Archive for March, 2009

Simple Sunday: Cross Stitch Sampler

March 22nd, 2009

Cross Stitch Sampler

Thankful for getting close to done with the cross stitch sampler I started eight or nine years ago.

Simple Sunday

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Medicine Schmedicine

March 19th, 2009

At lunch today, my dad suggested that perhaps my file at the University Health Center is flagged “Pain in the [deleted]“. If it wasn’t before this afternoon, it probably is now.

After all, my real Doctor’s office (where I see my Physician Assistants) has a slightly nicer flag that probably means the same thing: “Do not schedule for appointments less than 30 minutes long.” I saw the flag once, a giant yellow banner at the top of my computerized information. It lets the scheduler (and the PA’s) know that I’m going to be an involved patient.

And I am an involved patient. I consider myself to be the head of my health care team–whatever the physician may think of himself. No one else knows my body, my mind, or my medical history as well as I do. No one else knows all the information (and unfortunately, too many doctors would prefer I not give them all the information.)

And since I’m the one who knows me the best, I deserve to be heard in the doctor’s office.

Unfortunately, that’s not the way doctors always see things. Too often, I see a physician’s eyes glaze over when I start detailing my past medical history and current diagnoses. Too often, I get brush-offs when I raise a question about something the doctor tells me.

I probably don’t have to be as upset as I am about today’s visit. After all, he’s going to run the blood work I wanted him to do. I would have been happy if he’d just run the blood work and said “Let’s wait for results before I tell you anything else.” So why should I be so upset that he did what I wanted and then gave me all sorts of “free” advice.

He was just being a University Health Center- type doctor, giving his patient what he thought she wanted to hear. “Let me give you some self-help ideas to deal with your ‘dandruff’, ’sleep problems’, ‘heartburn’, and dry skin.” What he didn’t realize or bother to find out was that I already know how to handle dandruff, sleep problems, dry skin, and heartburn. I also already know that I don’t have sleep problems or heartburn–and highly doubt that I have dandruff.

I say I’m fatigued and tell him that I haven’t had a consistent sleep pattern “since this started”. So he tells me to establish a consistent sleep pattern. He gives me all sorts of advice to help me sleep better. What he didn’t bother to do was give any answers for the problem I was there for–extraordinary fatigue that is keeping me from being able to perform my daily activities (working a job, keeping up with the laundry, and washing the dishes) DESPITE getting 7-8 hours of sleep every night.

I tell him that I’m having chest pain–which I’ve had before. I tell him that the chest pain is a stress response–I know it’s not heart problems (because I had a complete heart work up last year and got a clean bill of heart health). I tell him that I’m worried because I don’t think I’m experiencing enough stress to warrant this extreme physiological stress response. So he tells me I have heartburn and gives me advice for managing heartburn.

I brought up the dry skin, mainly to make sure he knows I need to have my thyroid checked. I point out that the dry skin has worsened even as I quit the job that had me washing my hands with drying soap several times an hour. He tells me this winter’s been bad for skin and that I should wear gloves when I wash my dishes. (Yes, I know. But did you miss the part where I said I’m too tired to keep up with the dishes?)

I don’t know why I brought up the itchy scalp stuff. Probably because it hasn’t responded to dandruff shampoo–even though I was leaving the shampoo on for quite a while (10-15 minutes a pop). Probably because my two PA roommates think it’s psoriasis. Probably cause I wanted to make sure I didn’t miss anything that could be potentially useful in making a diagnosis of my REAL problem. But the doctor took it as a serious problem and paid no attention to my assertion that dandruff shampoo had no effect on the itchy stuff on my scalp. He insisted that I had dandruff–and that I ought to wash my hair with dandruff shampoo once a week for (get this) 15 minutes before rinsing it off. Imagine that!

I got what I wanted–an order for a complete blood work-up including TSH (thyroid stimulating hormone). I just wish I didn’t have to go through the frustration of THAT to get it.

I miss my health care team. I miss my PA’s who let me tell them my whole story before they break in with questions, who tell me what they’re thinking when they’re doing their differential diagnosis, who take my questions seriously. I miss the team that already knows my meds, and understands why I’m on them. I miss how they always ask me for any last questions before I leave. I miss how they know to hand me a copy of my charts and laboratory values before I leave so I can put them in my personal medical file. I miss my pharmacists too. I miss seeing the same person every time I go to the pharmacy. I miss being able to get my prescriptions filled while I do my grocery shopping. I miss the pharmacy’s willingness to answer every question I have.

I guess I miss my Blue Cross Blue Shield insurance. Yeah, I didn’t have “free” visits to a clinic like I do with student insurance–but at least I got to see my team. I might not have the flexible scheduling of on campus health care–but at least I had confidence that my health care providers were practicing evidence based medicine. So there were more hoops to jump through back then–but at least then I was the head of my health care team. Here, at the Health Center, I’m just another dumb student who needs to use more lotion.

Medicine Schmedicine. Nothing worth stressing about, right?

Reading, Writing, Reading

March 13th, 2009

Lest you think I’ve been slacking since I’ve only posted five (six with this one) times this month, allow me to direct your attention towards the “book reviews” tab on the sidebar.

If you follow that link or this one, you will find the new and improved book reviews index site.

If you look a little closer, you will see that I have a number of new reviews up, twelve in the last 15 days to be precise. So if you haven’t checked out the book reviews page recently, you might want to take a look at some of the following reviews:

I’ve been reading–and writing about what I’ve been reading. Now it’s time for you to see the scoop and hopefully read a few too!

I feel His pleasure

March 12th, 2009

Have you seen Chariots of Fire? Do you remember when Eric Liddell was defending his decision to go to the Olympics to his sister, who wanted him to return to the mission field immediately? He said, “I believe God made me for a purpose, but he also made me fast. And when I run, I feel His pleasure.”

That’s how I felt today as I stood among a half dozen African American women and a couple others and demonstrated how to prepare a stir-fry “off-hand”.

It was a long day–I woke up late, ran to the office to pick up some danglers, ran out to Kawasaki to set up an educational display there, ran back home for the materials for this afternoon’s presentation, ran back to the office, ran to a presentation on diabetes, ran back to the office. You get the picture. But the last item on my agenda completely made my day.

Renee and I have been working on this “Gathering” for a couple of weeks now, reserving the kitchen at the Salvation Army and gathering together some folks to participate. I’ve been preparing a handout and getting together my cooking supplies. And today, we had our gathering.

I’d been off-kilter all day, but I was off-kilter no longer. Now I was right at home. I was where I was meant to be. Maybe God created me for a purpose other than teaching people the practical skills of eating healthy–but He gave me that passion, and when I exercise it, I feel His pleasure.

I’ve often mused, in past weeks, that surely I was created for a higher purpose than keeping up with the dishes and the laundry. I’ve stated that there must be something more to life than the day to day monotony of school and work. “This can’t be all there is!” I’ve cried. But today, as we gathered, I could only think “If this is all there is, I’d be content.”

Because when I teach people how to cook, I feel His pleasure. Because when I have the opportunity to help a community be healthier, I feel His pleasure. That makes it all worthwhile.

We were three white women, six black women, and a lone black man. Food brought us together around a table. Some cut, some mixed, some just tasted. Food was a common ground. One woman discovered stir-fry for the first time in her life. Another tasted water chestnuts for the first time. One woman decided that low-sodium soy sauce was just as good as the regular. Another woman discovered that brown rice is not as bad as she thought. They couldn’t stop telling me how impressed they were with how easy it was to cook a stir-fry–and it was healthy too! There couldn’t be a doubt in anyone’s mind: this wasn’t just information for them to sit on, they were going to use this stuff.

Photo of Gathering

They suggested I write a cookbook. They were nice beyond belief. They made me feel great about myself and about my dreams. Their approval was fantastic–but far beyond that, I felt the approval of God. ‘Cause this afternoon, in the Salvation Army kitchen, I felt His pleasure.

Wanna try making an Off-hand Stir-fry of your own? Check out my handout.

Aunt Ruth

March 9th, 2009

If you think of it, please pray for my aunt Ruth. She’s been taking care of my grandpa since he’s been home from the hospital–and the strain can be incredible. Caregiving is difficult no matter what the circumstances, and these are less than ideal. Grandpa is not always physically or mentally there–and he can get pretty hurtful when he gets frustrated and angry.

So please, pray for Aunt Ruth. Pray for grace and rest and peace. And pray that we as a family would be able to support her as she labours so tirelessly for our family.

Name dropping down

March 3rd, 2009

Today, at a mini-conference/workshop thing we were holding at the health department, this guy came up to me and introduced himself: “You must be Rebekah. I’ve heard good things about you.”

Which is wonderful. I’m flattered.

But it also makes me wonder why. I mean, I’m familiar with name-dropping. I get it. What I don’t get is why people would bother dropping MY name.

For the uninitiated, allow me to reference Wikipedia on Name-dropping: “Name dropping is the practice of mentioning important people or institutions….It is often used to create a sense of superiority by raising one’s status. By implying (or directly asserting) a connection to people of high status, the name-dropper hopes to raise his or her own social status to a level closer to that of those whose names he or she has dropped…”

Which is why I’m so confused about why people would insert my name into their conversations about anything. My position, “Dietetic intern”, is far from elevated. My experience is miniscule. I can see no reason why anyone should reference me in conversation with another health professional–and especially to reference me in a complementary way.

Name-dropping down. Maybe it’s the new thing in corporate health care. Perhaps I should begin regularly referencing the janitor in my conversations with fellow professionals–after all, that’s not too far below my rank in the professional pool.

I should probably just accept it and go on–but the cynic in me still asks why. Why would someone bother to talk me up to the coordinator of one of the nation’s leading worksite wellness programs? It just doesn’t make any sense.

Groan with me

March 2nd, 2009

II Thessalonians 3:11 says “For we hear that there are some who walk among you in a disorderly manner, not working at all, but are busybodies.”

Yeah, I’ve heard the same thing. There’s someone, walking about, bringing disorder wherever she goes, not working in her own home, not working outside her own home, but determined to insert herself into everyone else’s homes.

The verse right before it, II Thessalonians 3:10, says “For even when we were with you, we commanded you this: If anyone will not work, neither shall he eat.”

So she’s not working. We’ve established that one. But she’s eating–voraciously. Not physically–it’s not like she’s going over to people’s houses and insisting that they feed her dinner. No, she’s eating emotionally and spiritually–going over to people’s houses or calling them on the phone and slurping up every spare ounce of emotional and spiritual energy they have.

And then she vomits and sucks some more.

II Thessalonians 3:12 says “Now those who are such we command and exhort through our Lord Jesus Christ that they work in quietness and eat their own bread.”

I wish I knew that I could apply this verse to that situation. I wish I could be certain that I could just tell her to go home, find a job (or even just start taking care of your children!), and learn to be emotionally and spiritually self-sufficient.

II Thessalonians 3:13 says, “But as for you, brethren, do not grow weary in doing good.”

I’m definitely not doing very well on this one. Of course, it’d help if I knew whether continuing to try in this relationship were indeed GOOD. It feels a lot more like casting pearls before swine.

Can’t I just do as II Thessalonians 3:14 says?
“And if anyone does not obey our word in this epistle, note that person and do not keep company with him, that he may be ashamed.”

I mean, I could handle a good long vacation from her. I could use a bit of time without her company. In fact, I can think of a half a dozen women who’ve already been sucked dry and could really benefit from some time away from her spiritual bulimia.

The hard part is II Thessalonians 3:15, “Yet do not count him as an enemy, but admonish him as a brother.”

She is a sister–a fellow believer in Christ. But it’s very hard to think of her as a sister when she’s acting like a leach. My little antibodies are bristling–wanting so hard to attack her–she’s destroying the body. Except that she is a part of the body. How can that be?

I don’t know how to deal. I don’t know what to say.

I doubt you know either.

But, please, please pray. For me. For the many women who’ve been emotional exhausted by this woman. For the woman. Pray for wisdom. For humility. For grace. Pray that she’d stop–oh, I don’t even know what to ask in regard to her. I guess, just groan for me, for us, please.

“Likewise the Spirit also helps in our weaknesses. For we do not know what we should pray for as we ought, but the Spirit Himself makes intercession for us with groanings which cannot be uttered. Romans 8:26

Simple Sunday: Mazda 3

March 1st, 2009

Mazda 3 console

Thankful for the rental car that I’m driving while waiting for insurance to pay me for my totalled car. I don’t know what I’d do if I had to try doing this community rotation without a vehicle.

(And check out this gal’s “Red Hat Society” console–it makes me smile every time I have to drive in the dark.)

Simple Sunday

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