Tuesday, January 5, 2010

Sailing Trip Rundown & Oral Health Update

My neighbor was nice enough to drive me to the airport the night I left for the sailing trip. My flight left at 1am, so I had a few hours to work on the pre-reading for the course and just hang out. After a brief layover in Charlotte, North Carolina, I arrived in Tampa around 11:30am. I found out later that I could have taken a $25 shuttle to the B and B where I stayed in St. Petersburg, but in my sleep-deprived stupor, I just shuffled into a cab and shelled out the $50 fare plus a 20% tip that was about $10 more than the cabbie had earned. Diane, the lady running the B and B while her sister and brother-in-law, the owners, were away, showed me around the facility and oriented me to the area. I caught a few hours of sleep before walking to a restaurant overlooking the marina where the teaching boat is docked. Dinner set me back $25 and garnered awkward interactions with the server who seemed unsure how to handle a person eating alone. I decided I should eat dinner at Wendy's thenceforth (McDonalds and Burger King seem somehow less healthy). After this I was too tired to do much so I went back for an early bedtime. I set two alarm clocks, I was so excited about class the next day and nervous about sleeping in.

I woke up easily enough, showered, ate the breakfast Diane made, and went to the first classroom session. Gail, my classmate, had called in and was lost, so we waited to get started but eventually went on without her. We had covered most of the basic terminology when she showed up an hour and a half late. She had read the first part of the book and she was quite late, so Rob, the instructor, didn't spend much time catching her up. The classroom time was over soon thereafter and we walked to the marina. Since Gail was only wearing one layer, I let her borrow my sweater. Rob introduced us to the parts of the boat and the procedure for getting ready to head out. Under motor power, we exited the marina then raised sail out in Tampa Bay. We only used one of the two sails, and still we had quite a few moments where the boat was leaned way over by the wind. Winds of 15 knots (17mph) gusting to 25 knots (29 mph) were the speeds Rob estimated, which he said is almost too much for beginners. I loved it, though. There was constantly something to be done and you could feel the wind and waves working on the boat. A little after 1, we arrived back at dock for lunch. Gail set out to find a jacket and I, with my desire to cut expenditures, skipped lunch, instead walking around and taking a few photos. During the afternoon sailing session, the wind was slightly more intense and the sun was farther down, making it colder. Gail had only found a light sweatshirt, intended more for fashion than warmth, so right when Rob started guiding us back in, Gail said she was freezing and wanted to go back in. Good timing, I suppose. After changing out of my goofy sailing clothes, I walked around downtown St. Petersburg looking for a cheap meal and found a pizza place with a harried worker who was going on about poor management and incompetent coworkers. After finishing my plate-sized slice of plain cheese, I set out to satisfy what had become an obsession. I found a Wendy's on my iPhone and had a pleasant 1.2 mile walk to top off my dinner with a Frosty. On the return trip, I saw a Subway near the marina and decided it was the best choice I had for lunches. Upon arriving at the B and B, I turned in for the night, exhausted after the day of new excitement and new muscle usage.

The next day, I was up bright and early, and Diane made stuffed French toast for breakfast. I was able to shoot off the Sailing Course Day 1 Down post while eating. Gail again showed up late, but this time it was only half an hour. We did another few hours of classroom material then headed back to the boat. This time, Rob had us do some of the prep work. The wind had died down to 10-20 knots, so it was a pleasant late morning of sailing, despite not being nearly as exciting as the first day. For lunch, I went to the Subway I had discovered. Though it was only a few blocks, my feet were not happy with the new, unbroken-in shoes I was wearing without any socks. I was glad to get back to the boat and get off my feet. We learned man overboard maneuvers. It will take a good deal more experience before I can get a feel for bringing the boat to a stop right next to a bobbing crew member. For dinner, I bought an Italian classic sandwich from a nearby pizza place. It was a lot of delicious food, but my stomach protested most of the night. Maybe partly because of my GI revolt, I spent that night, and part of the morning, playing pool on my phone. It was nice to see that I can maintain my sleep-shirking habits miles from home. Speaking of which, I'm sure you'll get a kick out of the time stamp on this post, which I've been writing since the evening of 1/4.


The last day began like the others, this time with poached eggs for breakfast and a chat with a New Yorker and a German who had been staying in the other house of the B and B. Gail wasn't too late and we did the few hours of classroom material, much of which was provided solely for our future reference and we didn't practice it on the water. This time, Rob had us do everything and only made a few comments or suggestions. Gail's purpose for taking the class was more along the lines of helping out on others' boats and not taking charge herself, so I got to take command for most of our outing. The wind had died even more from the second class day, blowing no more than 15 knots and dying down by the end of our first water session to almost calm. The plan was for us to take the boat out without the instructor for the last water session. We had to motor back in to the marina at the end of the first session and upon regrouping after lunch (in which Subway again played a prominent role), the wind had not picked up at all, so we called off the last session. At that point, I was fine not having to deal with Gail's shaky sailing abilities while putting my own new-found sailing skills to the test. The previous night, I was discussing with Diane my plans to take a shuttle back to the airport and she said she could give me a ride since she was picking up her sister and brother-in-law, so with my ground transportation arranged, I had only to shower, pack, and eat. I stayed in and made a chicken sandwich, worked on a crossword, and met Diane's friend, Mike, who's a private yacht captain, while I waited for Diane to be ready so we could head to the airport. She got me there around 9pm, which, turns out, is after the American Airlines check in desk closed for the day. I was annoyed, because this meant I had to wait around for some indeterminate amount of time for the desk to open so I could check my bag and get into the secure area and get some sleep before my 6am flight. I ended up camping out across from the desk and caught just enough sleep for the desk to open and accumulate a line. I should have slept right in front of the desk.

By the time I woke up and got through the check in process, I needed to head over to my gate for a wait with a comfortable margin before boarding started. The return layover was in Dallas/Ft. Worth. I got off the plane in Dallas, made it over to the restroom right across from my next gate, and when I was all ready to get settled in for the layover, I checked my boarding pass and realized I had only a few minutes before boarding started. Talk about cutting it close! But I was glad to get the trip underway. My neighbor was extra nice enough to give me a ride back home from the airport when I got back to Denver. It was good to be home, and I look forward to building on my sailing experience when the reservoirs here thaw out.

On to the periodontal update. I went to the dentist today for a routine checkup and cleaning since my last one was about a year and a half ago. Along the way, it was noticed that the bone that surrounds my teeth is receding, making the gum sockets deeper and the bony sockets more shallow. The hygienist said a variety of factors have probably led to the initial problem, but the bacteria that are present in everyone's mouth can get into this deeper space between my gums and my teeth where I can't clean it out by flossing, making the issue worse. I've brushed regularly my whole life and have been flossing daily for several years but that's not quite cutting it, and the typical tooth cleaning procedure isn't sufficient, either. We forewent the tooth cleaning today and I was referred to a periodontist who will be able to do a deep cleaning, a procedure done under local anesthesia in several rounds, and give me information about the methods available to prevent more bone loss and to restore lost bone. The latter would involve surgery and I'm not a big fan of oral surgery after my two painful, bloody run-ins with it.

I was upset about the prospect of more oral procedures, but I went about my errands today and have been able to calm down and remind myself that my three-week bleeding episode three years ago won't be repeated because we now know how to prepare me for surgery. In any case, though, I realized a couple years ago that after what I've been through with my mouth, I can only handle pain and bleeding below the neck, so this is like my medical nightmare starting to be realized. Speaking of which, with my deep cleaning appointment on my mind, I had a dream that my teeth were all rotting and falling out, which helped nudge me along and make the appointment. Odd how life plays out. In addition to my negative feelings about the procedures and their aftereffects, I'm annoyed that I have to budget more money to taking care of my teeth.

On the positive side, with my strong aversion to losing my teeth, I may finally have the motivation I need to avoid sugary foods and stick to a better diet. I tried not to be too technical, but sorry if it was still too much information; I assimilate medical news by analyzing the facts about it. Time for bed. I'm doing a terrible job getting back to a normal sleeping schedule.

Scott

Thursday, December 31, 2009

Learn to Sail Course Trip Debriefing


I had high hopes for elaborating in flowery language about all my numerous experiences, but right now I'm not in the mood after spending forever editing one of my pictures. So, for now, I'm just posting some of the photographs.

Here's where I stayed. It's not as haunted as it looks in this picture.


This is the Colgate 26 we used. Fun little boat.

My battle wound after the first day of class. In case you're wondering, this is the photo I took so long editing. I photoshopped some pants on so as not to subject you to the sight of me in naught but my boxers.

The boat from forward, Gail at the helm, Rob below the mainsail. If you're really paying attention, you'll notice the outboard is lowered and running. We had almost no wind at the end of this last day and wanted to get back in.

Gail let me steal the helm real quick to get a picture. No, this wasn't the only time I had the tiller.

Stupid new shoes. This is what three days of being sockless in non-broken-in leather shoes will do to you when you've got sweaty feet. The lower two are torn blisters.
 

Tuesday, December 29, 2009

Sailing Course Day 1 Down

My sailing course finally started yesterday. I'm staying at a B and B a couple blocks from the marina where the boat is docked. Diane, the lady running the B and B, makes delicious breakfast and then I'm on my own for lunch and dinner. I'm working on some stuffed French toast right now.

Yesterday was great. The instructor said the winds were really high for beginners, but I had a blast. Not sure I can say the same for my classmate Gail. She has almost no experience and was expecting balmy Florida weather, so she was freezing and frustrated by the end of the day. I hope it doesn't sound too cutthroat, but it was nice having someone who knew less than I did to show me how much I know. It was also good that I screwed up a few times to put me in my place. Oh, well. I'm trying to be patient with Gail and encourage her. It helps to put on my patient tutor face, which is a good filter for the "well, duh" thoughts I have.

Well, breakfast is over and I have to get to class.

Scott

Saturday, December 26, 2009

Year-End Wrap-Up

I'd like this post to do double duty as a monthly newsletter, but seeing as I'm actually writing it a month after the last one, that would be too inconsistent with my MO. Also, since it's not the typical
newsletter, I ran rather long - apologies.

Compared with a year ago, I'm doing very well. I was burned out at the end of my first semester and stayed that way through the second semester. Needless to say, but I'll say it anyway, second semester was tough. Knowing what I know now, I think being in a study group and spending more time with people would have helped, but I didn't devote much thought to such things and I didn't have the motivation to make changes. I did well enough to get through the semester, but I'm worried about how well I understand and remember the information. I'll get back to that, though.

I don't recall much of my brief summer off hand, but it was helpful to have a break and hit third semester with a fresh start. Before summer, during second semester, it actually had occurred to me to get involved with a study group and in the newness of third semester, I finally had time to consider it more and implemented the idea. I joined up with a good group of dedicated, mature students who helped keep me on the study bandwagon with their Saturday morning meetings. Toward the end of the semester, students and faculty/administration started waving the banner of board prep with a vengeance. The boards are a set of tests that gauge our progress and are mandatory to become a doctor. We take step one, the first test of three, after the second year (in six months). It assesses how well we learned all the basic medical sciences in the two lecture-based years. My school requires a passing score on step one before we're allowed to progress to the two years of clinically-based learning.

I'm not as worried about passing as I am about earning a competitive score; boards not only allow me to advance in my medical training, they'll also be one of the factors used to evaluate my application when I apply for residency, which is where I'll finally learn to be a surgeon. So, now that I've started getting the upper hand in this battle against med school, I'm reminded that I need to go beyond studying the material at hand and review everything I was so glad to have put behind me. I mentioned earlier that I'm not confident with how well I learned past material; I feel like I'm good at test taking and don't study well for long-term comprehension. I'm hoping my study of the next four systems courses plus my board review cover everything well enough not only to prepare me for boards but to make me feel like I'm prepared for boards.

In non-school (i.e., pleasant) news, I'll be cramming the rest of the prereading for my sailing course into the next two days since I leave early Sunday and the class starts Monday morning. Tomorrow (actually, later today, Saturday), amidst reading the sailing book, I'll be frantically and inefficiently packing, buying last-minute sundries, and debating whether to drive myself or ask my neighbor to take me to the airport at 11 tomorrow night (so I can catch the 12:59 flight on Sunday morning. Yes, I meant EARLY Sunday).

After this mini vacation, I'll need to select a board test date, organize my apartment, get cracking with board review, and prepare for next semester. In addition to getting used to the emotional roller coaster that is med school, I'm adding the skill of getting refreshed from short breaks. By the time of graduation day two and a half years from now, I might be close to knowing how to handle med school.

Scott

Thursday, December 10, 2009

Only 11 Days Left

That's until the semester's over, not 'til I go sailing (sailing is 18
days away). At this point, it's hard to say which is more important to
me. I'm back to having no motivation to study. My latest thing is to
end up napping for a couple hours in the evening instead of the half
hour I intend to do. It couldn't be because I stay up late and get up
early; maybe it's an endocrine problem (if only I'd been studying, I
might know what it is). I'm hoping I'm just having another temporary
low point and that I'm also just ready for another break. I was
looking forward to this second half of this block and staying on top
of things, but somehow I'm doing worse with that than I was for the
first half of the block. I'm really grateful for my study group. I
hate showing up not knowing anything and not being able to contribute
to the group, and right now that's the only reason I've got a textbook
open in front of me instead of my laptop with the Lord of the Rings
movies playing (technically, I've got my iPhone in front of me to type
this, then the textbook on the table with my laptop behind that, but I
swear I just plan on looking at lecture notes, not movies. Hmm,
movies, that's a good idea - no, just kidding, I'm studying). I did
get a boost today - we had a review session for one of the smaller
courses for which we have the final next week and I was pretty
confident with the concepts. Every little bit helps.

A few days ago, I decided it was time to get back into physical
activity, so I did stairstepper at my apartment's workout area and
followed it by trying to work out my lats, but managed to strain my
brachiales on both sides (muscles that bend the elbows). I noticed
today that the soreness is pretty much gone, so after exercising for
the second time this week by running on the treadmill, I did
triceps and pecs. I felt pretty buff benching less than a third my
body weight. Oh, well. Gotta start somewhere.

In gloomier news, we heard about coping with patient death and
considerations regarding suicide for two hours in school yesterday.
Focusing on death for so long made me realize that I've never before
feared death because I had certainty of what would happen afterward and I
wasn't too focused on the things I wanted to in life. Now I do fear
death, since I have no idea what it will bring and there are so many
things I want to experience in life. I had a strong desire to run home, curl up on the couch
and watch all 12 hours of Lord of the Rings so I could connect with
Frodo's difficult journey. I'm better now without my professors
harping on the subject.

On that light note, I need to stop delaying and start reading. As I've
mentioned, finals are coming up. Indeed, the last simulated patient
interaction (an examination) for the semester is tomorrow. Anyway, I
may not post much until the titular 11 days have passed.

High winds and rough seas (for calm seas do not make a skilled sailor).

Scott

Monday, December 7, 2009

Post-test Monday

I just remembered December 7th is an important day - Pearl Harbor Day. It seems to have arrived without much fanfare, but it's good to remember the men and women who died 68 years ago and the events that lead to the US joining the War, little though I know about the whole thing.

I'm between classes right now, so this will be brief. The midterm was rough. On the last test I took before it, I was even less comfortable with the info, but I knew that I hadn't studied much for it so my poor performance didn't phase me. For the midterm, I felt like I was well prepared for it, and when I didn't feel very comfortable while taking the test, my morale took a hit. Everyone seems to have had a hard time with it, though, so it could have just been a hard test. It doesn't encourage me to study, though, when there doesn't seem to be much payoff on the test. I'm pushing on, though, since I know not studying is worse than studying in any case.

Class started again, so bye for now.

Scott

Thursday, December 3, 2009

Endocrine midterm

I have been busy studying hard for our first exam in the endocrine block (first thing tomorrow morning). I don't know everything by any means, but I feel like I've seen most of the material and should do fairly well. When I don't think about all the information I haven't addressed yet, I feel proud of how much more I understand the current material than I did the material in our last block. I've rather shot myself in the foot, though: I set up appoinents to tutor some first-year students in anatomy on Saturday and since I don't remember all of the anatomy they are covering right now, I'll be reviewing that after the test instead of taking the evening off. I say "evening" instead of "rest of the day" because after the test we have two lectures followed by a lab covering all the physical examination techniques we have learned this semester, so there'll be no rest for the weary. At lest until Saturday night, that is. I need to get some sleep (hopefully that hasn't been too apparent in this post), so I'm calling it a night.

Scott