"I worry that Jesus drinks himself to sleep when he hears me talk like this." - Anne Lamott
Sunday, November 14, 2010
Saturday, November 13, 2010
by
Terroni
at
10:36 PM
3
thoughts
Wednesday, November 3, 2010
Cardboard boxes
by
Terroni
at
9:12 PM
4
thoughts
Thursday, September 16, 2010
It's like riding a bike
I was having a particularly tough day at work. I communicated this to my father like I always do...by sending him a text message that referred to work but in no way mentioned the shittiness of the day.
Your Iron Girl is doing two kidney transplants today.
I started my first case. My attending was exactly as I was warned he would be--old, and slow, and wheezy, and mad at me because he has gout. The longer it took me to get the central line in, the worse his gout got. That's the pathophysiology of gout. Inept anesthesia residents, maybe even intentionally, cause terrible foot and ankle pain with their inability to cannulate the internal jugular vein in less than 10 seconds. Incompetent cruel bastards, the lot of us.
by
Terroni
at
1:00 PM
12
thoughts
Tuesday, August 24, 2010
Why aren't you writing about your job?
Because no one really wants to know what happens while they're asleep.
by
Terroni
at
10:13 AM
4
thoughts
Sunday, August 22, 2010
The friends
It occurred to me the other day that if you don't have any good friends, it may be my fault. I may have them all. I was talking to Graci at the time, telling her that I think of her every time the pathology resident comes to the OR to tell the surgeons that the tumor is not a tumor. Then, the surgeons tells her she's an idiot and to send in her attending. She rolls her eyes and walks away.
by
Terroni
at
9:00 AM
8
thoughts
Monday, August 2, 2010
God bless the edentulous
This job really makes you appreciate people without teeth. In fact, when my patient has a mouth full of 'em, I can't help but think, "Well shit, now I have to work around these damn things."
by
Terroni
at
8:57 PM
2
thoughts
Saturday, July 31, 2010
Saturday morning
It's finally cooled down enough to turn off the air conditioner and open the windows. I'm sure this will only last a few hours, but still...a breeze wafting through these walls is just what this house needed. (Well, a breeze and a dust rag perhaps.)
My second cup of coffee and I are sitting in a rocking chair next to my front window, listening to the birds, watching the old men take their morning walks. Seems like sort of an old lady way to start the day, eh? Yes well, when the time comes, after years of practice, I'm going to rock at being elderly.
by
Terroni
at
9:53 AM
3
thoughts
Friday, July 30, 2010
Text message to my mom, the former children's pastor
I have all the patience of Job.
Not the good, vacation bible school Job, but the bitchy, whiny, "what the fuck happened to my goats?" Job.
by
Terroni
at
7:00 PM
3
thoughts
Thursday, July 22, 2010
The one that's too long
Text from Blake: "Btw, I'm tired of waiting on you to post an orientation blog, so I'm just gonna come out and say... Blog."
Then, he started bitching about how long the post was going to be. This post. A post that had yet to be written.
I get home from a long day at work. All I want to do is relax and put my feet up. Instead, I have to listen to him complain about the ways he anticipates I may annoy him in the future. Coupled with the fact that neither of us has any desire to see the other naked, this friendship is a lot like a thing called marriage. (Not your marriage, of course. No, your love is special. I'm talking about other people - the ones you don't like.)
Orientation started with a few days of... Well shit, I don't even remember what we did those first few days. There were hospital tours, and lectures, and piles of human resources paperwork. We signed five copies of a form which said, in effect, "I will not take naked pictures of my patients and post them on Facebook. And if I do, I'll scratch out their medical record numbers with a sharpie first." The program director handed out anesthesia books and then, just to get it out of the way, yelled at us for not reading them enough this year. Just to get it out of the way, we went ahead and felt a little ashamed of all that reading we, apparently, won't be doing.
After a few days of this, the department took us out to a local restaurant and we all drank free booze until the tab ran out. Then, too drunk to care how much we were spending on liquor, we all opened our own tabs and, just to get it out of the way, drank our first paycheck.
It was somewhere in between their tab and ours that Blake and I told the program director the impound story. The more colorful version of this tale involves eight uses of the word fuck and at a single uttering of the phrase, ass virginity. (As in, Blake said, "There we were driving through the ghetto with four hundred dollars, my pretty truck, and your ass virginity, and I thought for sure we were going to lose it all.") I managed to retell it with only four uses of the word fuck and no mention of ass or virginity. And to think, Blake says I have no filter.
The next day, I drove to Connecticut to see Graci. It was 105 degrees. My car has no air. I sat in parked traffic in New York for two hours. At one point, I stopped sweating and had to concentrate really hard on not throwing up. I think this is called heat stroke. I don't know for sure because, as my program director predicted, I have not read that chapter.
The whole drive took almost eight hours. I nearly died. And it was completely worth it.
Graci's apartment looks almost exactly like the one we shared in medical school. Books, pinned bugs, wood carving craft projects from her camp counselor days - everything about it is just so...Graci. And it feels just like home. I packed anesthesia books and notes but didn't read a word all weekend. Instead, I just talked about how nervous I was to start in the OR without knowing anything from those books and notes.
My very first case on my very first day was a craniotomy. Fucking brain surgery. That is, in fact, what I said when I heard it. "FUCKING BRAIN SURGERY? Are you fucking kidding me?" I called Blake and said it. I called my mom and said it. I said it to Graci every four and half minutes all weekend long. She reminded me over and over again that they weren't going to let me kill anyone. (At least, not on my first day.)
Blake's first case was some simple little kidney procedure. It was complicated only by the fact that his patient was mostly dead. In fact, his anesthetic plan looked a lot like this.
Three weeks later, Blake and I are almost sort of kind of maybe in some small way getting used to this job. Partnered with another first year resident and an attending, we're rarely left alone in the OR. This all changes after next week when our month long orientation officially ends and we start doing our own cases. Once again, we will be scared shitless. (In my case, I mean this literally as stress gives me terrible diarrhea.)
At the end of every day this month, we have an hour long lecture on one of the basic topics in anesthesiology. Last Friday, Blake collapsed in the chair beside me in the lecture room and sighed. He looked like he'd been hit with a bus. He always looks 17 times better than I do, so I can't even imagine how I must have looked - like I'd been hit by 17 buses, I suppose. As we waited for the lecturer, we talked about how exhausting it was to spend all day trying not to kill the mostly dead.
And then, suddenly, as if the room was on fire, Blake grabbed his bag, stood bolt upright, and yelled, "Fifteen minute rule. I'm out." And with that, he was out.
I looked over the room of stunned, silent faces. They'd never seen such a dramatic exit from a non-event. I shrugged a little, reached for my bag, and said, "I'm uhh...I'm with him."
"I wish you could have seen the looks on their faces," I told him. We laughed about it all the way to our cars.
Blake, I could get through this residency without you. But friend, moments like these make me so glad I don't have to.
by
Terroni
at
8:29 PM
8
thoughts
Monday, June 28, 2010
Could someone direct me to the OR?
I start my anesthesiology residency tomorrow. My medicine internship is finished. I ended with two weeks of nights. I thought about writing when it was all over, but frankly, I was too fucking tired. I stuck a note on the call room door for the incoming interns...
Sicker patients than this have survived dumber doctors than you.
And with that, I was done.
I stopped by the new hospital the other day to drop off the last bit of my anesthesia paperwork. I managed to park a full seven blocks from the office where I needed to be. When I finally found the elevators, I couldn't figure out which floor the anesthesia department was on. A housekeeping employee explained to me that since I was looking for room 1408, I was probably headed to the 14th floor. She asked if I was new. When I said yes, she asked, "Which department?" I could almost hear her under her breath, Please don't say housekeeping, please don't say housekeeping...
On the 14th floor, I stumbled into the Chairman's suite. His secretary directed me to the clearly marked education office that I had walked right past to bother her.
On my back out of the hospital, when the high pitched beeping started and security appeared, I looked up from my phone to read, Emergency Exit: Alarm will Sound.
Tonight, Blake suggested that we ride together tomorrow. I readily agreed. Mostly because I think it's only a matter of time before housekeeping and security have a drink and get to talking...and then I won't be allowed to go to work unaccompanied by a sighted companion or specially trained dog.
by
Terroni
at
11:12 PM
5
thoughts
Sunday, June 20, 2010
Houston, we have a problem
People always ask me if I'm like Blanche. Well, Blanche was an oversexed, self-involved, man-crazy, vain Southern belle from Atlanta—and I'm not from Atlanta. - Rue McClanahan
The dinner conversation started, as I imagine all in depth discussions of the difficulties unique to space copulation do, with a rather banal question. I asked Blanche, “Do you enjoy your job in medicine?”
“No,” she said, “I hate it.”
“What would you rather be doing?”
“Well,” she said, “I’ve always wanted to be an astronaut.”
I choked a little to keep from blowing onion soup out my nose. Like the Great Wall of China, the pile of toiletries Blanche brought with her for the weekend could actually be seen from space. The thought of her willingly donning a flame retardant jumpsuit accessorized with hose attachments made me aspirate a little.
“An astronaut, eh?” I squeaked, still struggling for air.
Rose, the voice reason chimed in with, “You can’t be an astronaut. Space is really bad for aging.”
“Wrinkles?” I said. “That’s why she can’t go to space…because she might get wrinkles?”
"Yes," she said, nodding. "I heard you age like five years for every week you’re up there. It’s a real problem."
Blanche looked at Rose like this was the single most idiotic thing she had ever heard. Aging. As if that was something that could ever happen to her. It was utterly ridiculous, as though Rose had just warned against the possibility of growing a third boob with a single trip to the moon.
Blanche had other concerns. Principally, how exactly would one clean up after space sex.
“You’re going to be having sex in space?” I said.
“Well, yeah,” she said, looking at me like that was the dumbest question anyone had ever asked an astronaut.
You know, you think you’d never be part of discussion about the potential difficulties of sex clean up in a zero gravity environment. But then, you have a little more wine, and suddenly, you’re saying things like, “What about a butterfly net?” As if that would even work.
by
Terroni
at
7:51 PM
7
thoughts
Monday, June 7, 2010
In preparation
When I asked Evan what he wanted for his birthday, he said, “I want to make lobster for us. I am happiest when we are all together having French food.”
“That's when I’m happiest, too,” I said.
And so it was settled. For Evan's birthday, we would make lobster.
Blake had two friends from medical school, Blanche and Rose, coming into town for the weekend. Rose’s one-eyed on again off again boyfriend, Willie, was supposed to join us as well; but there was trouble in lover’s paradise. I, for one, was quite disappointed to hear of their falling out. Lobster Thermidor, beautiful china, fine wine…and a guy who lost his eye to a pair of brass knuckles outside a bar in Texas. Hell, that post practically writes itself.
Willie’s place was taken by Evan’s friend and coworker, Woman Who Looks Just Like Reese Witherspoon Except Chinese. (Reese, for short.) Reese is a fabulous dinner party guest because she is forever raising interesting philosophical questions like, “What is the meaning of the phrase, What’s up chicken butt?” Suddenly, you find yourself wondering, what is the meaning of that phrase? And then, it’s not long before you’re thinking the hokey pokey may actually be what’s it’s all about.
Evan proposed a five course meal for the six of us: French onion soup, salad, Lobster Thermidor, chocolate cake (which has a proper name I can never seem to remember), and finally, just to ensure that none of us would be able to get up from the table in our own strength, a selection of cheeses.
Evan made the soup and the cake the day before. The cheese was crafted by a couple of French farmers with a gift for mold preparation. That left the salad and the lobster. The salad is nothing. I mean, it didn’t taste like nothing. It was delicious. But, when it comes to preparation, the salad is nothing. Evan wiggles his nose like Samantha from Bewitched and a salad appears. So, in short, that left the lobster.
Julia Child’s Lobster Thermidor is no joke. If you had something else you thought you might like to do in the five and a half hours before dinner, if you balk at the thought of brutally murdering helpless animals in your kitchen, or if you weren’t already planning to repaint the walls after the mess this makes, just close the cookbook and walk away.
I can't claim that I didn’t know what I was getting myself into when I told Evan I’d make lobster with him. He and I have done this once before. Granted, my memory of that experience is a little hazy, what with the five and a half hours of wine consumption that went along with the cooking. But, I do recall that the whole process took for-freakin'-ever. I had to grab the dog and go cringe in the other room while he did the killing. And four days later, I was still picking lobster out of my hair. I also remember that Evan and I had a fabulous time...like Lucy and Ethel making French food.
This time, we would be doing it for twice as many people. Oh yeah, and I would be post call. This is to say, I would be doing all of this on about two hours of bad sleep.
I worked Friday night and ignored just enough pages to get that two hours of bad sleep. Saturday, after a short morning nap, I poured myself the first of about seventeen cups of coffee and headed out to pick up some flowers. Evan wanted tulips. Though it’s not really tulip season, I just sort of assumed, since it was his birthday, there would be tulips.
I stopped by the small flower shop near my house, walked in, and proclaimed, “I’ll take a dozen tulips.”
The woman behind the counter, a true retail professional, immediately apologized for something that couldn’t possibly be her fault. “I’m sorry, ma’am, but tulip season is over. ”
“I know, but it’s for a dinner party and it’s his birthday,” I said, as if that would make the requested flowers shoot out of her ass.
She smiled and, as if trying to distract a toddler on the verge of a tantrum, suggested, “Perhaps we could find something else?”
I sighed pathetically. “I guess I’ll take the orchids." She offered to pick them out, mostly because she imagined me destroying two dozen stems to get to the five I wanted. As she pulled out the bucket of flowers, Evan called me in a panic. He had been to three grocery stores and there were no lobsters. He was driving an hour away in a last ditch effort to find some. Dinner would be late. If they didn’t have lobsters the last place he knew to look, our lives would be over.
I hung up with him and started calling a few of the places I thought might carry them. Suddenly, I was distracted from my conversation with a local market by the crappy flower selection happening on the counter in front of me. Covering the phone, I reminded the florist, "These are for a dinner party."
"Yes," she said with a patronizing smile.
I clarified, “A dinner party with gay men.”
“Oh,” she sighed, as she laid down the tragic stems she had selected. “I guess I’ll start over.”
I smiled an equally patronizing smile and then resumed my conversation with the fish monger. I found an alternative to suicide just in case Evan's road trip didn't pan out and, a few minutes later, left the flower shop with orchids fit for a queer eye.
Evan’s pilgrimage was a success. In the end, cooking only got started about an hour behind schedule. I won’t bore you with all the details of lobster preparation…mostly because scant sleep beforehand and a bit of wine during left me with little memory of much of the day. I will however, offer the highlights: the murder, and the table setting.
First, the murder: Killing lobsters brings out something in sensitive, sweet, tender-hearted Evan. All the hostility, antagonism, bitterness, resentment, and general acrimony that the rest of us slowly leak out onto florists, meter maids, and loved ones, Evan quietly stores up and unleashes on sea life. The fact that those lobsters didn’t happily swan dive from the grocery bag into the pot of boiling water really pissed him off. As he abandoned the tongs and, with his bare hands, reached into the bag to wrestle them into a watery grave, he yelled, “Do NOT fuck with me. I have had a hard year.”
He has had a hard year. It’s not easy to be in love with a resident. Unfortunately, the call schedule doesn't taste right boiled, so the crustaceans had to bear the brunt of a year's worth of frustration.
Second, the table setting: A dinner party is not only an excuse to unleash wrath onto undeserving shellfish, but also to dress Evan and Blake’s beautiful new table with style. I admit I had to Google images of a proper place setting and watch the How to Fold a Napkin YouTube video seven times for six napkins. But, the lovely result was well worth this uncultured nitwit's exhaustive research.
“Oh T, it’s so beautiful,” Evan said.
“It is,” I agreed. I stood at edge of the table and smiled at him. It has been a hard year. There were parts of it you couldn’t pay me to do again. But, as I looked at that lovely table and my dear friend, snippets of every meal he and I have poured ourselves (and bottles of wine) into wafted over to me. I swallowed hard to keep from leaking a few tears.
After the table was set, Evan and I went to work on dressing ourselves in style (or, at least, in less shellfish). I, for one, spent not a few minutes picking lobster out of my underwear and spackling concealer over the dark circles under my sleep deprived eyes. While we were getting ready, Blake came home with Blanche and Rose. The three of them had been to the mall and to Sex and the City 2. When I stepped out of the bathroom, the Golden Girls introduced themselves. Then, they grabbed a leash and Blanche's dog and headed for the door.
“Um...I walked both dogs an hour ago,” I said.
“There’s a hot guy in the parking lot,” Blanche explained, as she adjusted her bra and made haste.
I would have joined them, but everyone who lives in Blake and Evan’s building has already seen me in all my sexiness. Rainbow pajama pants, a hugely oversized hoodie, pair of men's flip flops, and a baseball cap? Yep, that was me, dog-sitting and seducing the neighbors.
While the girls headed out to hunt the locals, I chatted with Blake about their day. He bitched a bit about how long they were at the mall and about how Rose embarrassed him by bartering for a deal on a bedazzled phone cover. I said something agreeable like, "Oh yeah, that would be embarrassing," all the while thinking, "Who are you kidding?" If those two are Blanche and Rose, Blake is their Dorothy. Dorothy was never so happy as when she was annoyed with those girls.
I just got through chatting with Rose on Facebook. I told her they must come back more often. I say this for purely selfish reasons. Hanging out with them, Blake looks like I feel when I’m with Graci. It is nothing but fun to see.
I’ll say more about the rest of the evening later. Right now, I have to go admit a patient.
In the meantime, to summarize dinner: Completely worth it. Worth the time. Worth the toasty seat in hell we reserved for ourselves with the brutal murder of helpless animals. Worth the lobster in my underwear.
by
Terroni
at
8:31 PM
6
thoughts
Sunday, May 23, 2010
Vacation, week one
I went home to see the family for a few days. My parents (and sisters, and Logyn) recently moved out of the 720 square foot home where we grew up into a 3,200 square foot condo. Their friends are all downsizing. Convinced that my sisters aren't going anywhere any time soon, they've done just the opposite. "We couldn't do it anymore," my mom said. "I mean, I know in many countries, several families live in a space smaller than that...but those are better people than we are. We were all ready to kill each other."
by
Terroni
at
5:19 PM
5
thoughts
