So last week Thursday, I slept through four alarms and found myself almost an hour later to my "Practice of Medicine" class...something we GW med students like to call the "touchy-feely side of medicine". So I snuck in late and as my small group wrapped up the discussion, my physician mentor called upon the late person (me) to do the first standardized patient interview. These are actors who get paid by the med school to act out as patients in a clinical setting. I did read the required readings, but completely missed the discussion on who my first patient was going to be. However, I found out really fast just what I was in store for. Needless to say, there was a vomit of mistakes as I fumbled through one of the most uncomfortable exercises I have had thus far in medical school.
My "patient" was a 17 year-old female who came into the clinic for her first woman's wellness exam because of complaints of vaginal itching and redness. Her mother accompanied her, explaining that her daughter had something "not sexually-related going on down there". Of course, me being me and because I missed the discussion, I outright asked the "Are you sexually active?" question right after the young patient described her symptoms of itchiness and redness on her vagina.
First, I must commend the actress who played the part of the controlling-but-yet-forgivable-because-her-duaghter-is-17 mother because she did her job well. By the time I was done interviewing (miserably) and was able to successfully kick out the mother from the examining room so that I can get the "real" answers from my fake patient, I was sweating profusely and completely exhausted. I was exhausted because I really didn't know what part I had to play here. If I was really a physician in this scenario, it would have been a lot easier to explain to the mother that her daughter is almost an adult and that regardless of whether she was sexually active or not, she is on the cusp of becoming an adult and needs to be treated as one now. But, I understand how hard this would be for any parent to do...letting their kids become independent individuals. It's a tough decision, which is why I stumbled shamefully all over myself in this interview.
Anyways...this whole scenario wasn't the point of this blog. Today, I took a full history for a new obstetrics patient for my physician mentor. The patient is a 19 year old who was accompanied by her mother and the father of the baby, who is also 19 years old. I knocked on the examination room door and walked into this crowded room and just prayed that this mother would not be like last week's mother. Oh my goodness...because if that was the case, I really don't think I would get through the million questions I had to ask from every new OB patient. Luckily, the mother was silent (she was texting in her iphone the whole time) throughout the whole questioning except for once when she piped up to the FOB (father of baby) that he needed to answer my genetics questions as well. She wasn't really paying attention to the fact that I was asking him the questions as well and he responded to my questions by shaking or nodding his head. Although this interview was nowhere near as uncomfortable as last week's fake scenario, it was still a little weird to be asking all these personal questions from my patient with two other people in the room.
So I successfully got through asking all the questions, including when she thought her last menstrual period was and calculated how far along she was in her pregnancy (about 10 weeks according to the wheel). I then left the room and presented my patient to my physician and we entered the room to do the physical exam, pelvic exam, and pap smear (which I did...yay!). Low and behold, home girl was off in her date by two months! We felt the size of her uterus and approximated her pregnancy to be closer to 18 weeks instead of 10 weeks. Now this news wasn't received very well by our patient. She seemed very sure that her last period was 10 weeks ago. The only one smiling was the "father of the baby"...who was happy by the news maybe because he has some information the rest of us did not have...
Now this drama... my class and readings did NOT cover.
Thursday, October 30, 2008
Wednesday, October 22, 2008
NG Photos of the day
An image of health. Angiogram of the heart with blood vessels in fine detail. Also, my favorite organ!
Giant river cave- one of the largest in the world- located in Laos.
Photo by: Dave Bunnell
Colorfully painted men from the Huli clan in Papua New Guinea.
Photo by: Jodi Cobb
A nontoxic dye highlights water currents surrounding sea urchins (Astropyga sp.) off the coast of Vancouver Island, British Columbia. There are about 700 species of sea urchins in the world.
Photograph by Paul Nicklen
Silver argiope spider from Costa Rica that weaves a pattern called stabilimentum, which is believed to help deter birds from flying into these webs.
Photo by: Darlyne Murawski
Dave Barry-
It is a well-documented fact that guys will not ask for directions. This is a biological thing. This is why it takes several million sperm cells... to locate a female egg, despite the fact that the egg is, relative to them, the size of Wisconsin.
Thursday, October 16, 2008
My first
speculum exam was done today! Woo-hoo! My CAP preceptor, who is an OB/GYN that I follow around once a week and who is just absolutely fantastic, let me do my first speculum exam and breast exam today. It was so awesome! I really didn't think it was going to be that simple, and neither did my CAP, but I found the cervix in one try. Granted my patient was bleeding A LOT, but that's okay. It just made it a little gooier (is that even a word?) and easier to slip in the speculum. The breast exam however, is another story. I mean. Us women do the breast exam on ourselves...well, we are SUPPOSED to do them on ourselves at least once a month right after your period. And sometimes, it feels a little lumpy. But I can distinguish what's normal lumpy in my breasts from what's abnormal lumpy (aka a new lump). But, that's difficult in a patient. To tell you the truth, i felt lumps today in doing that breast exam and I just waited for my CAP to do her follow-up exam and see if she would say if anything was abnormal. Everything was normal, in fact. This left me confused on how to distinguish normal versus abnormal.
They say in medicine that you must be trained to know what normal is so that when an abnormal finally comes along, it will hit you right between the eyes. I learned this through my CAP last year who made me do many pelvic bi-manual exams to train my "feel" for normal uteri (i think this is plural for uterus) so that when a gravid (pregnant) uterus or one with fibroids came along, I would know. And I did eventually learn how to distinguish between these conditions! Fibroids within a uterus is typically really hard, whereas a gravid uterus is somewhat soft feeling. But, this is the extent of my knowledge. So far, I'm learning so much from my CAP, whom I will call Dr. B. She is so brilliant, it's astounding. But she's great because she teaches so well and I'm excited about all the learning this year:)
AB out....
They say in medicine that you must be trained to know what normal is so that when an abnormal finally comes along, it will hit you right between the eyes. I learned this through my CAP last year who made me do many pelvic bi-manual exams to train my "feel" for normal uteri (i think this is plural for uterus) so that when a gravid (pregnant) uterus or one with fibroids came along, I would know. And I did eventually learn how to distinguish between these conditions! Fibroids within a uterus is typically really hard, whereas a gravid uterus is somewhat soft feeling. But, this is the extent of my knowledge. So far, I'm learning so much from my CAP, whom I will call Dr. B. She is so brilliant, it's astounding. But she's great because she teaches so well and I'm excited about all the learning this year:)
AB out....
Monday, October 13, 2008
Catamenial Pneumothorax
Say what!? Yes, try say these words five times fast. So, this condition is insane! It was listed on one of my classmates status updates on gchat and man oh man...I am NEVER complaining about having my period again! Women who have catamenial pneumothorax get a collapsed lung usually 72 hours after they start having their monthly menstruation cycle. Seriously? I really have no grounds to complain about the sore back and the cramps...and maybe the fact that I'm bleeding out. Sorry about the visual...but this blog is about medicine and health.
But these women! The incidence of this condition isn't very high, but the fact that they can potentially get a collapsed lung every month is insane! Actually, the cause is endometrial tissue attaching to the pleural space of the lung which then causes the lung to collapse because of an accumulation of blood and endometrium. Endometriosis is a terrible disease wherein the endometrium (tissue within the woman's vaginal walls that is sloughed off every month )grows ectopically at other sites of the body. In this case, there is endometrial tissue in the lungs.
The treatment will probably be an emergency chest tube to drain the fluid accumulation and then probably surgery to take out the ectopic endometrial tissue.
This condition is out of this world crazy.
But these women! The incidence of this condition isn't very high, but the fact that they can potentially get a collapsed lung every month is insane! Actually, the cause is endometrial tissue attaching to the pleural space of the lung which then causes the lung to collapse because of an accumulation of blood and endometrium. Endometriosis is a terrible disease wherein the endometrium (tissue within the woman's vaginal walls that is sloughed off every month )grows ectopically at other sites of the body. In this case, there is endometrial tissue in the lungs.
The treatment will probably be an emergency chest tube to drain the fluid accumulation and then probably surgery to take out the ectopic endometrial tissue.
This condition is out of this world crazy.
Wal-mart is the devil
...it really is!! You plan to go into Wal-mart to buy ONLY a handful of things, but your plans get shattered once you enter this monster of a store. I mean... I went into Wal-mart today to get 3 things...3!! It was toilet paper (I was literally on my last square of toilet paper...I was actually cursing myself for wasting 2 squares on the last roll I threw away), sandwich baggies, and detergent. But what happened? Obviously not the game plan. But business strategists are so smart when they strategize the floor plans of these super-marts. They calculate the routes of shoppers and strategically place items that catch the shoppers eyes in prime spots so that...for me in example...as I am reaching up on the shelf to retrieve my Purex concentrated detergent, my eyes also catch the clorox bottle next to it as well as the bounce fabric softener. Of course I need these other two items! I cannot possibly do laundry without clorox and bounce...even if I may have some leftover bounce at home. The thought of possibly running out of bounce is too much to handle at the moment, and I instinctively snatch a box and throw it into my cart.
What is worse is that, although I only have 3 items on my original list, it still requires me to find the toilet paper and the sandwich baggies. And you're forced to peruse ALL the aisles of wal-mart to find these items! Especially sandwich baggies! They're incredibly hard to find because they are NEVER where they're supposed to be. It's just like loofas. You can never find a loofa where the body washes are located. Usually, loofas are in some random aisle hanging suspiciously from a clip...and you're left to wonder "what the hell is a loofa doing here?"...when YOU DON'T NEED A LOOFA!
Anyways..back to my rant. So, I'm trying to find the sandwich baggies and I come across the school supplies aisle. And there is never a good enough reason to walk through this aisle without carefully checking out the prices of all the highlighters. They are way too expensive in most stores that you CANNOT ignore highlighters in a wal-mart...so I grab some and throw them into the cart on top of the bounce, purex, and clorox. Now...remember the strategists? Those punks. After the school supplies aisle, it all goes downhill. The snacks are next and this takes a considerable amount of your time because no one ever remembers if there's enough snacks to last the week/month. I mean...your stomach wins out every time. In they go into the cart with the toxic chemicals and highlighters.
Now, once you pass the snack aisles...it's really downhill because you are so far away from your original list at this point that you forget what you're looking for and as you're walking and scratching your head trying to remember what you even came to wal-mart for (toilet paper), you manage to maneuver your cart into the clothing section. And before you know it...you have finally made your way to the toilet paper section after miraculously finding the hidden aisle that stores the sandwich baggies and you could barely push your cart to the register. At this point, you are so tired, super hungry, and as the cashier is ringing you up...cursing wal-mart for stealing your money because you only planned to get three things when you walked in the door but you have managed to be swindled into buying a cart load of "necessities".
I love wal-mart.
What is worse is that, although I only have 3 items on my original list, it still requires me to find the toilet paper and the sandwich baggies. And you're forced to peruse ALL the aisles of wal-mart to find these items! Especially sandwich baggies! They're incredibly hard to find because they are NEVER where they're supposed to be. It's just like loofas. You can never find a loofa where the body washes are located. Usually, loofas are in some random aisle hanging suspiciously from a clip...and you're left to wonder "what the hell is a loofa doing here?"...when YOU DON'T NEED A LOOFA!
Anyways..back to my rant. So, I'm trying to find the sandwich baggies and I come across the school supplies aisle. And there is never a good enough reason to walk through this aisle without carefully checking out the prices of all the highlighters. They are way too expensive in most stores that you CANNOT ignore highlighters in a wal-mart...so I grab some and throw them into the cart on top of the bounce, purex, and clorox. Now...remember the strategists? Those punks. After the school supplies aisle, it all goes downhill. The snacks are next and this takes a considerable amount of your time because no one ever remembers if there's enough snacks to last the week/month. I mean...your stomach wins out every time. In they go into the cart with the toxic chemicals and highlighters.
Now, once you pass the snack aisles...it's really downhill because you are so far away from your original list at this point that you forget what you're looking for and as you're walking and scratching your head trying to remember what you even came to wal-mart for (toilet paper), you manage to maneuver your cart into the clothing section. And before you know it...you have finally made your way to the toilet paper section after miraculously finding the hidden aisle that stores the sandwich baggies and you could barely push your cart to the register. At this point, you are so tired, super hungry, and as the cashier is ringing you up...cursing wal-mart for stealing your money because you only planned to get three things when you walked in the door but you have managed to be swindled into buying a cart load of "necessities".
I love wal-mart.
Sunday, October 12, 2008
Life goes on
I remember the first time I saw someone die. It's not one of those memories you want to hold, but it stays with you...at least it did with me. I remember that day in the pediatrics ER at the University Medical Center in Vegas like it happened yesterday. A 7 year-old boy was ambulanced in from a birthday party, where the child fell into the pool. His young, hysterical mother trailed the stretcher closely, but it was surrounded by frantic nurses and doctors pounding his tiny chest with desperate attempts to keep his heart pumping blood to his brain. The room was chaotic and messy. There were sheets on the tiled floors as well as unused tubes and syringe caps. Usually, the curtains would be drawn to keep an incident like this private and hidden from the other emergent onlookers. But that little rule was broken due to the frantic atmosphere.
And as fast as it began, it ended. The code was called. Time of death: 3:28 pm. As each of the doctors left the room, another ambulance announced their arrival with another emergency. And although this was a tragic event and something most doctors pray they don't see on their shift on any given day, it happens. Children will go to birthday parties and unfortunately, will jump into a pool without close attentive eyes on them. And their number will be called...even if they're only seven years old and have their whole life ahead to look forward to. And we who witness this robbery are left with a piece of our sanity taken and with only aweful memories stored safely away in files in our minds that we visit once in a while upon sad recollection.
And as fast as it began, it ended. The code was called. Time of death: 3:28 pm. As each of the doctors left the room, another ambulance announced their arrival with another emergency. And although this was a tragic event and something most doctors pray they don't see on their shift on any given day, it happens. Children will go to birthday parties and unfortunately, will jump into a pool without close attentive eyes on them. And their number will be called...even if they're only seven years old and have their whole life ahead to look forward to. And we who witness this robbery are left with a piece of our sanity taken and with only aweful memories stored safely away in files in our minds that we visit once in a while upon sad recollection.
Thursday, October 9, 2008
To Advance Direct/ To not Advance Direct
My small group discussed the topic of medical ethics this morning. This class, in which most med students complain to be a "touchy feely prepare you to be a doctor" course meets every so often to discuss big topics revolving mostly around patient doctor relationships. The goal of these discussions is to highlight the obvious ways in how to deal with certain circumstances as we will encounter them throughout our med school and future careers.
Usually, our group only has a physician to facilitate the dialogue, but we were fortunate to have a psychiatrist present in the discussion as well to offer some insight, especially in psychiatric cases. Today's talk was a great addition to a small group case we had last week wherein we had a homosexual male AIDS patient present to the clinic, who had appointed his life partner as his proxy but the patient's parents disputed this arrangement and wanted to make the final decisions regarding their son's care. This situation would have been a hot mess if this patient did not designate his partner to be his proxy, which is a person whom the patient entrusts to carry out their last wishes as it pertains to their health care. This brings me to the topic of this blog: advance directives (AD).
This legal document is what physicians base the final wishes of an individual in regards to their health care when they no longer can make their own decisions. In the case of our patient mentioned earlier, he designated a proxy but he could have also outlined his wishes in a document just in case there was any question to what his final wishes were. The basis of an advance directive is to outline what types of treatment a person would want or not want in the event that they are not conscious or incapacitated to make such decisions. Do you want a feeding tube? Do you want cardiac resuscitation? Do you want to be on a respirator to keep you breathing? There are more questions like these and all clarify what exactly you would want. In addition, an AD asks what you would like to do in terms of donating organs.
Well, after today's discussion on such morbid topics, I started thinking just how important this document reall is. Death is something most people do not like to discuss, I imagine. But, it is a really important topic as it pertains to how people like your loved ones would handle your last days in this life and how to properly carry out your wishes once you have past on. It would be difficult to lay such a heavy burden on your spouse, children or siblings when they may feel complete guilt in "pulling the plug" when that might have been your wish all along. I guess I could make this blog my advance directive in saying that I would not want to be on long term artificial respiration especially when I am "brain dead" and obviously not conscious to breathe on my own but a machine is the only thing keeping me alive.
I guess my main concern on this and why I am writing a blog about it is that there are too many loopholes that can be created if your final wishes are ambiguous. The Terry Schiavo case comes to mind on this. Terry's parents fought her husband on pulling the plug. One of the main reasons why it was stuck in court for so long was that she did not have a plan set out just in case something were to happen. This is not unique to her, as I would bet most healthy young individuals do not plan just how they would like their end of life care to be handled.
The discussion just got me thinking...should I fill one out just in case? Or am I being overly concerned and a control freak?
Usually, our group only has a physician to facilitate the dialogue, but we were fortunate to have a psychiatrist present in the discussion as well to offer some insight, especially in psychiatric cases. Today's talk was a great addition to a small group case we had last week wherein we had a homosexual male AIDS patient present to the clinic, who had appointed his life partner as his proxy but the patient's parents disputed this arrangement and wanted to make the final decisions regarding their son's care. This situation would have been a hot mess if this patient did not designate his partner to be his proxy, which is a person whom the patient entrusts to carry out their last wishes as it pertains to their health care. This brings me to the topic of this blog: advance directives (AD).
This legal document is what physicians base the final wishes of an individual in regards to their health care when they no longer can make their own decisions. In the case of our patient mentioned earlier, he designated a proxy but he could have also outlined his wishes in a document just in case there was any question to what his final wishes were. The basis of an advance directive is to outline what types of treatment a person would want or not want in the event that they are not conscious or incapacitated to make such decisions. Do you want a feeding tube? Do you want cardiac resuscitation? Do you want to be on a respirator to keep you breathing? There are more questions like these and all clarify what exactly you would want. In addition, an AD asks what you would like to do in terms of donating organs.
Well, after today's discussion on such morbid topics, I started thinking just how important this document reall is. Death is something most people do not like to discuss, I imagine. But, it is a really important topic as it pertains to how people like your loved ones would handle your last days in this life and how to properly carry out your wishes once you have past on. It would be difficult to lay such a heavy burden on your spouse, children or siblings when they may feel complete guilt in "pulling the plug" when that might have been your wish all along. I guess I could make this blog my advance directive in saying that I would not want to be on long term artificial respiration especially when I am "brain dead" and obviously not conscious to breathe on my own but a machine is the only thing keeping me alive.
I guess my main concern on this and why I am writing a blog about it is that there are too many loopholes that can be created if your final wishes are ambiguous. The Terry Schiavo case comes to mind on this. Terry's parents fought her husband on pulling the plug. One of the main reasons why it was stuck in court for so long was that she did not have a plan set out just in case something were to happen. This is not unique to her, as I would bet most healthy young individuals do not plan just how they would like their end of life care to be handled.
The discussion just got me thinking...should I fill one out just in case? Or am I being overly concerned and a control freak?
Killing trees
Medical school is a tree killer...
...No, seriously. It totally is. I'm ashamed to say exactly how many trees I have killed last year during my first year of medical school, but I am pretty sure I can rival those tree hunters down in the Amazon basin. It is just astounding how much we have to print off for notes, extra notes, and even more notes to study! Thankfully, the med school gives us printed notes for most of our classes, but even with that, I find myself printing more and more. I am really glad that the first floor printing stations of our library took the liberty to automatically make all the print settings front and back to save on paper. At least my guilt is somewhat controlled because of this bold move. At first I was upset because now I wasn't getting the free blank space in the back of the printed notes to jot down my own notes...but I got over it quick realizing just how much paper I could go through.
So, I decided to take matters into my own hands and I ordered my first printer today. No more waiting in lines at the printer stations and spending $.07 a page. I will be printing from home and most likely in color! Moving up in the world...but sinking even deeper into my guilt as more trees are targeted under this plan. I must admit that I do a lot of work online but I prefer the old school method of pen and paper and highlighters. My roommate will attest to the fact that I will go through boxes and boxes of highlighters.
Paper and highlighters. Watch out.
...No, seriously. It totally is. I'm ashamed to say exactly how many trees I have killed last year during my first year of medical school, but I am pretty sure I can rival those tree hunters down in the Amazon basin. It is just astounding how much we have to print off for notes, extra notes, and even more notes to study! Thankfully, the med school gives us printed notes for most of our classes, but even with that, I find myself printing more and more. I am really glad that the first floor printing stations of our library took the liberty to automatically make all the print settings front and back to save on paper. At least my guilt is somewhat controlled because of this bold move. At first I was upset because now I wasn't getting the free blank space in the back of the printed notes to jot down my own notes...but I got over it quick realizing just how much paper I could go through.
So, I decided to take matters into my own hands and I ordered my first printer today. No more waiting in lines at the printer stations and spending $.07 a page. I will be printing from home and most likely in color! Moving up in the world...but sinking even deeper into my guilt as more trees are targeted under this plan. I must admit that I do a lot of work online but I prefer the old school method of pen and paper and highlighters. My roommate will attest to the fact that I will go through boxes and boxes of highlighters.
Paper and highlighters. Watch out.
Wednesday, October 8, 2008
"Hope" Is The Thing With Feathers
"Hope" is the thing with feathers-
That perches in the soul-
And sings the tune without the words-
And never stops-at all-
And sweetest-in the Gale-is heard
And sore must be the storm-
That could abash the little Bird
That kept so many warm-
I've heard it in the chillest land-
And one the strangest Sea-
Yet, never, in Extremity,
It asked a crumb -Of me.
by Emily Dickinson
That perches in the soul-
And sings the tune without the words-
And never stops-at all-
And sweetest-in the Gale-is heard
And sore must be the storm-
That could abash the little Bird
That kept so many warm-
I've heard it in the chillest land-
And one the strangest Sea-
Yet, never, in Extremity,
It asked a crumb -Of me.
by Emily Dickinson
Walking towards awakeness
I just noticed, as I was walking to school the other morning, that DC is a late riser. You would think with the atrocious number of lawyers and politicians in this city that morning traffic would be much heavier early in the morning as the hustle and bustle of a business day begins. Not really...
I was walking to school last Friday and since it was an exam day, I left for school around seven in the morning. I do not usually go to school this early as a typical day starts around 9 am. But as I was walking, I could not help but notice how empty the streets were without busy traffic and people. For a second, I thought that maybe there was a Daylight Savings time switch the night before and I just did not get the memo! Seriously...the streets were empty and it was a Friday morning...which in my opinion is busier than a Monday. There is nothing like getting to work on a Friday knowing that there is happy hour that evening and a weekend ahead with your name on it.
I could literally hear how quiet my neighborhood was on this walk to school that day! The silence was a little creepy and disconcerting, to tell you the truth. I mean, shouldn't people be up by this time trying to get to work by 8am? Are there people with jobs that start at 7? Well, I guess thos people would be late already and obviously wouldn't be on the street walking with me since it was past 7 at this point.
Well, it's not that I'm complaining about how quiet my walk was to school. Usually, my ipod volume has to be much louder than normal because trucks and cars passing by me on the street are annoyingly loud. But on Friday, it was a nice a calm walk to school without honking horns and the sound of trucks shifting gears. I could classify it as therapy considering I was able to calm myself down before I took my exam.
I was walking to school last Friday and since it was an exam day, I left for school around seven in the morning. I do not usually go to school this early as a typical day starts around 9 am. But as I was walking, I could not help but notice how empty the streets were without busy traffic and people. For a second, I thought that maybe there was a Daylight Savings time switch the night before and I just did not get the memo! Seriously...the streets were empty and it was a Friday morning...which in my opinion is busier than a Monday. There is nothing like getting to work on a Friday knowing that there is happy hour that evening and a weekend ahead with your name on it.
I could literally hear how quiet my neighborhood was on this walk to school that day! The silence was a little creepy and disconcerting, to tell you the truth. I mean, shouldn't people be up by this time trying to get to work by 8am? Are there people with jobs that start at 7? Well, I guess thos people would be late already and obviously wouldn't be on the street walking with me since it was past 7 at this point.
Well, it's not that I'm complaining about how quiet my walk was to school. Usually, my ipod volume has to be much louder than normal because trucks and cars passing by me on the street are annoyingly loud. But on Friday, it was a nice a calm walk to school without honking horns and the sound of trucks shifting gears. I could classify it as therapy considering I was able to calm myself down before I took my exam.
Thursday, October 2, 2008
Bird watching
Today I decided to start studying in what we med students at GW like to call the "suicidal carrels". Basically, these study carrels are just big enough to fit a desk and a chair...and possibly a human being if they have totally expired all forms of air out of their body. But these carrels are where I put most of my productive study hours and I'm really not ashamed to say it loud and proud that I enjoy my time being sardined into this small space. At least the carrels I choose to study are right next to a window that overlooks our front courtyard right next to the GW hospital.
Now maybe it's not such a good idea to have this expansive window which provides more than enough visual stimulus to procrastinate studying...which totally defeats the purpose of being cooped up in one of these darn things in the first place. But anyways, before I go off-topic again, I have to admit in writing on one of my favorite hobbies...people watching! Yes, i love it! People are so interesting to watch. I can't say that I dislike long lay-overs at airports because I really enjoy just observing people, their facial expressions, and how they interact with each other. And for the obvious reason, it is so much more fun to watch from a place where no one can really see you. I especially get a kick out of watching people in our courtyard duck from all the flying pigeons.
The med school has a huge pigeon problem! Today I was outside talking on the phone with my mother and this flock (i'm not sure what to call a group of pigeons) of them flew RIGHT AT ME! I had to duck. THEY did NOT swerve at all which is disturbing. I would have lost an eye and maybe my pony tail if I didn't have such stealthy reflexes. And I'm sure there was someone out there who saw all this go down and was bent over with laughter. Coming from first hand experience, I can tell you that there was no humor involved with ducking from these torpedo-ish birds, but seeing others go through the same thing cracks me up. I know it's mean. I can't help it. I'm sorry.
Now maybe it's not such a good idea to have this expansive window which provides more than enough visual stimulus to procrastinate studying...which totally defeats the purpose of being cooped up in one of these darn things in the first place. But anyways, before I go off-topic again, I have to admit in writing on one of my favorite hobbies...people watching! Yes, i love it! People are so interesting to watch. I can't say that I dislike long lay-overs at airports because I really enjoy just observing people, their facial expressions, and how they interact with each other. And for the obvious reason, it is so much more fun to watch from a place where no one can really see you. I especially get a kick out of watching people in our courtyard duck from all the flying pigeons.
The med school has a huge pigeon problem! Today I was outside talking on the phone with my mother and this flock (i'm not sure what to call a group of pigeons) of them flew RIGHT AT ME! I had to duck. THEY did NOT swerve at all which is disturbing. I would have lost an eye and maybe my pony tail if I didn't have such stealthy reflexes. And I'm sure there was someone out there who saw all this go down and was bent over with laughter. Coming from first hand experience, I can tell you that there was no humor involved with ducking from these torpedo-ish birds, but seeing others go through the same thing cracks me up. I know it's mean. I can't help it. I'm sorry.
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