eat what you want, except, you can't eat what you want... well you could but then you go blind, lose feeling in your legs and have parts of your body amputated... you have an increased risk of heart disease and are at risk for infections going very badly and not healing properly...

Kinda sucks...

To say I have a very strong family history would be an understatement... I knew that I would become a diabetic, it was just a matter of when... like a ticking time bomb, except there was no big clock on the side giving you a countdown... well, it was good while it lasted... I ate what I wanted and never thought about calories or glycemic indices or carbs or well, anything...

And, now?  It's just not the same.  Every food item is analyzed down to it's molecular makeup... how many carbs? How many sugars? How much fiber? Subtract fiber from sugar equals total sugar? And, that's for every food item, so imagine trying to eat a meal... Like the one above I shared with friends recently while in San Diego... meat good... everything else... bad... and, don't even get me started on alcohol! All alcohol is bad, mostly because of the sugars... and the fact that the medication I now have to take doesn't react well with it...

Did I mention this sucks..?

It's changed my life in some good ways though... my weight is down because I don't eat like I used to... or drink like I used to... also, I tend to exercise more, because my weight is down and I have more energy, but moreso because the more I exercise the more I can cheat a little bit and I don't have to take as much medication. My last two doctor's visits showed great HbA1c numbers, and my doc told me I could cut down on my medication... win!

I still love food, I just sample more than eat... everything in moderation... 


Tuesday, November 27, 2018

NaBloPoMo2018 - Day 27

I've collected the small pieces of paper from the insides of fortune cookies for many years.  I'll occasionally find them stuffed into wallets or purse pockets when I go to change from one to another. Sometimes I'll laugh at the small paper message.  Sometimes I'll contemplate on the message for the day.  Most of the time, I'll stuff it into another wallet or purse to find on another day.

I actually have a small wooden box packed somewhere that's got lot of these tiny strips of paper.  I couldn't find it in time for this blog post, but I may have to look for it just to see what treasures are hidden inside.  And, don't even get me started on the whole ".. in bed" game.  We might save that for a whole other kind of post.

Since I couldn't find my most recent fortune cookie message, I went to and hit their fortune cookie feature to see what would turn up... 
"Stop letting other people stand in your way."

I'm trying to find a reference point for this, because in general I've never let anyone stand in my way of doing what I wanted to do.  Oh sure, as a kid had to follow the rules and do what the parents wanted, but as an adult, if I wanted something I went after it and usually got it.

The one thing it did make me think of was some advice I recently gave to a mentee from my alma mater.  My university started a mentor program, and I actually got to meet my mentee while I was in San Diego last month.  She asked me how I would handle this situation: she went to a meeting of a new student group that was forming and felt a little uncomfortable being the only Hispanic woman going into the meeting.  

I couldn't help but hold back a chuckle.  I quickly explained that there were two things I've never thought of myself as being when I've gone into a new situation: a Hispanic or a woman.  I explained that I would have walked into the meeting as a student first with some experience or knowledge to share or add to the group. When applying for medical school, or interviewing for a surgery program, my race or gender were never carried into the room with me... I was an intelligent student with a strong background and great letters of recommendation. In the emergency department I'm not the Hispanic female doctor leading the code, I'm the doctor leading the code... with a kick-ass smile and a fiery attitude... ok, so maybe I carry a little of my race and gender with me... but it's not how I define myself.

I told her to stop seeing herself as an identity and focus on what she is... an intelligent pre-med student with a voice and something to share in the new student group. She deserves to be there as much as any other person in the room no matter their background or chromosomal identity... she wants to be a doctor, and I'm trying to share a little bit of my attitude with her... we'll see how she does because sometimes the person standing in your way is yourself....


Monday, November 26, 2018

NaBloPoMo 2018 - Day 26

My AOL group prompt for today asked about what I might talk to someone about over a glass of wine. It's kind of hard to say. When meeting new people, I generally keep the conversation light; try to find things in common. Talk about the weather, or a sports team, or about a recent movie or book.

Friends and I catch up over a glass of wine.  Who's dating whom. Who changed jobs. Where are our lives going and are we happy with our current choices. Do we still love our spouses and can we put thoughts of long ago relationships away.

Really good friends and I just sit.  We sip our wine and relish in the time we're spending together. A lot of times we speak very little. Just a look or a nod. A question is answered with a facial expression; we know each other so well. We savor being in each other's presence the way you savor a fine chardonnay.

And, the wine will matter. 
Casual acquaintance: something cheap and easy... a house wine. A red blend. Something you'll sling back and not even take a second thought about.

Friend: a wine you're familiar with. Nothing adventurous. Almost like comfort food. A Coppola Merlot. A Trefethen Reisling. a Cakebread Cabernet.

Really good friend: you'll splurge a bit on this one. The wine has to have body, bouquet, with a spectacular finish. You might experiment on this one. Possibly a boutique wine from Chile. A giggle with an unexplored wine from the MidWest. A serious white from Germany.  Something fun and challenging that you might take a photo of the label so that you can remember it later.

Talking over a glass of wine with me is no insignificant thing. And, don't even get me started on if there might be a second glass... or the paired morsels... that's a blog post all on its own...


Sunday, November 25, 2018

NaBloPoMo 2018 - Day 25

I had this commission done by a local artist.
It pretty much captures everything I love about my life right now:
we live in a beautiful environment
where you can literally walk on the beach
and may not see another person for hours,
I have 2 great dogs that we've raised and trained
who've brought us such joy,
and I have my wonderful DH with whom
I've shared the last 20 years of my life with.
This painting hangs in our bedroom and reminds me every
night of how blessed I am to have this life right now.
I hope and pray it always does.