Monday, December 20, 2010

Anticipation

I leave tomorrow, headed south, to a place I've never been, alone. I do not know where I will stay tomorrow night, only that it will be free. I will wonder, until I am asleep, whether I am in a place I would be wise not to be. I will arrive in the Ozarks either tomorrow night, if my interest takes me there, or I will stop along the way.
I do not know if I will be able to write here, I do not know if I will have everything I need, if I will be safe, or really, where I am going, or what I will find when I get there. This seems to be crucial to all of these trips that I have taken over the years. People always ask me about the specifics of my trips before I go, and are often surprised to hear that I do not have answers.
The important, challenging, and thrilling thing at this point is to have the strength to leave. Once you have left this all behind, everything comes into perspective, and you wonder why you ever go back, or what caused you to feel so much anticipation at the journey in the first place. Sometimes I think the road, or the process of leaving, is the only natural place for me. I know some of the most important people in my life have shared the sentiment, and hated me for it. A darkness in me, I know.
Whatever the case, I leave tomorrow, not having done everything I intended to do. Perhaps, that's for the best. I'll celebrate my 28th birthday with quiet, and with introspection. And maybe with some really hard climbing in a beautiful place.

Sunday, December 19, 2010

A Photo Essay









Accidentally broke this hook on the tail pipe! Crap!




Satisfied man!


It is so so nice to have the roar of the exhaust gone. She's as silent as a luxury car.
This was quoted at $1800 at Firestone!? Yes it was. Parts were $200, exercise was enjoyable (hammering, pulling, crawling), cold was character building. Now I know how to replace an exhaust system.

Body Mass Index

I just read this article on Huffington Post, and am disappointed. First of all, this is not a new idea, and it is presented by the author as though it is. People have been complaining about this for a long time. A cursory search for "body mass index poor indicator obesity" shows up rants and raves and statisticians spewing forth into oblivion. Secondly, the claim is not false, but misguided and destructive. Sure, if you are Adrian Peterson, or Arnold, or some other jacked up athlete with a crapload of muscle, the equation doesn't work. Just, exactly, what proportion of our population is built like Adrian Peterson? Not very f*g many of us. Would a physician be incapable of distinguishing Adrian Peterson's health status as 1) healthy, or 2) overweight? No. So yeah, if Adrian Peterson shows up in my office, and I haven't met him, maybe I look at the chart, and go, "hm, Mr. Peterson appears to have a little extra weight on him. Perhaps I should be ready to counsel him on diet and exercise." Then I go into the room, and discover that Adrian Peterson is built like Bruce Banner's better half. So what do I say?
1) Mr. Peterson, I've noticed that your BMI is a touch high. You might consider an exercise program that would allow you to shed those extra pounds. Would you like to speak to a nutritionist?
2) Mr. Peterson, you are clearly built like a brick shithouse.
A bunch of kids in my med school class complain about the BMI for the same reason, and it always pisses me off.
Just to repeat, there is an obesity epidemic in this country, and it's not because everyone is built like Mr. Peterson. It's because of the over-availability of fatty and sugary foods, the culture against exercise, and the fact that everyone drives everywhere for everything, and takes escalators and elevators when the stairs are right next door.
The BMI is quick, easy, and useful for an individual, not just an epidemiologist, to tell whether they are overweight or not. It's like throwing grass in the air as a golfer to see which way the wind is blowing: you don't get the degrees S by SW exactly, but you're in the right ballpark. The author makes this point in conclusion: you can just tell if someone is overweight. So for the 0.05% of the population for whom the BMI is not useful, you can tell by looking at them. That doesn't mean we shouldn't use it for the other 99.95%.

Tuesday, December 14, 2010

Gifts

Hey everyone. I've got a couple things in mind to get for a few of you this year for the holidays. Unfortunately, I have run into some difficulties. I'm sorry, and I hope everyone's cool with receiving these things in January. Hope you all found peace this year.

XOXO or manly hug, as appropriate.

Tuesday, December 7, 2010

Computer, Car, Phone, Man. The Tetralogy of Exam Week Failure

I was working on the ovaries, and writing a final essay exam, last night, when my screen started flickering on and off. My computer shut down shortly thereafter. I turned it back on, and found that Google Documents, one of my favorite things that has ever been invented, had saved all but perhaps a word of my work. I lost nothing.
A friend called, and came over to chill out for a while. We got to talking, and I expressed my concern that my monitor and/or computer was dying during exam week. He looked at it, and being an IT guy, was able to tell me that it was probably just the monitor (what I was hoping). Further, he had a monitor available that he could give me! So we agreed that I would go to his place the next morning to pick it up. I secretly plotted to be back to my apartment by 8:15am, work furiously until I had a couple of meetings in the middle of the day, and then go back and furiously work again until this take home essay thing was done.
I was on my way through one of the busiest areas in Minneapolis when my truck started to sputter. I dropped down into 2nd, which helped momentarily, but it wasn't having it. It died completely, and I cut across two lanes of traffic to try to get out of the street at rush hour. I made it almost all the way into a parking lot, and enlisted a large poorly bearded man to help push, and a small girl to pull the parking brake inside. We had to push it uphill, and were almost killed by rush hour drivers, but we got it off the street. I had this conversation with this other guy outside:
Him: Do you need help?
Me: That would be great. I've never broken down in this city before. Do you know of someone I could call to get towed? Maybe where I could get some auto work done?
Him: No, do you?
Me: ... No, I don't.
Him: Jeez, well, you're really in bad shape here. Good luck man.
Me: Thanks.

So I tried to use my phone, and it didn't work. At this point, it seemed the only sensible thing to do was to laugh. So I laughed like a maniac while I shivered in my truck for five minutes. It was around ten degrees outside.
I went inside this unlabeled screen door on an unlabeled building. A horrific smell assaulted me, and a man covered in blood and a hair net walked up. What can I do for you? I had inadvertently parked in a Chicken Chow Mein processing plant parking lot. There were people pushing around wheelbarrows full of what appeared to be chicken material, and this machine was energetically plooping out a dark gray mush in front of me.
Me: My truck broke down outside. How long before you guys will have to tow me?
Don't worry about that, he said, with a kind smile. If we have to, we'll just push it out of the way.
Me: You're the best.
He smiled, and walked back into Chow Mein Hell. I suppressed an urge to ask him if soylent green was actually people.
I went back outside, popped the hood, and didn't see anything wrong. I would later discover that my serpentine belt had broken. I have never experienced or seen this issue before, and the sound, action, and visual representation were unknown to me. So I closed the hood, tried to start it, and no luck. I tried my phone again, and was able to reach my father, who a)always answers his phone and b) is constantly in front of a computer. He gladly googled a solution, and gave me a number.
These guys would tow for a flat rate, evaluate it, and work on it. It is going to cost a crapload of money, I thought. I am broke as a dig dog, in the words of Jesse Ventura in Predator. I investigated his integrity as gently as possible, knowing that I would soon be handing over a valuable object to him, and detected no malice or deceit.
I filled a paper bag with my climbing shoes, harness, chalk bag, and the textbook that I had brought with me. Everything else was abandoned. I said my goodbyes to the truck, and its contents, certain I would never see them again.
When the truck came, about a half hour later (still rush hour), this guy gets me to get into the truck with my paper bag nestled in my lap, and proceeds to pull up to my truck, perpendicularly(!), across a busy city street in rush hour.
Within thirty seconds, traffic is backed up for a mile in both directions. People are trying to swerve around, honking, and screaming without avail. He has completely blocked the entire four lanes of traffic. His face shows no expression.
He got it loaded after an incredibly long time, which was probably less than a minute (time enough for me to take a picture with my now functional phone), and we drove off to my apartment. His name was Jared, and he was friendly. We got along great.
Back home, I thought it might cool my nerves, so to speak, to memorize the cervical plexus.

So that happened, and then I decided that it was time to get a move on with my paper. I practically ran to campus, and furiously worked on my essay exam, for an hour. I have had to write few papers in the last several years - it just is not something that is required of most people that go into medicine, and is not usually required of medical students.
So I kept feeling like I was in high school, when I had to write two essays a week for English (one in class, one out of class), History papers, etc. I remembered many of the essays I wrote for the English, Art History, History, Art, and other departments at Carleton. It was incredibly satisfying. It's easier for me to sit down and write than it is for me to memorize stuff like the cervical plexus. But whatever, medical school is a good way to challenge me to develop those skills.
I ran to my meeting, which lasted an hour, ran back, worked on my paper for an hour, forgot to eat lunch, ran to another meeting (this one about a clinical service project involving people who are deaf and hard of hearing that I'm getting involved in - so psyched), and then ran back, and remembered to eat some grapes. I worked from 2:08 pm until 5:55 pm, violently striking keys, holding my bladder through sympathetic action, and raging and laughing inside like a maniac at the joy of this impossibly challenging catharsis. I turned in the paper electronically at 5:56pm. It was time-stamped at 5:57 pm. It was due at 6:00 pm.
I walked home, turned on some music, and started working out.
I did three sets each of:
30 pushups
12 pull ups
2 x front levers
40 crunches
40 squats
20 calf raises
20 reverse wrist curls with a 10lb weight
and a few dead hangs from finger tips to work the forearm flexors.
I put some water on, on the stove, so that I could get my whole wheat pasta fix, and went to take a shower. I got in the shower, and my vision started to black out, and I fell, comically, out of the shower, and onto the bathroom floor. I decided to stay there for a while.
Everything went quiet. My water was probably boiling, I thought, or would be soon. I recalled that, luckily, I had put it on the burner near the edge of the stove, and had made sure that no inflammable objects were near. I thought, for a time, about the cervical plexus. Would I be able to remember it during the exam? I wondered, as I stared at the broken ceiling fan, wet and naked, my legs, still in the tub, being splattered by shower water, as the pot merrily boiled in the next room.
I crawled over, turned off the shower, dried myself by rolling on the bathmats, and crawled over to my closet, where I put on the softest clothing I could reach from the floor. It ended up being a sweaty, foul smelling capilene shirt from the laundry basket, and a pair of blue sweatpants that I had purchased when I was in high school. I made it back to the stove, lay there for a while on the kitchen floor, and decided to risk standing. It worked great. I put in some whole wheat pasta, and considered the cervical plexus. The kitchen floor was soon, again, my grateful bosom.
Eventually, the lightheaded-ness wore off, and I was able to make it to the toilet by walking, where I puked grape-like material for ten minutes; when I made it back, my pasta was done, and it was time to eat.
I added what remained of my pepperjack cheese stash, and some red pepper, to put the fear in me. After dinner, my friend dropped by with the monitor, awesome guy that he is. I ran outside, took the hand-off, brought it back here, and plugged it in. I received a call that the towing, inspection, and repair would cost $300. I think I can manage that, although it may require some stoicism. The monitor worked, my computer stopped having problems, and I started working on embryology. I have learned a great deal since.