Time to Regroup

Thanks to OzDoc, Knotty, and to a couple of others off the blogsite who have offered words of encouragement. OzDoc made an especially salient point, which is that a bit of self-doubt is a healthy thing. It's the same trait that will cause me to consult someone who knows more than I rather than to handle something myself that it over my head. Overconfidence is one of the most dangerous traits a fledgling physician, or any doctor for that mattre, can possess. Knowing when to say when and to call in the experts is crucial.

I've changed plans in terms of the USMLE. While Bakersfield is lovely this time of year [sarcasm font], I will instead take the USMLE in San Diego. My family has planned a short vacation there immediately following my exam. I won't arrive in san Diago until maybe 36 hours before the test. San Diego offers a few more distractions than does Bakersfield (What city doesn't?), but I'll spend my time before the exam in my hotel room listening to Bach and Mozart and viewing a few funny movies,

As far as studying, I probably know about as much of the USMLE Step 1 content I will ever know. My 36-hour stretches of studying (and even my 23-hour studying stints) are history. I'll look over materials for an hour or two each day, and I may study for up to four hours in the final three or four days leading to the test (which happen to be  any day now),but for the most part, I'm studied out. i'm going to a concert in Lps Angeles tomorrow night and to a party the following night. Then I will attempt to re-learn to sleep the way normal people sleep,

Bottom line: I think I will survive.

                 I've posted this video once before. Once again it applies.

WHEN IT BECOMES DIFFICULT TO SEE THE LIGHT AT THE END OF THE TUNNEL

Britney at the end of her rope

Let me say that I believe I have some grasp as to what might have been going through Britney Spears' mind right before she shaved her head. I'm not suggesting that I otherwise have a great deal in common with Ms. Spears, but I think I may understand what it might have been that drove her to commit the single rash act. As far as what caused her to barricade herself inside her house with her younger child and to refuse to come out when called by law enforcement, i haven't a clue, nor do I have any idea why she would have borrowed expensive clothing from exclusive boutiques and then let her dogs defecate on it. There are some acts with which my own craziness I can identify. Other strange behaviors, however, are beyond even my comprehension.


I'm still studying, though between crying abut everything and being sick, the studying isn't all that productive. At some point, after 20 straight hours I shall call it a day and go to bed. The calibre of sleep will be lousy if I sleep at all, but I have to try. I probably need pharmaceutical assistance, but I'd really like to get through this on my own without the help of drugs.

I probably should contact my gastroenterologist, but at this point, the very last thing I need in the world is either a colonoscopy a sigmoidoscopy. The colonoscopy wouldn't be so bad, as I would be at least partially anaesthetized or at least sedated,but the pre-colonospoy procedure is more than I can handle right now. I know about modified prep procedures,but I'm not sure I could tolerate even those right now, and what if they worked too well and I was still feeling the effects on the day of the USMLE? The sigmoidoscopy prep is minor (though even it it might work too well on me) but gastro-men are stingy with their sedation for sigmoidoscopies. i don't need the pain right now.

My plan is to self -medicate with immodium and ondansetron (for nausea both the night before the test and the morning of it. Immodium works too well on me, too, but I'll deal with its effects after the test.

All of these contingency procedures are in effect under the assumption I last long enough for it to matter. There are no guarantees.

how I feel at the moment

Life is sucking right now

Life is rough at the moment. i'm beginning to experience the results of stress in ways that are not good. I can't sleep well. When i do sleep, my sleep is filled with ugly dreams. I don't feel like eating, which is just as well since ulcerative colitis is once again rearing its ugly head.  I'm biting my nails a lot. I'm having to fight the urge to pluck my hair. I still have a bit of time before the USMLE. It would be imprudent for a variety of reasons to say exactly how much. Things are not looking very good at the moment.

My Personal Hell, Otherwise known as Step 1 of the uSMLE

I can so relate to the person in this picture.

There are Part !'s of blogs that anxiously await Part 2's,   other blogs in their inception that await further development, laundry that needs to be done, meals that are uneaten, and pianos that sit idly,just waiting to be played. Meanwhile, I study, study more, and study even more. i put in a 36-hour studying marathon, followed by a four-hour snooze.  I  just arose from the 4-hour snooze, still somewhat dazed and vaguely migraine-addled.  I'm sitting in a recliner while staring across the room at my study materials.  A part of me wants to pick them up and to resume my studies. Another more compelling part of my consciousness wants to shower and then to devour half of the kitchen's contents. A  third part of me wants to vegetate until it grows dark, and then to hit every party scene within ten miles of here. Where I am right now, one doesn't necessarily have to wait until it is dark to find a party in full swing, but I'm not sure those are the parties of which I would choose to be a part.

I've taken my second and final practice  test for Part 1 of the USMLE.  On both of them I've done well, but I will not be lulled into a false sense of security by having aced a practice exam. (It's like those practice items on the yearly tests we took in elementary school, mainly to ensure that little kids no how to bubble with their no. 2 pencils inside the designated spaces; anyone who actually missed one of those practice questions was up a creek once the actual test began.) We've all been warned that the point of USMLE practice tests is to familiarize ourselves with the format and the setting of the test. The tests might just as well have been asking about the plot and characters of "The Walking Dead" as about medical content. The word on the street is that the content of questions on the practice tests is just about THAT relevant.

In a relatively short time, I'll report to a testing center somewhere in California (probably north or south) to take this test. i'll be searched almost as extensively as though I were entering a maximum security prison. I'll spend eight or so hours scouring my brain for everything i've ever learned and some things that I have not. I'll leave with a vague idea of how many questions were so foreign to me that I had little choice but to mark "C" and hope for the best, but otherwise, the scores will not arrive for at least three weeks, but probably longer. (My test may be scrutinized for longer than most because  of the number of relatives who have taken the test before me. Matthew will have taken the test three days before I do, but he will then embark on a three-day backpacking trip; I wouldn't have the opportunity to benefit from his knowledge even were I unethical enough to desire to do so.

I've done just about everything that I reasonably could have done.. I've taken two prep courses. I've taken advantage of online tutorials. I've studied with groups. I've been quizzed ad nauseum by MDs in the family. God knows that I've studied independently as much as is humanly possible, taking into account that sleep, eating, and hygiene practices must happen at least on occasion. If i'm not adequately prepared by the time the test comes around, I probably was not meant for this field.

Th evening following the test, I plan to attend a party hosted by one of my cohort mates.  i have a designated driver, so I may drink more than my customary half-bottle of Guinness.  I'll celebrate having passed through this milestone even if I didn't technically receive notification of having "passed."  I expect to pass in a technical sense. The big question is whether or not my scores will be sufficiently high to grant me choice internship and residency placement opportunities. The joke, though, may be on me. Time alone will tell.

My Career as a Candy Striper, Part 1

I didn't look much like this in my candy striper uniform.

I was a candy striper for almost two hours once. I never blogged about it --  not because I was embarrassed or ashamed or wanted to hide this aspect of my past, but rather because I hadn't thought about it for years it until tonight. My medical school friend Wendy asked if I blocked the experience out. I don't think so. It's a lot more likely that the experience was not even a blip on the radar screen of my life. To be perfectly honest, i'm not entirely sure why I remembered tonight about having been a candy striper. 

I might have listed my stint on my medical school application under the heading of experience. I wouldn't have been outed as having padded my resume, as if one were going to embellish one's qualifications, most people would come up with something just a bit loftier than having worked as a candy striper. I could have simply listed the year [ 2006] in which I worked my solitary one-hundred-fourteen-minute (I'm guessing at the exact number of minutes) shift, and could have left it to the reader to determine precisely how many shifts I worked in that year. Positively no one other than Meredith, who would never betray me, could contradict anything I said on my resume or application about my candy striper gig. The building where the convalescent hospital was located is now a combination bail bond company and tattoo parlor.  Neither Joe the bail bondsman nor Artie the tattoo artist likely held onto the volunteer files. (On second thought, Artie may very well be hanging onto the files. My friend Meredith said he always looked at her funny and set off her pervometer in a big way whenever she was around him when he used to  collect the used grease from her grandmother's Greek restaurant. [No one ever knew what Artie did with the grease, by the way, once he collected it. I can't think of any sinister purpose for collecting grease from a restaurant, but if  there is a sinister purpose for recycled grease, it's probably what motivates Artie to cart away sludge from various eateries in the greater Sacramento-San Joaquin Delta area.] Anyway, Artie might easily have hung onto the candy striper files to use as a ready-made phone list for obscene calls. Status of the files or of Artie notwithstanding, he probably isn't in close enough contact with the head honchos of the admissions panels of the medical schools at which I applied to have ratted me out as a candy striper imposter. The secret presumably died with most of the patients. (You are aware, I'm sure,  that no one ever actually convalesces at convalescent hospitals, I hope. it's a misnomer if ever there was one.) 

Moreover, I miraculously managed to gain admission to medical school even without boasting of my vast experience as an esteemed candy striper, so it's probably just as well that I didn't pad my resume. What if someone in human resources somewhere down the line in my career decided to give a polygraph to every employee in relation to claims made on resumes? It would be positively a shame to lose a position over having claimed to be a bona fide candy striper when, in reality, I poured pureed mystery meat paste down vegetative patients' throats (Doesn't this make a person look forward to growing old?) for just a portion of a single afternoon. It's just as well that the memory of this semi-event in my life has eluded my consciousness until now.

There's not a whole lot to tell since my candy-striping career lasted just under two hours, but i'll tell you all about it anyway since I have nothing else of importance to write this evening. A candy striper, if you're not familiar with the term, is a junior volunteer at a hospital or other residential medical facility. Our local hospital required that volunteers be at least sixteen years of age, but the convalescent hospital was so very desperate for free labor that they were willing to accept any volunteer who was old and/or sufficiently literate to fill out the application without assistance. they didn't even require background checks or references. We didn't even have to present ID (not that we were in possession of valid IDs in the first place), though our town was  small enough that the social director, who screened candy striper applicants, probably knew who we were when we first walked through the door of her office.  In retrospect, I'm appalled that just anyone odd the street was allowed to come into contact with such vulnerable patients. Meredith and I were not about to pilfer wedding rings from the senior citizens we tended -- and if we had been, the employees probably beat us to the really valuable stuff already, anyway -- but there have to be people who would have taken on the gig for that very purpose.

Our high school required forty hours of volunteer community service. (Really, how can it be volunteer community service if it's a requirement for graduation?) I wasn't concerned about coming up with the hours because anytime I played the piano for any person or function when I was not paid, I could round up to the next hour and claim the time. Meredith, however,  did not play the piano, and did not want to procrastinate and end up pressed for time and having to miss out on fun as a senior because she had neglected to complete her volunteer hours. So on a chilly November afternoon following the completion of our tennis season, Meredith asked me to accompany her to the local convalescent hospital to submit an application to serve as a candy striper.

Meredith and I were directed to the office of the facility's social director, who handed each of us clipboards to which application forms were attached. As I tried to explain to Violet Bixley, the social director, that  was just there to provide moral support to Meredith, she cut me off with "Now you do not need to be afraid of the aged, dear . . . They're just like you and me, only they're in a different stage of development."

I thought it would be easier just to fill out the form and then never to venture within 100 yards of the place again. The application was not a binding contract.
I even put down bogus contact information so that Violet would not reach my mother if she tried to call me at home. I could see my mother saying i had to go back because I had made a commitment.  I don't remember what address I wrote down, but I distinctly remember writing that my telephone number was 867-5309. Meredith look over at my application and saw the number, and could stop herself from giggling throughout the rest of the interview.

Since that time, I've been in numerous facilities for the elderly. Some are so well-maintained that the common areas have aromas similar to those of upscale restaurants. Others are so poorly maintained that the stench of urine and other body emissions nearly knocks you out before you even make it all the way through the front door of the place. Please understand that I'm making and objective observation in commenting on the smells found in convalescent homes. I'm certainly not poking fun at the patients. How a facility smells is of course not in any way the fault of those who receive care there. Any residential care facility would smell bad if it were not cleaned regularly and thoroughly whether because employees were lazy or because they were overworked by management who tried to pad the bottom line by under-staffing the place. Regardless, the reality is that some convalescent homes smell better than others do. The facility at which we were applying, unfortunately, was on the more odoriforous end of the spectrum.

I've always been sensitive to strong smells. I was one of the students in my cohort to barf on the first day of anatomy lab. I'm still somewhat squeamish where scents are concerned, but at that point in my life, I had no tolerance whatsoever. I tried in vain not to gag. Meredith handed me a scented tissue from her purse. As Meredith sat giggling in her chair in Violet Bixley's office, I held the purple scented tissue over my nose and mouth and tried in vain not to gag. We must have been quite a pair, although our lack of decorum was apparently not enough to dissuade Violet from accepting our applications. 

Violet look as over from head to toe, then excused herself. She came back two minutes or so later carrying two pink-and-white-striped jumpers and white blouses, one of which she handed to each of us. She pointed out a public restroom room where we could change into our candy striper uniforms. I was wearing jeans and tennis shoes that day.  For the record, I don't think anyone wears those pink-and-white-striped uniforms any longer except in fake kiddie porn shoots --  the look is right up there with "girls" wearing Catholic school uniforms -- and porno flicks. Google "candy striper" and see that it's the gospel truth if you don't believe me.

I thought we were just trying on the uniforms, but when we emerged from the restroom, Violet led us to a row of cubby-type shelving and told us to stow away our civilian clothing in any unused cubby. Violet grimaced as she looked down at my legs, which were covered from the knee down by  a giraffe from head to foot down the length of each knee-high stocking. She gave us each covered rubber bands for tying back our hair. "Even clean hair is very germy," she intoned, insinuating that the hair on our heads was anything but clean. It wasn't until I had the rubber band tripled around my hair that I realized my candy striping sentence was for real and that it was starting right then and there. I briefly considered making a run for it but lost the nerve.

I'll conclude the story tomorrow night.

The Flash Mob: Let It Die Already and Put It Out of Its Misery

the typical obnoxious flash mob

Before I proceed to the main topic of this post, I should announce that Jared (not the former subway spokesperson Jared  but the guy who had my name tattooed to his bicep in order to avoid serving an LDS mission) and I are officially once and for all kaput. We've both dated other people for the past year, so it's not as though this new development is any great blow to me. What clenched the deal, so to speak, is that he is now engaged to one of my closest friends, Megan (the girl whose family owned the lesbian hen). I think they're far more suited for each other than Jared and I ever were for each other. I couldn't be any happier for them than I am. They've tentatively set their wedding date for August of 2017. I've been asked to be a bridesmaid, and I very happily accepted the invitation.

Now I shall address a topic that is the diametric opposite of being near and dear to my heart. The subject of discussion here is the semi-passe-but-still-happening-just-often-enough-to-annoy-me phenomena known as flash mobs. I concede that flash mobs are essentially harmless. Moreover, they seem to make a lot of people happy.  If people genuinely derive pleasure from participating in them,and if others enjoy watching viewing them, by all means they should continue, though preferably in venues where the audience is not captive and can walk away if they are perturbed by them as I am.

The subject of flash mobs came up recently because it has become almost expected that someone in the graduating class will organize a flash mob to perform during their medical school's Match Day ceremony. Match Day, which happens on the third Friday each March, is when 4th-year medical school students learn if and/or where they will serve internships or residencies. Fourth-year med school students travel to be interviewed by various programs. Skype interviewing isn't really recommended because students tend to be happier if they rank their preferences for internship or residency programs based on having actually traveled to the places. The residency programs simultaneously rank their preferences in candidates, and a computer program sorts the data and spits out matches. (I hate to think of what some amoral mastermind like Karl Rove might do to manipulate the system, but so far he's been more fixated upon presidential election outcomes than Match Day results. Furthermore, at least as far as I know, no one has received a "match" with an institution not even ranked on their list.)

Cutting to the chase, the Match Day ceremony at each med school has its own long-standing traditions, but one tradition that seems to be creeping its way past many of the more established customs is the dreaded flash mob. the expectation that a group is to produce a flash mob is, in my humble opinion, all the more reason not to do one. a flash mob is only successful -- and only in the rarest of instances, in my view, are they EVER successful  -- if there is an element of surprise in the performance. If all the attendees at  a Match Day ceremony are sitting around waiting for the inevitable flash mob to start, where is the element of surprise. Not there; I guarantee it.

Flash mobs have pervaded our societal functions to the point that a newly-wedded couple sometimes questions both the sanctity and the legality of their union if a flash mob did not take place at some point int their proceedings. The wedding reception flash mob has grown into a cliche of sorts.  I haven't seen a single wedding reception flash mob, either in real life or on YouTube, that I considered even remotely clever or well-done. A few actual wedding ceremony flash mobs -- while I wouldn't necessarily have wanted either to participate in them or to have them performed at my own wedding -- were both undeniably well-executed and sufficiently unexpected as to contain an element of surprise. I'm not big on people performing circus-style acrobatics right in the middle of a church service, but still, the level of skill and preparation was admirable.

I must admit that a large measure of my disinclination for flash mobs stems from my critical nature. While I don't consider myself a singer (for good reason), as a musician I nevertheless have a strong sense of both absolute and relative pitch. People who sing in flash mobs are, as often as not, at least a bit pitchy. Listening to them disregard each others' tones hurts my ears. 

Dance flash mobs are probably more common than singing flash mobs. I have less problem with them, though I usually find the cheerleader-style dance moves often seen in flash mobs to be rather tiresome. (I no longer hate either cheerleaders or cheerleading per se; I'm just not terribly fond of the style of dance employed by most cheerleading squads and wish it would have both its beginning and its end in actual cheerleading performances and competitions and would cease with its attempts at infusion into other dance genres. [I was a cheerleader very briefly, and dancing in that choppy and forced manner very nearly did me in.])

All of that being said, there are a few places I would kill to see flash mob performances.

        1. A flash mob in an LDS temple ceremony would be classic.  The
            geriatric temple workers might very well succumb to the shock 
            of the unexpected, but even (or especially) if it were my own grand-
            father, I'd say the flash mob was easily worth the price.

        2. A flash mob at a funeral might be nice. this should never happen 
            at the funeral of an infant who died of SIDS or of a high school 
            student who was killed by a drunk driver or at the funeral of a 
            serviceman who gave his life in service of his country. Performing
            a flash mob under such circumstances would be disrespectful and 
            basically wrong in every way. Under other circumstances,  however,                   a flash mob might serve to give an otherwise grim ceremony a bit 
            of ambience. I nominate my own grandfather, for that time when he                   ultimately meets up with The Grim Reaper, to be the recipient of
            a colossal flash mob sendoff. I'll even organize it. We'll use an appro-
            priate ditty: "If You Don't Know Me by Now" by Harold  Melvin and
            the Blue Notes. click on the link and scan the lyrics if you're unfamiliar               with the song. I'm sure you'll agree that the song is fitting funeral fare.
http://www.lyricsmode.com/lyrics/h/harold_melvin/if_you_dont_know_me_by_now.html
 
         3. A flash mob in Judge Alex's courtroom would be a hoot. I would never
             participate in it, but I would get a charge out of seeing how many 
             people he threw in jail for contempt of court.

Even with this post being essentially a vilification of the flash mob phenomenon, two flash mobs stand out as having been especially nicely executed. One is the performance of Ode to Joy by the symphony in Catalonia. The other is too good to pass up.  I will include a video of the flash mob that is the absolute quintessence of all flash mobs. I'm thoroughly jealous and may never get over the fact that I was not an engineering student at the University of Toronto in 2013 and didn't get to participate in this flash mob. The singing isn't perfect, but considering that these people are engineering students and not music or theater majors, and that they're singing while walking on narrow and slippery tables between rows in an auditorium-style lecture hall, it's both respectable and commendable. This is one reason I think no more flash mobs really need to happen (except for the one at my grandfather's funeral): no one else will ever do it better. 

NOTE: I don't own this video. I'm including it as a sign of my sheer admiration and respect, and I sincerely hope no one who has any rights to it is offended by its inclusion here.
      

Happy Mother's Day, Or At Least Un-Miserable Mother's Day, to All for Whom the Greeting Applies

This isn't a picture of my mother. My mother does not want me to post pictures of her on my blog. Instead, I randomly chose a picture to represent my mom. I believe the person actually pictured here is Natalie Portman. Natalie Portman is something like fifteen years younger than my mom, though my mom looks
young for her age, and my mom's hair is a bit lighter, and her eyes are blue.
As to just how closely my mother otherwise actually resembles Natalie Portman, I offer no opinion. I will leave that to the readers who know my mom to decide.

Holidays are supposed to be joyous occasions. Sometimes they're not. Any family gathering is a potential source of ugly conflict in some families. I have firsthand experience with this, as my father has more than a few rather loathesome siblings and siblings-in-law, not to mention a loathesome parent. The holiday will not suck in that regard for me, however, as I do not have to spend Mother's Day with the greater part of my father's extended family. My dad visited his mother last weekend because he knew this weekend would be a logistically difficult time for him to travel to Utah. When he visited my grandma, my dad extended the usual invitation for her to return with him or at any time later and to stay however long she would like, including permanently. She's never taken us up on the offer before, though we hope that if she's still in good health, she will come to Matthew's and my graduation in two years.

Holidays can also be times of emotional difficulty following divorce or death of a close family member. If a relative's death, especially  a particularly untimely death, happens near any given holiday, that holiday is often marked with sadness with each passing year. The first time through any holiday following the loss of a relative who was important to a family's observance of the holiday also stirs bittersweet emotions. For anyone experiencing this, I hope the holiday is, in spite of a recent loss, filled with more happiness than sadness.

The holiday, of course, exists primarily so that the greeting card, florist, and restaurant industries can make a huge windfall off all of our collective guilt for not showing greater appreciation to our mothers throughout the year. Mothers are taken for granted. If I'm ever a mother, I assume I'll be taken for granted as well.  C'est la vie. This, however, does not make it acceptable to take our mothers for granted.

My own mother's path to motherhood and through it has not been entirely smooth. She had a nearly-successful-but-failed attempt at acquiring twins before having Matthew and me. Once she finally had us, as much as she actually had wanted us, there surely must have been times when we caused her to question the costs versus benefits of actually having children. We weren't always the world's sweetest  or most cooperative children, yet she never let on that she was having second thoughts in terms of motherhood.  

Early in our lives my mom developed health issues including Graves' Disease, thyroid eye disease, and leukemia, along with  less serious but still incapacitating urinary calculi, otherwise known as kidney stones.  Through all her health issues, at least as far as Matthew and I  could tell, my mom seemed to prioritize our needs above her own. There were two  intervals n which she was hospitalized for a few months at a time. Otherwise, she sought treatment and returned home as soon as was practical after each procedure, often leaving hospitals against the advice of her doctors because she had two young children at home.

My mom stayed home with my brother and me until our final year before kindergarten, and only worked part-time even that year so that she would be home with us when we were not in preschool. From that time on, except for the times she was being treated intensively for illnesses, she worked on a full-time basis. She probably didn't have to work, as I suspect my dad earned enough to have kept us in the homes we lived and clothing we wore, and his earnings probably kept food on our table as well. What my mother's earnings did accomplish, though, was to cover our medical school tuition costs so that Matthew and I will start off our careers debt-free. Few of our med school peers will have this luxury. Both Matthew's and my undergraduate educations were financed with scholarships, and I've had enough scholarship money left to cover my med school expenses so far, but if it runs out, I won't need loans. 

My mom probably could have spent every day either at a spa or practicing music, but she chose instead to make a financial investment for my brother and me. She probably would have grown tired of having massages and facials anyway, but she could have switched from one hobby to another whenever she became bored. Instead, she dealt with students and with pesky special education issues for something like twenty-three years. Entire forests have been cleared to provide the paper that is necessary to document -- usually in multiple formats -- the most minute details about every student enrolled in any special education program. If anyone out there thinks that working in special education is just about helping especially vulnerable children, think again. It is about helping kids, but a whole lot of additional time is spent providing the documentation that will hopefully keep oneself and one's employer out of litigation. It's the sort of paperwork that causes literal headaches. A lesser person that my mother would be addicted to Vicodin if not benzodiazepenes. She still works, though not in special education any longer. She teaches music at the university level. Some university professors profess that their students are every bit as "special" as the most involved special ed. students, though I don't think the verdict is yet in on that where my mother is concerned.

In any event, my mom has earned far more than any lame gift I can ever give her. To her I give my love and admiration, and to all mothers everywhere who have done the very best they could with their circumstances, I  give my utmost honor and respect.

Sarah Hepola, BYU, Alcoholism, and Honor Code Enforcement

BYU students protest the role of honor code investigations follow the reporting of sexual assaults among the university's students.

I'm doing very little of anything other than intense studying these days. My reading material is limited essentially to content I need to review in preparation for Step 1 of the USMLE. (There. I said it again out loud, or at least wrote the name of the exam. Doing so continues to make me nervous, though I would expect that if lightning were going to strike me dead for referring so explicitly to the gatekeeper exam, I would already be six feet under.)

In any event, though  I have little time for pleasure reading, I took the time to re-read Sarah Helpola's Blackout: Remembering the Things I Drank to Forget. Reading the book was a most welcome diversion from reviewing the symptoms of (and i'm not exaggerating in the least) every medical condition under the sun and some that aren't.

My extended family has a bit of shared history with Ms. Hepola, a journalist who wrote and edited for, among other publications, Salon magazine. my cousin and her first-cousin-once-removed were fans of Sarah Hepola and frequently responded to her blog posts. Ms. Hepola had a fascination with all things Mormon at the time, which eventually led to a two-part interview with my cousin and her cousin. The interview may still be accessible in some long-forgotten archives somewhere on the Internet, though I wouldn't have a clue as to how to go about finding it. 

Sarah Hepola's book is probably the most excruciatingly  honest memoir I've ever read. She doesn't spare a single self-incriminating detail of her drinking exploits as far as I I can tell. She writes of taking her clothing off when drinking and of waking up in the beds of strangers following alcohol-induced blackouts.  She shares details of her very early introduction to sex at the hands [or, more literally, at the phallus] of a man far older than she.  Her life, even up to the point when she reached the age I presently am,  is one I could scarcely imagine.

I've been cautioned by a few presumably well-intentioned individuals about the evils of alcohol consumption, though I don't buy into most of what I would consider scare tactics along these lines.  I'm aware that being under the influence of alcohol can leave any person -- particularly one of my gender and size -- more vulnerable than she would otherwise be. 

Still, it will be my choice to continue to imbibe [albeit relatively moderately] on occasion. After careful consideration, I have decided that a couple of drinks in one sitting when I'm surrounded by people I have good reasons to trust will not place me in any particular peril. I haven't consumed any alcohol other than my twice-weekly half bottle of Guinness, which I detest but drink for health reasons, since my birthday nearly five months ago. I have no idea when I will again feel compelled to drink myself into  the nirvana-like state between  buzzed and wasted, though I know it will happen.

In relation to the negative press BYU is getting over enforcing its controversial honor code in relation to the reporting of sexual assault, I've certainly thought about alcohol consumption and its role in creating vulnerability.  I don't have a great deal to say about the particular issue because I don't feel that there is much more to be said about it. A person needs to have a solid handle on how much he or she can drink and still maintain control of his or her circumstances. On the other hand, it was with good reason that I chose not to attend Brigham Young University, where I would be subjected to the draconian policies of the LDS-operated institution.  Besides, BYU doesn't even have a medical school. I'd be finished with them by now even had I done my undergraduate work there.

I don't think there are many rational minds out there who would place the blame on a woman who was sexually assaulted for having consumed alcohol prior to the assault. For me, though, I don't want merely not to be blamed. If I drink, it will be to have a good time that is not spoiled by the prospect of assault of any kind.  I will always be careful where and with whom I drink, but  I could not ever take another drink for the rest of my life and still be sexually assaulted again. The last time I was assaulted, alcohol played no role.. Life offers few guarantees.

Order at Your Own Risk

I didn't cut the model's head off; STYLEWE did. Either that or the model insisted upon remaining anonymous, which wasn't a bad choice if such was her intent. 

Tonight I clicked on a link for a clothing company that calls itself "STYLEWE."  Here's the link if anyone is interested:  https://www.stylewe.com/product/embroidered-pierced-mini-dress-21184.html?gclid=CMTeppH8lswCFYiVfgodrmELXA . I don't believe the link or site is embedded with any malware content.

I would describe most of the clothing featured at this site as tawdry in an attempt to be charitable. The dress pictured here is OK -- one of the more tasteful garments I viewed at the site -- although it's not something I'd choose for myself. It's more my friend Megan's style, and her birthday is approaching. I assumed I'd probably want a small for her, as she usually wears a size 4. I clicked on the size guide to confirm that my expectations were in line with their sizing protocol. Much to my amazement, I discovered that Megan would only be able to squeeze into a size XXL. 

Seriously, on whose planet does size 4 equate with extra-extra-large?  I would not buy that dress for Megan even if I thought it would be her most prized dress of all the dresses she would own for the rest of her life. For one thing, I'd have to cut the size-indicating tag out of it to avoid hurting her feelings, and who gives someone a dress with the tag cut out? More importantly, though, I refuse to do business with a company whose size protocol is, in essence, a method of fat-shaming. 

For that matter, the company is fat-shaming even skinny people. My mom wears clothing in sizes  2 to 4 depending upon the garment and the manufacturer. She would need an extra-large (XL) size of this dress at the very least, and possibly even an XXL.  My mom is 5'3", is small-boned,  and is arguably thinner than a person should be. Granted, the company is not marketing its products to forty-nine-year-old women such as my mother, but if she were her same size and 21 years old, she'd be thin by any standard other than perhaps in comparison to starving Ethiopian refugees.

I wear size zero. Two years ago I was probably a double zero, but clothing I wanted didn't usually come in size 00, so I had to make do with over-sized clothing or with children's clothing.  It's unfortunate that I did not know about STYLEWE back in the day.  By patronizing this company, I could have worn slutty and tacky clothing every day of the week with very little effort. My Aunt Cristelle probably wishes the company had been in business when she was scouring the planet for clothing to dress me up in the Halloween that I was Trailer Trash Barbie. If she'd bought a size-00 outfit and tossed it in the dryer on "high" for twenty minutes, it might have been snug on me even then.

Incidentally. STYLEWE's sizing guide for the dress in question indicates that sizes "small" and "medium" are identical. My guess is that virtually no one orders medium when a small garment fits identically. I would probably feel better about wearing a medium for once in my life, but I acknowledge that I'm in the minority.

On top of everything else, I wouldn't think their marketing strategy would be an advantageous business model, but then, what do I know? Perhaps STYLEWE is targeting their merchandise to those on the down side of anorexia and to those suffering from the acute hyperthyroid phase of Graves' Disease or with inflammatory bowel disease.

another charming STYLEWE offering

Here's another sweet STYLEWE garment. In this one, the model (if you could see her face) looks as though she is stoned,which a person would almost  have to be in order to voluntarily wear this dress. Edited to add that I have slightly amended my position in regard to this dress. I now think the top looks like a top especially made for breastfeeding. A five-year-old could probably breastfeed discreetly under that top, not that I would ever be caught dead breastfeeding a five-year-old.

Bleeding Tonsillectomy Wounds, Third Marriages, and a Kibosh on Adult Baby Stories

Meredith tried to interest her parents in a Hello Kitty wedding but they weren't interested.

I don't have anything profound in the least to share this evening -- not that I do under normal circumstances -- but my pseudouncle told me that the Adult Babies post has begun to grate on him. He said every time he clicks on my blog to see if I've posted anything new, he sees one of the pictures of the adult babies (I think I may have taken one of the pictures down, as it was starting to creep me out as well, although I may have just had a Vicodin-enhanced dream that I took the picture down) he becomes just a little more weirded out by the pictures. He said he'll wash my car for me on his next day off if I'll either take the Adult Babies post down or post something else after it so that he doesn't see the adult babies unless he scrolls down. As my car most gravely needs to be washed, and as I'm likely to be either too weak to wash it myself or too wasted to drive legally or safely to an automated car wash, I find myself blogging at this rather odd hour.

I had to go back to the hospital yesterday to have one of my wounds cauterized. Despite my valiant efforts at keeping myself hydrated, the scabs over two areas dried up and came off, which caused bleeding that wouldn't stop. I wasn't hemorrhaging, but the bleeding was likely to continue until something was done to stop it. My surgeon cauterized all the surgical sites since I was knocked out anyway and he thought the other wounds didn't look all that terrific, either.The cauterization procedure itself didn't cause me any pain, as I was knocked out for it, but it's about as sore now as it was the first day after the surgery. This, too, shall pass, but I'm growing weary of being stoned.  I'd forgotten about this after other surgeries, but a point may be reached where one can have too much of a good thing  --  even where something so delightful as hydrocodone is concerned. I look forward to having a clear mind.

My doctor asked me to give up studying for five days. I've humored him by putting my materials away since then, and I'll stay away from them for the most part for the next three days, but  friends and relatives quizzed me using some of my pre-prepped study materials. My total study time each day  was somewhere around three hours each day, however, as opposed to my usual twelve-to-fourteen hours of studying per day. I'll need to get back to the more intense studying next week, but I can afford to take things slow for a couple more days.

The week after next,  I'll need to adjust my study schedule so that my day off is on Saturday because I must provide music for a wedding. The wedding will be an interesting one. My friend Meredith's parents are getting married for the third time. It's not just one of those sentimental renew-the-vows sorts of ceremonies, either. It will be an entirely legal wedding. Meredith's parents were first married about two years before she was born. They first divorced when she was somewhere around three. Then they each remarried others, but divorced their respective spouses and decided to give marriage to each other another whirl when Meredith was eight. This time the marriage lasted seven years before they decided to pull the curtain on it.  Meredith's dad remarried twice in the time following their more recent divorce. The first of his subsequent marriages was annulled, while the second one lasted scarcely longer than the little tulle-wrapped packets of rice handed out at the wedding reception. (Meredith's dad is so incredibly frugal that he gathered up rice packets that were not used, unwrapped and poured them into a canister, and cooked and ate the stuff until it was no more. He was eating the leftover Jordan almonds as well until he broke a tooth on one of them once the candied almonds had started to get a bit stale and even harder than usual, if it is even possible for Jordan almonds to be any harder than they usually are. Meredith said she believed  her father endured physical pain in throwing out the Jordan almonds but that, with the cost of dental implants being what it is, he could not justify risking any more teeth on them.)  Meredith's mom had a live-in boyfriend to whom she was engaged at one point, but she never actually remarried.

Meredith's parents are eccentric people.  Her mom is an accountant. While one can never  expect that every single person of any given profession will fit neatly into some sort of compartment, most accountants with whom I happen to be acquainted are sensible, practical, matter-of-fact sort of people. Megan's mother fits the prototype of an account in terms of her skill set. She has multiplication facts committed to memory all the way  to ninety-nine times ninety-nine.  Why in hell would any  person -- even an accountant --need to clog his or her brain with such dispensable data? Autistic savants and others [my dad] can calculate them so rapidly that it's almost as though they've memorized them (even I can calculate them in my head, though I need a few seconds to do so), but not Blondina. As an undergrad accounting major, she went to the trouble of painstakingly memorizing all the way through to one hundred. And she can quote tax codes in her sleep. In other ways, however, she is the very antithesis of what one would expect an accountant to be. When Meredith and I were in high school, Blondina unexpectedly inherited a decent chunk of money. I don't think even Meredith knew the total sum, but I'd guess it was somewhere around a couple hundred thousand dollars. Late one night when I was sleeping over at their home, I came downstairs from Meredith's room to get a drink of water (I don't drink bathroom water; it's one of my quirks)  to find Blondina seated at the kitchen table with an almost anguished expression on her face. I asked her if anything was wrong. She explained that she had come into a wad of money. She had narrowed how she was going to use the money down to two options: #1, she was contemplating purchasing a racehorse; #2, she was  considering putting the money away in a college account for any future grandchildren. The two options she gave would seem to be so diametrically opposing that it would be hard to accept that the same person came up with both of them. Perhaps therein lies the answer. Maybe there is more than one Blondina inside her head.

Meredith's father is named Chad. (His twin brother is named Jeremy. If you know much about the early-to-mid sixties music scene in the U.S. and Britain, you'll probably make the connection. His parents were perhaps a bit frivolous.) Chad is a psychology professor in the University of California system. (Thank God I never had the misfortune of enduring him as a professor.) He has been arrested numerous times during the annual Black Friday protests against furs (and realistic fake furs) at Union square in San Francisco. (I totally understand a person's distaste for the use of real fur in clothing, at least here in the lower forty-eight,  as down and suitable synthetic fibers can keep us about as warm as fur would.  Realistic-looking fake furs, though? That's a stretch.) Chad is a vegetarian about 97% of the time, but roughly one day out of each month, he goes on a binge and  eats practically his weight in bacon. He looks almost like a semi-starving polar bear going after his kill when he eats his bacon. Chad doesn't waste anything. He rinses, saves, and reuses saran wrap, which is  more challenging than it sounds. He doesn't use facial tissues, relying instead upon the use of cotton hankies to clean up the by-products of his chronic allergies. Meredith's mom insists on using a separate washing machine to launder her clothing and linens. I can't say that I blame her.

i do not yet know what musical selections I will play for the wedding. I don't even know what instrument I'll be asked to play. For all I know, it could be a kazoo The traditional Wagner and Mendelssohn are not out of the question, as they're going for the traditional wedding routine with the blushing bride wearing a formal white gown, the groom in a tux, and with ushers and bridesmaids and the full treatment. It would seem to be a bit excessive for a third wedding (TO EACH OTHER!!!) for a fifty-something couple, but who am I to judge? 

Will the third time be the charm for this couple, or will their rather obvious differences force them apart once again? Time alone will tell.

Her parents didn't take the bait on the zombie apocalypse wedding she proposed, either.

Adult Babies!?!?!?!?!?!?!?!

Why is it that I'm ALWAYS the very last person to learn about everything? I completed [and passed with flying colors] a physician training course  on mental illness. Why did I not learn about this in that course? 

What I'm concerned about not discovering or being told until an hour or so ago is the adult baby phenomenon. In case you didn't know, there are adults, possibly even living and breathing among us, who, in their spare time, dress up as and pretend to be babies. 

Isn't that the most bizarre fucking thing you've ever heard in you entire fucking life? Seriously, I may go wake up my parents as soon as I finish typing to ask them if they've ever heard of such a thing, and if they have, why they never bothered to tell me about it. 

I sent a message to Judge Alex asking him if he'd ever heard of it. I mentioned it to Knotty. She said that there are B&B facilities that cater to adult babies. They supposedly offer cribs. Are the cribs specially made, or do companies like Graco and Kolcraft make cribs for adults just like they make them for babies? Nuk pacifiers, I just learned, are made in adult sizes. 

Why stop at cribs and pacifiers? what about high chairs and strollers? I suppose a wheelchair would work as a stroller, but it wouldn't be quite the same.

I wonder what the adult babies do for diapers.  Do Pampers and Huggies make their products in adult sizes as well, or do adult babies  just buy Depends or those godawful Tena products, or do they purchase fabric by he bolt to make cloth diapers? I'm afraid that just thinking about this might give me a rash, an NOT a diaper rash, in case anyone had gotten the idea that I plan to practice this lifestyle.

Did you all know about this already?

If a certain person shows up here and announces that he or she is an adult baby, I will need electroshock therapy. I say this in all seriousness.

Just when I thought the world couldn't possibly get any weirder, it did.

Children of the Candy Corn

I may have studied for longer than I should have yesterday and last night, and am probably paying for it today. I'm not up to studying at all today, but it's OK because all of the study guides and study methods recommend studying just six days per week for Step 1 of the USMLE. For the most part I plan to take Mondays off rather than Sundays, as it's nice to have one's day off be a business day, plus I like the idea of sleeping late on Mondays. I'm not exactly sure why, as sleeping late is sleeping late no matter what day of the week it is, but somehow it just seems more decadent to do so on a Monday than on a Sunday.

Matthew and I are having company later this afternoon and this evening. A few people from school are stopping by to visit. It will be Matthew's job to entertain them. I'll come out of hibernation only to the extent that I feel up to it.

I didn't say a whole lot about this at the time, but during the last two quarters, all of us in my cohort were required to fulfill several stints of physician-shadowing. I did two here -- with my PseudoUncle Scott and with a neuro-ophthalmologist who is a close friend of the family. I did four more at school, including a 24-hour stint in the emergency room.

One of our professors was trying to warn us that what we would see to a small extent in the shadowing assignments and to a larger extent in our clerkships and internships would challenge anything  and everything we have ever come to believe about how society as a whole functions. She expressed an opinion that most of us have led relatively sheltered existences as children and adolescents and that most of us had relatively high-functioning parents, surmising that most of us would not have made it to medical school had we not had functional parents. Raptor Jesus II offered a slightly dissenting opinion when he said to the professor that I [Alexis] would have made it to medical school even if my mom had been a crack ho and my dad had been any one of 100 of her johns in months near my presumed date of conception. God, how I love that guy.

Anyway, the professor said that we would see -- particularly in the E.R. -- some examples of parenting that would make us question how our species  had survived up to this point and would give us a very dismal outlook for the future of the human race. I don't know if such has been or will be the case for everyone in the cohort, but it has certainly rung true for me.

One of the standard complaints almost everyone who works in an E.R. expresses is that a segment of our population treats the emergency room as their family physician's office. The Affordable Care Act was designed at least in part to put a stop to or at least to make a significant reduction in this practice, but I can't see that it's made much of a dent.

I shared a story in an earlier blog about a fifteen-year-old girl whose parents had her transported by ambulance to the E.R. because of what ended up being menstrual cramps, and probably not even a very serious case of cramps. She carried on as though it was a gall bladder attack or kidney stone (her mother was sure the girl was plagued with one of those two conditions) as long as any medical personnel were looking, but was sending relatives to the vending machines for snacks when she thought the nurses weren't looking. I was never quite sure what she hoped to accomplish with her E.R. visit, as she seemed a bit young to be an opium addict. Then again, one never knows.

I can't remember if I shared this incident from one of my shadowing assignments, but a grandmother brought her thirteen-year-old grandson to the E.R. because he had a small asymptomatic discoloration about the size of a Rice Krispy on one of his testicles. He'd had the discoloration for maybe three weeks according to the grandmother.  I don't know what force motivated the grandmother to all of a sudden bring the kid to the E.R. at 1:00 a.m.  on a Saturday for a 21-day-old testicular discoloration of 1.5 by 2 centimeters presenting neither pain nor even itching. I'm all for checking out testicular abnormalities, but this particular case probably could have waited until clinic hours the following Monday.

The E.R. case I witnessed personally that showed me just how directly society is going to the dogs is one you will not believe. i wish I had been allowed to videotape it, but anyone who has been to an emergency room or even to a physician's office in the past ten years or so knows all about HIPAA regulations and how medical school students cannot violate patients' privacy to film even the most unbelievable of cases even if it would serve the public to know how their tax dollars are being squandered by submoronic parents with public insurance. I'm confident  that sooner or later this particular case will end up being shown on one of those cable network real-life E.R. reenactments. Please let me know if you see it. 

Anyway,  two boys came to the E.R. via ambulance -- a four-year-old and a five-year-old -- accompanied by their mother. She had been shopping with them earlier in the day. This was in November, and  Halloween candy had been priced for clearance sale. The mother bought each of her four children his or her own bag of candy corn. The five-year-old ate his own bag of candy corn, his one-year-old sister's bag, and had started in on his two-year-old brother's bag of when he began to suffer from acute gastric distress. Meanwhile, his four-year-old brother presumably ate at least a few candy corns, but also managed to lodge one up each nostril and into each ear canal. the mother used the tweezers from an Operation board game (she did a bit of damage because she thought that as long as the Operation tweezers weren't making a buzzing noise, she wasn't actually hurting the child) to attempt to remove the candy corns from the child's ears and nostrils, but had only succeeded in lodging the candy corns even more firmly into their respective cavities. 

Instruments were used to removed the candy corns from the four-year-old's nasal cavities and ear canals. The kid predictably screamed the entire time. The mother wanted to know why something couldn't be prescribed to make the little boy feel better or at least to calm him. The doctor said, "Because he needs to know that if he sticks things up his nose and into his ears, having them removed won't be a pleasant experience." Removing the candy from the kid's nose should not  have been particularly painful (except for his nasal cavities being a bit tender from his mother rooting around inside them with the Operation tweezers), though it's not pleasant to have objects stuck up one's nose, which would have been a great reason for the kid not to have put the candy corns there in the first place. The doctor did put anesthetic drops into the kid's ears.

The physician checked out the five-year-old to ensure that his vital signs were OK, that appendicitis wasn't being overlooked, that there was no evidence of a blockage or rupture of any kind, or that such was not impending. There wasn't and it wasn't. The diagnosis was "ingestion of too much candy," for which there is an actual ICD code (WX46.887, if you're interested). She told the kid and his mother that if he eats two entire bags of candy in a single sitting, he should expect to feel lousy. The mother was insistent that her child be given something to make him feel better. The doctor said she couldn't recommend even Pepto-Bismol because it might constipate the kid, which is the last thing in the world anyone should want at that point. She said that if the condition turned into diarrhea, Pepto-Bismol would be fine, but it shouldn't be given to the child until or unless he actually experienced diarrhea. The mother wanted the E.R. physician to provide her with the Pepto-Bismol that the child might eventually need. The physician gave her a list of pharmacies with addresses. The physician told me afterward that she would have provided the pink bismuth medication to the parent except that she really didn't want it to be given to the kid if he didn't have diarrhea, and that the mother probably wouldn't go to the trouble of acquiring the medication and giving it to the little guy needlessly if she had to go to the pharmacy and pay for it herself.

If you had any doubt that your tax dollars are being wasted in our nation's emergency rooms by irresponsible parents, doubt no more. Don't blame the E.R. personnel, however. They're doing the best that they can to minimize the damage.

Surgeries, Pain Management, and Gross Surgeries Not for the Faint-of-Heart

This is what i'm looking forward to for the next couple of days once the IV comes out, which makes the idea of deriving any pleasure whatsoever from painkillers to seem like a figment of some truly twisted person's imagination.

I'm not yet ready either to run a marathon or to spend a night partying, but I'm closer to being a part of the world of the living than I have been since Tuesday morning. Opiates are still in my system and probably will continue be for a few more days, but I'm no longer bona fide stoned. I managed, under the influence or not, to get in a solid eight hours of USMLE preparation today.

Tonsillectomies used to be almost the rule rather than the exception. Among those who came of age in the early 70's or before, close to half of those who received regular medical care lost their tonsils somewhere along the way. Since then, medical attitudes have shifted. It was concluded that tonsillectomies didn't necessarily solve quite as many problems as was previously thought, and the assessment of risk versus  benefits of the procedure was looked at more carefully, especially considering current knowledge of inherent risks associated with any use of general anesthesia. Still, sometimes tonsillectomies are medically necessary.

For practical purposes, the distinction between a minor surgical procedure and a major one lies in who in undergoing the procedure. If someone else is having a tonsillectomy, I would probably consider it to be a minor procedure. If, on the other hand,  a tonsillectomy is happening to me, it's clearly a major procedure. I don't claim to be even as stoic as the average person. I do not like pain and do not go out of my way to bring it on myself.

I've undergone more surgical procedures than I'm willing to bore my readers with in this blog. My experience has led me to the conclusion that, with a few exceptions, surgeries are approximately equally painful. Obvious exceptions to this are procedures such as open-heart surgeries during which a person's sternum has to be split in order to access the heart, or even maxillary or mandibular osteotomies, in which an upper- or lower-jaw bone must be cut or fractured by a surgeon. Procedures such as these are in leagues of their own in terms of the resulting discomfort. I've also been told that a few ocular procedures -- particularly the orbital decompression, wherein a surgeon makes an incision through the inside of a person's upper lip, takes instruments through the incision to the cheek bones, drills holes in the cheek bones, takes instruments though those holes to the eye sockets, pushes the eyes out of the sockets, shaves bone from two to four walls of the eye orbit, suctions the shaved-off bone and extraneous fatty tissue through the nose, puts the eyes back, and stitches the incision in the inside of the upper lip -- are more than a bit grim. While this sounds like something that could have been dreamed up by an author of combination science-fiction-and-horror-film genres,  the procedure is for real. My mom underwent it about seventeen years ago. 

For most procedures, however, the difference in the level of discomfort is in the post-surgical pain medication that is given. Adults usually get better pain meds than kids do, which now works in my favor. In-patients are given more potent meds than out-patients are, which hasn't worked out to my advantage with this most recent procedure, as tonsillectomies are now in-and-out procedures. 

A tonsillectomy -- with or without an adenoidectomy -- is, in the grand scheme of things, objectively speaking, a minor surgical intervention.  The procedure itself is more complicated for an adult than it is for a child, though, primarily because each time a person's tonsils or adenoids are infected, more scar tissue builds up, making it more difficult for a surgeon to get to the organs to remove them. (Anesthesia, however,  is a trickier proposition for a child.) Adults suffer more than twice as many post-surgical complications from tonsillectomies as do children, primarily because of the greater difficulty in accessing the organs and because the tonsils of adults are larger (not necessarily larger in proportion to the size of a person's body, but larger nonetheless), leaving larger surface wounds upon removal. 

I'm legally and technically an adult, but my tonsils were more like those of an adolescent than of an adult. My surgeon reported that my throat was an even bigger mess of scar tissue than he had expected, but that removing it all wasn't terribly difficult. As much as it pains me to admit this, my pain hasn't been any greater than is the pain of the average person who has undergone a tonsillectomy and adenoidectomy.  I did have a whole lot of nausea, but I have enough doctor relatives that I'm able to have an IV at home to prevent dehydration -- which is essential in recovery from a tonsillectomy.  

The proverbial diet for tonsillectomy recovery is ice cream. I didn't get to have any until this evening because of my nausea, but I'm now able to tolerate ice cream. If I continue to keep things down, I will have my IV removed tomorrow. I'll be very glad to lose the IV, but I will have to  deal with liquid pain medication once the IV is gone. I'm not sure how to explain my disgust for liquid pain medication other than to say that if given a choice, I would opt to eat a teaspoon of dirt from the yard outside rather than to consume the same quantity of liquid medication of any kind. Dirt from the garden, however, will do nothing to alleviate the pain from the rather large holes in my throat, so I'm stuck with the liquid medication for now.

That's all I really need to share about my tonsillectomy. People who recount their hospital stories ad nauseum are tiresome. I'll try not to be one of such people.