Friday, August 6, 2010

Clinical MisAdventures

Wow. Almost four months away until I am done with school and on to the next phase of my life. But right now, I can really only think from day-to-day tasks.
We have to get 300 clinical hours from June to August, so that roughly equates to almost full time at the clinic. So I have been really getting not only a medical but also a social education.
A little background: I'm in the South Bronx, in a pretty economically depressed area. Pretty much EVERY patient I have is Dominican or Puerto Rico, African American or Jamaican, or a mix of the above. Pretty much everyone speaks Spanish as a first language, but about 80% also speak English quite well. High blood pressure, diabetes type 2, smoking, obesity, asthma, lower back pain, are pretty much part of everyone's medical record, with many also struggling with drug use (heroine, cocaine, marijuana, benzos, percocet). There's also a smattering of other problems: anemia, cancer, neurological disorders, etc, that we see on a daily basis. So that's a pretty broad overview. But now, to be more specific:
Fridays at the clinic. We are all so tired. Those who have full or part time jobs outside of this clinical requirement are even more so. So Fridays, after having been there all week, have a tendency to become somewhat of a s*&tshow. Today was no exception.
The patient flow was continuous, from the time the doors opened at 8am until we cried "We give up!" (not really) at 4:30pm. This week, I had drug-seeking patients ("The pain is so horrible in my (fill in the blank) and percocet is the only thing that helps! Also, I'm allergic to aspirin, ibuprofen, motrin, toradol, acetaminophen, so you HAVE to give me percocet!")When I started in January, wide-eyed, bushy-tailed, and incredibly naive, I would think, "Oh, this poor person! Here you go, here's some incredibly addictive and very-high-in-street-value opiates!" Not really, but I have become infinitely more credulous in the almost nine months I've been there. I've heard every excuse in the book, and some are even so creative that I have give props where props are due.
Now, that's not to say that all are BSers. There are people with legitimate pain out there, but anyone who is a regular at the clinic know our policy about not writing for addictive pain meds. Especially since one of the major things we do are drug-addiction rehab initiation and following.
Today, we were all absolutely fried, and it was only 8:30 in the morning. My first patient was one of my favorites. I got a frequent flier, I'll call her Lucinda, who is there probably 4-5 out of 7 days. So really, every day. It's pretty much a joke now, because I'll see her standing outside when I get to work in the morning, and say, "Hey, _____, haven't seen you in forever!" and give her a fist bump. She'll laugh. And she'll come in with some BS request or complaint which we'll address, and send her off, knowing that she'll be back tomorrow for something or other. One day, she wanted a prescription for an air conditioner. Seriously.
Yesterday I had a guy, just out of jail, who wanted to get started on our suboxone program for heroine addiction. Suboxone is a much better detox drug than methadone, and is easier to titrate down until the patient is not craving opiates any longer. While taking his history, he tells me he has a history of doing heroine for 25years, but hasn't done it in the past 2 weeks. But I'm still in withdrawal. Hmmm. Wait, no heroine, no cocaine, nothing in the past two weeks? And your urine tox report will show that? Yes ma'am. Okay, but you have to be actively in withdrawal before you can start on suboxone, otherwise it isn't safe for you. Oh I am, I am. Okay, but if you haven't had any drugs in two weeks, you'd already be through physical withdrawal. Psychological withdrawal, undoubtably, but not physical.Hmmm. So I go get Dr. D to suss out what is going on. Then he tells Dr. D, after a few repeated questions, Yes, I've done 6 to 7 bags a day of heroine for the past two days. What the heck???? It blows my mind why he'd lie to me, but tell the doctor the truth. I'm here to help you buddy, and I can't if you are giving me a line of baloney! I was ticked.

Also of note, we code all of our services (ie. complete physical, drew blood, gave vaccinations, etc.) with something called ICD-9 codes which make it possible to bill insurance companies, Medicare, etc. Well, one of my fellow students found an ICD-9 code for "falling off a gangplank", no kidding, which is E382. My career goal is to have a patient that has fallen off of a gangplank and being able to code for it. Even better, if I can differentiate between how it happened: saber-point, rifle, musket-point, blind-folded, due to attempted mutiny, etc. Man, why don't we have more pirates at the clinic? I'm over all of the hypertensives:)

I feel like this post is rambling; I am too tired to write anything more coherent. But it was an insane week, full of unbelievable patients. Man, I need a vacation.

Tuesday, July 13, 2010

Word Play

Got this from a dear friend who knows my love of making up new words and switching around the letters in previously established words. Enjoy!

Subject: Humour for the Intelligencia

The Washington Post's Mensa Invitational once again invited readers to take any word from the dictionary, alter it by adding, subtracting, or changing one letter, and supply a new definition.

Here are the winners:

1. Cashtration (n.): The act of buying a house, which renders the subject financially impotent for an indefinite period of time.


2. Ignoranus : A person who's both stupid and an asshole.

3. Intaxicaton : Euphoria at getting a tax refund, which lasts until you realize it was your money to start with.

4. Reintarnation : Coming back to life as a hillbilly.

5. Bozone ( n.): The substance surrounding stupid people that stops bright ideas from penetrating. The bozone layer, unfortunately, shows little sign of breaking down in the near future.


6. Foreploy : Any misrepresentation about yourself for the purpose of getting laid.

7. Giraffiti : Vandalism spray-painted very, very high

8. Sarchasm : The gulf between the author of sarcastic wit and the person who doesn't get it.

9. Inoculatte : To take coffee intravenously when you are running late.

10. Osteopornosis : A degenerate disease. (This one got extra credit.)

11. Karmageddon : It's like, when everybody is sending off all these really bad vibes, right? And then, like, the Earth explodes and it's like, a serious bummer.

12. Decafalon (n.): The grueling event of getting through the day consuming only things that are good for you.

13. Glibido : All talk and no action.

14. Dopeler Effect: The tendency of stupid ideas to seem smarter when they come at you rapidly.

15. Arachnoleptic Fit (n.): The frantic dance performed just after you've accidentally walked through a spider web.

16. Beelzebug (n.): Satan in the form of a mosquito, that gets into your bedroom at three in the morning and cannot be cast out.

17. Caterpallor ( n.): The color you turn after finding half a worm in the fruit yo u're eating.

The Washington Post has also published the winning submissions to its yearly contest, in which readers are asked to supply alternate meanings for common words.

And the winners are:

1. Coffee, n.. The person upon whom one coughs.

2. Flabbergasted, adj. Appalled by discovering how much weight one has gained.

3.. Abdicate, v. To give up all hope of ever having a flat stomach.

4 esplanade, v. To attempt an explanation while drunk.

5. Willy-nilly, adj. Impotent.

6.. Negligent, adj. Absentmindedly answering the door when wearing only a nightgown.

7.. Lymph, v.. To walk with a lisp.

8. Gargoyle, n. Olive-flavored mouthwash.

9. Flatulence, n. Emergency vehicle that picks up someone who has been run over by a steamroller.

10. Balderdash, n. A rapidly receding hairline.

11. Testicle, n. A humorous question on an exam.

12.. Rectitude, n. The formal, dignified bearing adopted by proctologists.

13. Pokemon, n. A Rastafarian proctologist.


14. Oyster, n. A person who sprinkles his conversation with Yiddishisms.

15. Frisbeetarianism, n. The belief that, after death, the soul flies up onto the roof and gets stuck there.

16. Circumvent, n. An opening in the front of boxer shorts worn by Jewish men

Wednesday, June 30, 2010

Infidelity

I read something tonight that really affected me...and, I had to write about it. The article chronicled the relationship of a husband and wife, married twenty years, who suddenly had to deal with the devastation of his betrayal. Here are some excerpts:

Gary's Story

Walking down the hallway that night was one of the hardest things I'd ever done. I knew this could be the end of everything I cared about--my family, friends, business, church--all of it. But I had to deal with it now...I whispered my dreaded confession (to Mona, his wife) "I've betrayed you. I've been unfaithful." How did this happen? We had a good marriage and three sons we loved deeply. But the busyness of life had pulled at us, and we'd gradually grown apart. Then a friendship with a co-worker had gotten out of control. One innocent touch insidiously led to more. An affair began, and a day became a week, then a month, then three years.
When Mona and I got married, we knew our marriage would work. We were best friends who loved and respected each other. 10 years later we both became Christians. Now we had another tie to hold us firmly together. But in our packed schedules, we rarely had time or energy for "us". In reality, we'd become caught up in a life that was pushing us along separate paths.

Mona's Story

I was totally blindsided. He'd been having an affair with my best Christian friend for the past few years, and I'd never even suspected; I'd trusted them both implicitly. I had no idea our marriage was even vulnerable. My friends thought he was wonderful -- he did dishes and laundry; he changed diapers. We were friends; we could talk about anything. Sure, we'd had our moments in two decades of marriage, but nothing insurmountable. Had I been that bad a wife? I felt a stirring of rage. I was nauseous. Was I a complete idiot to have been so in the dark? I spent the rest of that night weeping, heartache penetrating every inch of my being. I felt more alone than I've ever been.
That night of revelation 17 years ago was beyond painful. But it also marked the beginning of our recovery. Not because either of us believed we could heal, but because we felt we had nothing more to lose. All we knew was that we wanted to follow God in this, no matter where that led.
The night Gary confessed, neither of us expected restoration. We doubted the pain would ever go away. But now we know adultery, as destructive as it is, doesn't automatically mean a death sentence for a marriage. The same Savior who enables sinners to stand pure before a holy God can restore what is in shambles to something beautiful and fulfilling.



Eventually, with a lot of hard work and prayer, they rebuilt their marriage and are now role models for couples who come to therapy for infidelity issues.

This article was so powerful to me, for a ton of reasons. But mostly because it reiterated what I already knew to be true: with God, all things are possible. Truly, He can take the most destructive and heartbreaking of situations and use them for much good.

There is incredible pain in this world; both outside us and within us. Hearts break every day, for myriad reasons. It is too much to comprehend. Relationships can fall apart, for reasons beyond understanding, and leave a destruction in their wake. But there is hope. There is always hope. Because of what Jesus did for us by dying on the cross, our ultimate enemy (Satan) is defeated, and all of the promises of God in the Bible for His children are true. The promise I have been holding close to me these past few months, as I continue to heal, is the fact that I know that what Satan has intended for evil in my life, God will use for good. That's a pretty awesome place to be, I think. What is bad, God uses for good. What is good, God uses for good. So whether bad or good, God uses it for good.

That is not to say, with pie-in-the-sky naivete, that one should just pull themselves up and get on with it and life goes on swimmingly. No. Life is hard. And to get to a place of healing and wholeness takes incredible amounts of hard work and fortitude. It takes minutes, hours, on your knees before God, putting everything in His lap. It takes support from amazing friends, and a deep-seated knowledge that you are loved. Completely. Seen completely, with all of our warts, and loved completely. It is against a foundation like that that the problems and difficulties of life can be put in their place and overcome. And much as lifting weights at the gym can make our muscles strong, lifting problems in our lives by dealing with them can make our internal 'muscles', our self-worth and identity, stronger.

And it is easy, in this situation, to take the role of the victim, and denigrate the perpetrator. But one also has to be honest with oneself, and when one is ready, and has worked through the first flush of despair. It is easy to think, "I am good; he is bad. He did this to me. He was the jerk." The thing is, even if that is true in this situation, the root of it is false. How many times have I been a jerk? How many times have I hurt others? Many. I think it helps to be able to take a look at yourself honestly and realize the ways in which you, too, are tempted. The ways that you have failed in the relationship. The things inside of you which are selfish, and unkind, and unfaithful. And then the other person ceases to be the devil in your mind, but you can see them as they are: someone who is broken, like you. Someone who has his battles and his trials in this life, like you. Someone who is imperfect, like you. Like me. It does not lessen the grief, the pain, the weight of the betrayal, but it provides a context within which to work. To look at life realistically and realize that we all, all of us, have fallen short of the goodness of God. Every single one of us.

My prayer for everyone reading this would be that you would drop all of your pain and trials at God's feet for His help. And that your hearts would experience Him, and what He has done, and what He can do.
Blessings.

Tuesday, June 22, 2010

Thoughts of Great Randomosity, ie. Stuff I like, Stuff I don't like

Today was a pretty tough day at clinical. Mostly because of my attitude. But I am tired, sorta sick, and just a crabby-pants. So, to get myself in a better mood, I continued adding to my mental list of Oddities. It's just random stuff I've come across recently that I've thought, "Wow, I really like that!" or, "I don't like that".
First, "I like that"s:

1. Tee shirt idea for me and my fellow NPers: "Watch out. Today, I have no patience for my patients."
2. I like that both tai chi and chai tea are real things and are created by doing one of my favorite things, switching around letters.
3. My neighborhood pick-up bball games. Right now, there is a tourney going on, with one very funny emcee, who just said, "And the shot is taken by Jerry Curl (a teenage boy who did have a jerry curl)and he misses! No relaxer on this court!" etc. I like funny commentary.
4.My cat. She always has a purr for me. And a much-needed snuggle.
5. Old episodes of the Office. And new episodes of the Daily Show. And Late Night with Jimmy Fallon.
6. Socks without holes in them. I have too many socks WITH holes in them, so when I find a pair without, I rejoice.
7. Dancing by myself and singing songs I make up about whatever I am doing, ie: "Cleaning the dishes, yeah yeah, scrubbing this fork, yeah yeah..."
8. Dental floss. I had an incident on Saturday where I was out and had something stuck between my teeth that felt like a two-by-four but was invisible and had some floss in my purse for just such an occasion. Ah, sweet relief!
9. That a two-by-four is really a one-and-a-half by a three-and-a-half.
10. My friends who stick by me and love me, even when I irritate them.
11. Remember those sticky hands and sticky feet we used to get out of dime machines and then throw against the wall and they'd stick and then sloooowly slink down? Yeah. Love those.
12. Checking if pasta is done by throwing it against the wall. NOt sure if this is really even an accurate method, but I love doing it anyway. Feels like sanctioned food-fighting.
13.Alliteration. "Amanda always accesses Adam's aorta" and the like.
14. The word 'ilk'. I love that word.
15. The word 'hassenpfeffer'. Don't even know what it is, but I like how it sounds.
16. The emotional vulnerability of the guys on the Bachelorette. I know, I know, I am vehemently opposed to that show, and Bachelor, but this season I got hooked. But I really like how the guys are actually appearing to care about more than themselves. Unless it is just staged. BUt I'm going to try to shelve the cynicism.
17. Being able to use the word 'shelve' as a verb, and as pertaining to an emotion, instead of just being a noun.
18. That "The Amsterdam Inn" backwards is "Eht Madretsma Nni". Sounds foreign.
19. OMGosh. Fawlty Towers. Enough said.
20. The word Schmuck. Love it. Saying it, seeing it, whatever. It is so onomatopoetically satisfying.
21. My cat's sweet little kitty feet.
22. Saying, "Malfeasance for malfeasance's sake." and watching people's reactions to that.
23. Writing on the subject line of my checks subjects completely unrelated to what I am writing the check for. For example, on check to my psychologist last week, I wrote on the subject line, "A new toaster". I don't know why, but doing this really tickles me.
24. Being able to talk about medical stuff and form almost-complete sentences composed entirely of acronyms.
25. A good dollop of wasabi that will really clean out the old sinuses.
26. A bratwurst with ketchup, sauerkraut, onions, mustard (dark brown), relish, that has been grilled for awhile and then boiled in beer. Dangit, that is so good.
27. Watermelon seed spitting contests. I need more of those in my life.

Stuff I don't like:

1. The phrase 'Carbon footprint'. It sounds pretentious and stupid. And seriously, does anyone even really know what it actually means or how to actually compute it? Whenever anyone says it, I internally roll my eyes at them.
2. Fads. I have always had an aversion to fads of any type. Doesn't matter what it is, I probably won't like it, just on principle. Which is silly and pointless of me, I fully realize. But still.
3. People who are mean to things weaker than them, and I mean weaker physically, mentally, socio-economically, educationally, whatever. I HATE that.
4. The word 'panties'. Ick. Don't have anything against underwear, just can't stand that word.
5. Light bulbs that burn out before they should. Just irritating. Especially when reading a good book.
6. The current slew of pop stars. Especially Miley Cyrus's attempt at whoring herself out to, I don't know, get more fans or something? I want to put some clothes on her, wash off the nasty makeup, sit her down, make her a cup of tea, and tell her some things about life. Or just look at her and say, "Lindsay Lohan." That oughta do it.
7. That posting something on Twitter is called "tweeting". HATE that.
8. Milk that tastes bad even though it is nowhere near its expiration date. I mean, c'mon. I have to trash the whole half-gallon, which ain't cheap!
9. When I'm wrong about something that I feel like I should have been right about. Like BMI.
10. Soap operas. Pretty much all daytime TV. I can feel the brain cells being sucked out of my ears if I even am in the same room with a TV playing daytime whatever.
11. The oil spill. If I let myself think about it, and how much damage it has done, I get sick. I can't watch the news and see the pics of the poor animals covered in oil. My stomach literally hurts.
12. When people use JC as a swear. Or anything. Other than in reverent and worshipful ways.
13. Buying an ugly purse or whatever just because it is made by a famous designer or has a big C on it. Gag.
14. Pretty much anything done because everyone else is doing it and thinks it's cool. Lame-sauce.
15. Lady Gaga. Don't hate the music, but she's just strange. And, in my opinion, and as someone who is all for individuality, she's over-the-top.
16. Political correctness that has been taken to an extreme. Everyone is so afraid of offending other people that it has become almost absurd, the extent to which people will do mental gymnastics just to avoid "not being intolerant."
17. Constipation. It's the WORST. Thankfully, not something I often deal with, but man. Nothing can put a damper on your day like constipation.
18. Bed bugs. I've never had them, thank God, but they are everywhere in NYC and just gross.
19. When my computer gets too hot and slows way down. And also that I lost the letter P off of my keyboard. Now after O on the top line is just some weird looking mechanical thing.
20. Oprah Winfrey's empire. Sorry Oprah, I'm sure you're a nice person and I'm happy for your success, but your 24-7 Oprahness annoys me.
21. Patients with stinky feet who take off their shoes for long amounts of time in the exam room and I almost pass out. But then I remember Jesus washed stinky feet, and pray for strength.
22. The janitor's closet at clinic that used to be an old bathroom that has faulty plumbing which traps the stuff flushed from the upstairs bathroom directly above it, making clinic today smell like a sewage treatment facility.
23. The Real Housewives of Wherever. Bethanny Getting a Life. Kate Plus Eight, Jon Minus Everything. Bla Bla Bla. Any reality show. No one cares. (says the girl writing a blog about her thoughts...I realize the irony, people)
24. Eating parts of things that just shouldn't be eaten. Chicken feet. Cow tongue. Cow stomach. I'm getting ill just thinking of it.


There are so many more, and I'm sure I'll add to this list, but I'm hungry now and I'm going to eat my Chipotle, that I shouldn't have bought cause it isn't in the alloted budget for the week, but whatever. But that reminds me. What I like #28. Credit cards to buy Chipotle with.

Sunday, May 16, 2010

Why I Quit Facebook

This has been a rough year. My roughest yet. Because I am a highly emotional, sensitive person, I evaluate “roughness” on a how-emotionally-challenging-its-been scale. This year has, thus far, been off the charts difficult. However, this is not the place for me to divulge the details of that ‘roughness’. Suffice it to say, the personal agony and grief I have experienced in 2010 has been unlike any I have ever known. But that is not the point of this entry. It is, nevertheless, the impetus behind it.
I decided to quit Facebook this year, after having been on it for many years now. It was the right decision for me to make, for many many reasons, although it was difficult to do. I discovered, through Facebook, the facts that rocked my world and led to the above paragraph. After that, for many weeks, even the mere sight of the Facebook logo took me back to that horrible Sunday morning when my world came crashing down. I could not see it without wanting to vomit. This very visceral response made me think that maybe it was better to no longer have an account, and quit cold turkey. Even though I deactivated it, a few months ago, in recent weeks, from time to time, I’d hop back on, in brief spurts, to catch up with peoples’ lives that I have no contact with in “real life”. That was one of the benefits of FB, for me, originally. I was able to keep in touch, albeit cyber-ly, with those that I would not have been able to in reality. I was able to reconnect with old classmates and friends that I had lost touch with.
However, now, what had once been a benefit has become a liability. In my current emotional state, it is crucially important for me to focus on God, what He has done through Jesus, and His very real and powerful promises that He shares with me through His Word. One of them is that He has a plan for me, a good plan, better than anything I can think up for myself. Recently, in my brief forays into Facebook-dom, I have seen the postings of friends who are getting married, recently married, having children. I see these joy-filled entries, and am filled with joy myself for these friends and the blessings in their lives. But there is also a part of me, a big part, that aches. I feel so far from that, and back to square one, and feel like God has forgotten about me. My heart has been crushed, and I see others living the life I’ve always wanted. It makes me doubt God, doubt myself, and generally feel even more buried in my personal ick. All of these things are not how I want to feel, and also, most importantly, are UNTRUE. I cannot compare myself and my life to those of others. God has a special plan for each and every one of His creation, and that I know to be true with every fiber of my being. But Facebook has become, for me, not a vehicle of blessing, but an instrument of discouragement. I don’t think that FB intrinsically has these characteristics:), like I said, there are so many benefits to it. But for me, for where I am at right now, it is unhelpful for me to continue with it.
So if you have noticed I was a friend of yours on Facebook and am now missing, this is why. It isn’t because I unfriended you:), as one sweet friend recently asked me. He texted me a few weeks ago and wondered if I had dumped him or quit FB.
Also, I have been feeling the increasing need to connect with friends and family in real time, to have deep and real relationships in person.Facebook has made it so easy for me to satisfy my need to connect by "writing on someone's wall" in lieu of a real conversation.
I just want to clarify that I don’t think FB is evil or anything; I think it is a wonderful tool for us to maintain connectivity to those that we can’t see in every day life. But, with what I am dealing with right now, and where I’m at, and my desires to build the relationships in real time that the Lord has blessed me with, it is a decision that I feel is right for me. To all my FB friends, those I still see and those I don’t, please know that you are all very important to me, and I hope to reestablish contact with you all in the future. God bless you all.

Friday, April 30, 2010

God Comforting Me Through Spurgeon

I read this today...it felt like God was speaking to me, right where I am currently. I feel like He understands. As I continue to walk, no, rather, crawl, through this, the darkest period of my life, and seek to make sense of the terrible reality I have suffered, I am thankful on my face to God Who walks with me. And for the friends He has given me who have held me through this.

"Thou art my hope in the day of evil." - Jeremiah 17:17

"The path of the Christian is not always bright with sunshine; he has his seasons of darkness and of storm. True, it is written in God's Word, 'Her ways are ways of pleasantness, and all her paths are peace;' and it is a great truth, that religion is calculated to give a man happiness below as well as bliss above; but experience tells us that if the course of the just be "As the shining light that shineth more and more unto the perfect day", yet sometimes THAT light is eclipsed. At certain periods clouds cover the believer's sun, and he walks in darkness and sees no light. There are many who have rejoiced in the presence of God for a season; they have basked in the sunshine in the earlier stages of their Christian career; they have walked along the 'green pastures' by the side of the 'still waters' but suddenly they find the glorious sky is clouded; instead of the Land of Goshen they have to tread the sandy desert; in the place of sweet waters, they find troubled streams, bitter to their taste, and they say, "Surely, if I were a child of God, this would not happen." Oh! Say not so, thou who art walking in darkness. The best of God's saints must drink the wormwood; the dearest of His children must bear the cross. No Christian has enjoyed perpetual prosperity; no believer can always keep his harp from the willows. Perhaps the Lord allotted you at first a smooth and unclouded path, because you were weak and timid. He tempered the wind to the shorn lamb, but now that you are stronger in the spiritual life, you must enter upon the riper and rougher experience of God's full-grown children. We need winds and tempests to exercise our faith, to tear off the rotten bough of self-dependence, and to root us more firmly in Christ. The day of evil reveals to us the value of our glorious hope."

Thank You, Jesus.

Wednesday, March 10, 2010

What Happened at Clinical

I know it's not the end of Lent yet, so I shouldn't be on here, but sometimes I just have to write, no matter the constraints. Something happened in clinical last week that rather ties into other things that I've been going through personally, and I wanted to write about it.
I've been praying ever since I knew that primary care was the field that I wanted to go into, about what to do when I encountered a certain situation, a situation I knew sooner or later that I would encounter. The issue is abortion. I am staunchly pro-life; I believe that life begins with conception. I believe that God has knitted us together in our mothers' wombs, and He knows us even before that. As a provider, though, I knew that I would undoubtably come into contact with people, most likely many people, that do not feel how I do about it. However, it is my desire to give everyone, no matter what they believe, the best care I can possibly give them. Therefore, I faced a dilemma. I could not, in good conscience, advocate for the termination of an unwanted pregnancy. That child in the womb was just as real to me as though it were sitting outside, next to its mother. Yet, as a provider, it is my responsibility to provide the patient with the full spectrum of options available to her. This is what I knew would be facing me, but previous to last Friday, I had not met it outside of my imagination.
A young woman is in to see me, ostensibly for weight loss advice. However, as is often the case, her real reason came out for being there. She wanted to do a pregnancy test; she had had unprotected sex a few weeks previously and had missed her period. She was unmarried, very poor, and did not have higher than a 10th grade educational level. She already had two young children by two other men, and didn't want another kid. So we do the pregnancy test, wait the prescribed amount of time, and look at the results. Positive. It was then that I asked her if she had thought about what she wanted to do, and she informed me that she didn't want "it". I felt that my emotions must be all over my face; I nearly started crying. But I tried to hold it together, went and got the supervising physician, and asked him if I could watch him do a "just found out I am pregnant" appointment, since I've never seen one done before. He did, and after she had left, I asked to speak to him. And then I started tearing up. I told him about my beliefs, about my faith, and my severe inner turmoil over how best to be faithful to Jesus and love and serve my patient to the best of my ability. We talked for awhile about it; he is pro-choice but was very respectful and not at all condescending about my beliefs. He told me that it was perfectly alright to tell the patient that I have very strong beliefs in this area, and I don't feel that I would best be able to advise her, and then refer her to another practitioner.
One of our providers feels the same way I do about things, but tells her clients not to get abortions because then God will come down from heaven and strike them dead, or hate them forever. This is completely unbiblical, and that approach makes my heart hurt as much as advising an abortion does. I believe that these women, and the men they are with need compassion and support. I can't imagine what it must be like to be thirteen, a mother already, have no male support, and be pregnant again. How unbelievably scary. However, I also know that it is not the baby's fault, and he/she shouldn't have their life ended because of the circumstances. There are many arguments for both sides, that I will not go into here. Suffice it to say, it was an emotionally trying, yet very growing, experience for me. When I got home that night, I prayed and thanked God for guiding me through that. I feel that really, all I can do in these situations is to pray for wisdom and strength to do what is best for the patient while still maintaining my personal integrity, and also to pray for the patient and what is going on in his/her life. God keeps reminding me that I am here as a conduit of His; that my purpose in becoming an NP is to love and serve Him by loving and serving His people.
I read this recently in a book of devotions, and it encouraged and comforted me, both for some present personal difficulties in my life, and also that God is in control of all the events in life. I include it here in the hope that it gives encouragement to anyone else who reads it:

from Charles Spurgeon's Morning and Evening Devotions:
"God's people have their trials. It was never designed by God, when He chose His people, that they should be an untried people. They were chosen in the furnace of affliction; they were never chosen to worldly peace and earthly joy. Freedom from sickness and the pains of mortality were never promised them. So surely as the stars are fashioned by His hands, and their orbits fixed by Him, so surely are our trials allotted to us: He has ordained their season and their place, their intensity and the effect they shall have upon us. But although tribulation is thus the path of God's children, they have the comfort of knowing that their Master has traversed it before them; they have His presence and sympathy to cheer them, His grace to support them, and His example to teach them how to endure; and when they reach Heaven, it will more than make amends for the "much tribulation" through which they passed to enter it...to every matter there is a bright and a dark side. It is well for us if, while the flesh mourns over trials, our faith triumphs in divine faithfulness. The stormy sea feeds multitudes with its fishes; the wild wood blooms with beauteous flowerets; the stormy wind sweeps away the pestilence; a vein of good is to be found in every mine of evil...Out of the rough oyster-shell of difficulty she extracts the rare pearl of honor, and from the deep ocean-caves of distress she uplifts the priceless coral of experience. When her flood of prosperity ebbs, she finds treasures hid in the sands; and when her sun of delight goes down, she turns her telescope of hope to the starry promises of heaven."

Tuesday, February 23, 2010

2010 got off to a good start! I'm excited to see what God has in the year ahead. As every day passes, I am able to experience anew His care of me. That is so priceless to me.

Monday, November 30, 2009

First Week of Advent

Sometimes I feel pretty hypocritical writing things like what I'm going to write because I see what an incredible hypocrite I am. But sometimes, like now, I just have to write anyway:)

From Jeremiah: "So the word of the Lord has brought me insult and reproach all day long. But if I say, 'I will not mention Him or speak any more in His name', His word is in my heart like a fire, a fire shut up in my very bones. I am weary of holding it in; indeed, I cannot."

So it's the first week of Advent, of the four weeks of Advent, culminating in Christmas. I was reading this in a book, and it was so wonderful. Ever since I became a Christian, the Bible became living to me, and I long to delve deeper and deeper into it, to discover its layer upon layer upon layer of meaning, much like a Holy lasagna! There is so much in it that I wrestle with, so much that I frankly don't like, and even more that is completely incomprehensible to me. But nevertheless, it is truly living and active, and revelatory. As we prepare our hearts to celebrate Christ's birth, it would do me well to remember all of the miraculous events surrounding His life and death.

From "Fifth Seal" by Bodie and Brock Thoene:

The rushing wind stirred the wild oats. Oak leaves rattled as the sun sank low in the west and the twilight fell. And then, on the breeze, Yosef heard the voice:

' Yosef bar Jacob...Yosef, son of Jacob. Adonai has heard your question.'

"Which question? I've asked so many!"

'How is it that the Messiah is called Bar El Olam -- Son of the Eternal God -- yet will live on earth and be called Yeshua bar Yosef?' Before time existed, He existed. Listen to the Word of Adonai..."In the beginning was the Word, and the Word was with God, and the Word was God. He was with God in the beginning. Through Him all things were created; without Him nothing was created which had been created. In Him is the life, and that life is the light of men. The light will shine in the darkness, but the darkness will not understand it."

"You speak of Messiah. Of the baby Mary carries. Yeshua, who will be my son. Yeshua bar Yosef...Son of the mighty Elohim? Yeshua bar Yahweh? I still don't know how it can be or why."

'He is within the first word of Scripture. Think, Yosef, of the first word in Torah. Six Hebrew letters: bet....resh....alef....sheen....yod....tav....pronounced BeRESHiYT. What does it mean?'

"In the beginning."

'These six letters contain the clue to all creation. Read it in Hebrew. Only two letters at a time. Begin, "In the beginning".

"Bet Resh".

'Stop there. Now tell me what small Hebrew word is spelled by Bet Resh.'

"The first two Hebrew letters of "in the beginning" are Bet and Resh...the exact same spelling as the Hebrew word for Bar! Son! Bar! It indicates the 'heir apparent, a ruler coequal with his father'."

'Now, the next two letters, please.'

"Alef. Sheen. Of course! This spells the Hebrew word for 'foundation'! The next two letters Yod and Tav spell Yath! This mean 'who'!...Bet...Resh...Alef...the word is Bara. This means 'created'!"

'Now, breaking the Hebrew sentence into these smaller words, what eternal truth do the first nine letters of Genesis explain?'

"Bar...son...heir of the Father. Osh...from foundation. Yath...who. Bara....created."

'Go on. One with Elohim, He created...the heavens and the earth.' Yosef's visitor stood and bowed deeply as he finished his proclamation.'The Word of the Lord. This amplifies the truth of eternity. It does not contradict it. So, you see, within the Hebrew word IN THE BEGINNING is also the identity of the Creator. He is the Son. He is the Heir. He has existed from the Foundation. He is the Word. The Creator. The Son and Heir is one in being with Elohim. And there is much, much more. So very much more eternal truth woven into these nine letters...if only we had time.'

"Wait! Don't go! Don't leave me feeling so...small!"

'It is written. Soon! Soon! He is coming soon! You will behold him face-to-face. Immanu'el...God-with-us.'

On a typically cruddy and frustrating Monday, this was just what I needed to read to remind me that God's got it under control.

Thursday, October 22, 2009

My First Stint as an NP...Sorta

So, today was my first 'official' "clinical" as an NP...there are so many quotes there because I spent the day at a Health Fair, and did nothing beyond general nursing. But as it happened under the purview of my NP curriculum, I'm counting it. I wasn't so sure what to expect; we were at a very cool organization by Columbia's main campus, and were there all day to do general screening and whatnot for the employees, of which there were many.
I started out the morning at the Urology station, shadowing a dickens of a doctor, who told me, upon meeting him, that he was "One hundred and forty years old!" and proclaimed his profession to be "plumber", when asked if he was a doctor! He was an absolute hoot! Anyone who knows me knows my odd affinity for all people old, and I wanted to just put him in my pocket and take him home with me, he was so adorable! He was talking about his history, speaking in a mellow Irish brogue, reciting his tales of med school and training. He has been in the states for years, but grew up and received training in Dublin and London, and came here with his family many years ago.
His favorite thing to talk about was urology jokes. Definitely inapprops, and most likely offensive to at least half of the general populace, but coming from him, it just made one laugh. He really liked one about a Polish urologist: "You know how doctors do a rectal exam of your prostate with just one finger? Well, there was this Polish urologist. And another doctor was with him one day, and noticed that the Polish urologist was doing an exam with two fingers, instead of the customary one. So he asked him about it. The Polish doctor answered, 'I do it with two...one to do the exam, the other to give a second opinion!'" Laughing ensues:) Then he asked us if we had ever heard of the 'pasteurized' diet. No, we answered, you mean like milk and stuff? "Oh no", he says, and winks at me. "You just watch the food go past-your-eyes!!" Hahaha. So stinkin adorable, I almost couldn't take it. We talked about pelvic floor exercises and stress incontinence (peeing your pants when laughing/coughing/etc) and other such delightful subjects. I loved working with him!
Then it was time to rotate out. Giti and I went out to the registration table, the table that pretty much determined the flow of the whole room. It was our turn to direct things. And by direct, I mean, collate some papers and give them to people to sign. The funny thing was, by this time, I was getting low blood sugar cause I hadn't eaten in a few hours, and was starting to see everything as quite funny. Giti seemed to be similarly affected, so that didn't really bode well for the professionalism aspect that we are supposed to portray as NPs.
So we receive a quick tutorial from some fellow students, and sit down to see what we can do. Which turns out to be, not much. Anything beyond putting intake papers on a clipboard and telling people to bring back the pens seemed to be totally beyond us. If someone asked us a question about anything but that, we'd look at each other, and feel like saying, "Yeah. Between the two of us we have about five advanced degrees. But we're doing the papers. So we're gonna go ahead and direct you to that person over there who most likely knows as little as we do, but will make up an answer for you. Have a lovely day." No, we didn't say that, but we sure as hell felt like it. We'd send people to the blood pressure table, thinking, "Riiiiiiggghhhht. Why don't you just go over there to (whomever-insert classmate's name here), and she'll hook you up with a reeeeaal nice blood pressure. Yeah, I know a guy. You want a good pressure? Something to lower your rates for the insurance company? Yeah, just go see my friend over there. She'll take care of you good..." said in best imitation mob member voice.
We were laughing so hard that at one point I had tears rolling down my face and was gasping for air. And I was not unobtrusive at all, which made it worse. We got to the point of saying the same thing over and over, "Hi! Welcome. Just fill out all your information on the white part, sign here by the x, then (turning to next page), sign your name here and date. Then bring back the clipboard and pen, and we'll direct you where to go next!" and maybe it was the repetitiveness of it or something, but Giti was rolling through the schpeal and I lost it. I bent over and 'pretended' to be looking for some papers under the table but was really silently laughing so hard I almost peed my pants. And then I hear Giti losing it as she explains things to a client, which is NOT good, and when she is done, she gets up and excuses herself. She has to leave the room she is laughing so hard. We physically could not even look at each other without losing it.
I have this bad feeling that someday, I'll get attacked with the giggles at an inapprops time, which honestly, happens to me more than it should, and a patient will think I'm laughing at them. Like, someone comes in to see me, and I am reviewing the results of their bloodwork with them, and it turns out that they are positive for tumor markers and their MRI shows a mass and the biopsy came back positive, and I have to tell them they have cancer. And I look up at them, and start laughing. Deep, trembling belly laughs. Totally inappropriate laughing. And I can't stop. I just can't stop. I would probably be the person who laughs at a funeral, even though inside I might be devastated and weeping and missing the person so badly, outside, something would strike me as funny and I'd be off. I really need to work on this.
So when we came back from lunch, I was doing blood pressures, which morphed into health counseling, and I found myself spewing out info about cholesterol levels, BMI, blood pressure, etc. and I had no idea where it was coming from. Turns out I know a little more than I generally think I do. But I often feel like I know just a wee bit more than a patient, and think, "Wow, if you really knew that I am desperately searching my mind for this info, and I'm pretty sure I know it, but maybe I don't, I don't know..." but having to appear completely confident on the outside, it makes me think of what my friend Ash says about it. Seeing as we are all new nurses, she said that her first few months on the job felt like it was all smoke and mirrors...you say something to the patient which you are mostly sure about, but you have to convey it in an ultra-confident manner. Now, I don't want anyone to get the impression that we don't go ask someone if we don't know; we do, and I hope I do for the rest of my career. But it is just funny because you put on these professional white coats and have your stethoscope and people come up to you and ask you about cholesterol or something and you think,"Dang! Thank God I just reviewed that this morning, otherwise I'd really not know what to say!"
So, overall good day, fun stuff, and I am feeling very nurse practitioner-y tonight.

Wednesday, October 21, 2009

Fallishness

I was talking to my mother this morning, receiving the requisite advice about life in general, walking through the streets of NYC, and just generally feeling very happy. I have to be honest, and I know my California friends will absolutely boo this thought, but I'm not so thrilled about the 73 weather...I think fall should feel and look like fall...although I'm sure after a few days of freezing-ness, I'll be complaining about that too!
But talking to my mom suddenly shifted me back many years, to the great Wisconsin falls, and split pea soup. I can close my eyes and picture exactly a scene that took place, and repeated itself, many many years ago. My mom always made delicious, thick, split pea soup which we garnished with yummy croutons, and I'd sit at the kitchen table, looking out our windows and seeing that characteristic fall sky, nearly-leafless trees waving gently in the late afternoon breeze. The soup would be bubbling on the stove, mom and I both starving, but waiting for dad to get home from work so we could dive in to the green goodness. I can still smell and taste it! I told my mom this, and she told me that she was washing dishes this morning and suddenly flashed back to when I was a little girl, probably no more than three or four, helping my dad with the dishes. There is a picture of me, standing on a chair next to the sink, a towel tied around my waist, and 'helping' dad wash and dry our supper dishes. I've always loved doing the dishes, except for a brief stint of hating them in high school, so I guess this love came early. As far as I remember, I think I used to ask to help do the dishes...weird kid that I was!
It feels nice to take a few minutes to sit down and write something; it feels like forever. My days have been absorbed with studying for the recent slew of tests, studying that I am fervently praying paid off. Grad school is tough, but I love what I'm learning, even if, as my friend Kathleen pointed out, it often feels disorganized at best, and we have to reconcile ourselves to the fact that we will mostly be teaching ourselves. But, for what its worth, I am so thankful to God for the opportunity. The sucky thing though is not keeping in better touch with friends that I have around the country...those of you I owe calls to, please know I love you and always will, and we'll talk soon!
My birthday this year was indescribably fabulous, and I wake up each day, astonished at the blessings that the Lord has seen fit to give me, from amazing, irreplaceable friends, to a cozy apartment, to enough (but just barely enough) money in the bank acct, to loving parents, to a great Kitty! Life is not always easy; ha, who am I kidding? It is never easy; but God has given all of us blessings, every day, and I pray that we are all able, no matter where we are or what circumstances we find ourselves in, be able to have the eyes to see them. "Every good and perfect gift comes from the Father above", and what an incredible Father He is.

Thursday, September 3, 2009

Observations on New York as Summer Draws to a Close

As I was walking down the street today, letting the early afternoon sunshine warm myself, I started thinking about stuff. Well, usually I am thinking about stuff; in fact, I can't get my head to shut up, which, when trying to sleep, is quite the pain. But I digress. I snapped out of my reverie in time to see an utterly and completely adorable old old Chinese man shuffling along in front of me. He was impossibly stooped, had a tuft of white hair crowning his head, and swung his arms in unison, propelling himself along. If I had timed him, I bet it would have taken him upwards of ten minutes to traverse the block, a distance that I could probably travel with many minutes to spare. But as I looked at him, and left my heart there at his feet, I thought about all of the other adorable old men and women I had seen on the streets this summer. Some were accompanied by aides, some were solitary. And as I look at these marvelous people, I try to imagine what they used to look like. Did that guy over there with the sloped shoulders used to stand tall and strong in his army uniform? Did that lady in front of me, no more than 4 feet tall, used to dress in her best and go out dancing on Saturday night? I think about the vast wealth of life experience and knowledge all of these pillars of society possess, locked away in their minds, and I hope against hope that someone, somewhere is writing it all down.
I pass a table selling, what I would charitably call, junk. "Buy this shit for a buck!" the signs should more accurately say; instead, what I read is: "Sea Creatures that expand in water-$1" or "Stickers! $0.50". I want to ask the guy sitting behind the table, "Um, excuse me, but does anyone really buy this crap?" and then I see it. The little capsules of stuff that looks like nothing, and when put into water expands into seahorses and dolphins and dragons, the stuff of imagination! And I remember how much I used to love playing with these things...my Mom would get them for me, and I can remember many a pleasant morning, watching them grow in water. It never got old. Well...maybe this table isn't all completely junk, after all:)
I keep walking, and a thought makes me laugh. Being a health professional now, I have lost all embarrassment about discussing bodily functions, so I say what I say next as candidly as possible. Coming from a family where gaseous emissions from the nether-regions of the body is practically an art form, I have noticed how New York absolutely lends itself to the ability to surreptitiously and anonymously release pent-up flatulence. One can be walking down the street, trying in vain to quench the desire to let it go, to cut the cheese, as it were, and realize, in a moment of clarity, "Wait! I can relieve myself! Right here! Right now! With the noise of the traffic and the ever-present potpourri of smells in the city, my little contribution will pass unnoticed! And, I'm walking so fast, no one can associate it with me anyway!" Not that I've ever thought this, of course. I'm just saying, one could:). Growing up with the male members of my family letting one go at shopping malls, grocery stores, and any number of inappropriate places, while walking briskly away from the point of impact with a smile on his face, leaving anyone unfortunate enough to be within a ten-mile radius the unpleasant surprise of a Weinkauf family gift. Yes, folks, we give only the best! This city disperses with those nagging thoughts of "What if that cute guy behind me smells it??" or "Gee, I hope no one hears me!" as one can walk merrily along, tooting like the trumpet in a brass band, and no one is the wiser.
Sitting at my computer, I notice how the sun hits the opposite wall differently than it did even a month ago, and I think about the inevitable transition of summer into fall, winter into spring. A cycle of life and death, a cycle of dormancy and sudden, startling birth, a cycle of joy in nature. This past week, the sky has been so blue as to almost sing with its blueness. I step outside, I take a deep breath, and I marvel at the beauty of the azure ceiling that covers us all, regardless of creed, nationality, or political ambition. I think about how the things that unify us are so much greater than all the little things that divide us, and how blessed we are to live in a country where these differences are able to be freely expressed. I might not agree with most of them, but I am so glad that people can say them without hesitation, because that means that I can voice my unpopular opinions as well.
I watch school children romping off to school, and I am suddenly taken back to my own grade-school days. I used to look with great anticipation to the beginning of a new school year. Nerd that I am, nothing thrilled me more than going school-supply shopping. The feel of a brand-new Crayola crayon, the bright colors of yet-to-be-used markers, the soft and slightly tangy sent of a freshly sharpened pencil, all made me want to dance with joy! Honestly, I just loved it. I loved a stack of looseleaf paper, eagerly anticipating all of the homework assignments and writing that those sheets would soon be filled with. I love learning new things, I love the challenge that comes with meeting an obstacle and trying to reason a way through it. Now, as I await the second semester of my graduate school experience next week, I can relive that glee that I felt when I was young. Maybe I'll go out and get a new pack of markers, just for old times' sake.
New York provides endless fodder for the imagination, and I am looking forward to a fall filled with new stories, new experiences, kicking through the leaves in Central Park, going for long walks along the Hudson, watching the changing trees, eating pumpkin pie, catching snowflakes on my tongue. Too many of us lose the wonder we felt as a child when experiencing these things. Now that I am fully adult and have to live in the 'real world', I have decided that this fall will be my fall of childlike-awe. I am going to not take the little joys for granted, but revel in each and ever sensory, intellectual, and personal experience. I can't wait!

Sunday, August 9, 2009

God Vs. Science??

Loving both God and science, I've always been sad that there seems, amongst popular opinion at least, the idea that they oppose each other. God=faith, science=empirically proven facts. I've been of the opinion though that science reveals the glory of God, the creativity of His mind, and dovetails perfectly with what I read in the Bible. I look at the stars and I see that "The Heavens are telling the handiwork of the Lord". I look at the small veins in the leaves on the trees in Central Park and I see perfection of design, and marvel at photosynthesis, cellular growth, and the simplicity but breathtaking magnificence of the translation of sun and carbon dioxide into energy and oxygen. I watched a show about plate tectonics on National Geographic Channel and think of how perfectly God set things up to renew and regenerate. I study the human body, and see the overwhelming intricacies of what makes us who we are. I look around me, I close my eyes, and I feel the wind on my face. What is wind? What is flame? What are these things really??? So simple, such a part of everyday existence, but really, when I sit down and think about it, how incredibly mind-blowing these things are. I feel like a small child, tugging on her Dad's shirt, saying, "But WHY Dad? Why is this thing like this, and that thing like that? How does it work?? Why are things the way they are??" I read about the theory of evolution, about carbon dating and geological eras. I read about creationism and the belief that the earth is only 6000 years old (a belief I don't personally adhere to, but I can understand how creationists might have derived that figure from Genesis).
I feel like there is the prevailing sense of God against Science, or Science against God. They cannot coexist, they cannot both be true. But I just don't see it. I just don't see how faith and science aren't just two different sides of the same coin. To me, science reveals God. God's Word reveals scientific fact. I'm obviously very passionate about this, but I'll let the following say what it is my heart about it. A dear friend sent me this email, and as I read it, I found myself thinking, "Yes. Yes this is exactly it." Thanks, Ash, for sending me this:

God vs. Science

A long story, but a great conclusion.



A science professor begins his school year with a lecture to the students, 'Let me explain the problem science has with religion' The atheist professor of philosophy pauses before his class and then asks one of his new students to stand.

'You're a Christian, aren't you, son?'

'Yes sir,' the student says.

'So you believe in God?'

'Absolutely.'

'Is God good?'

'Sure! God's good.'

'Is God all-powerful? Can God do anything?'

'Yes.'

'Are you good or evil?'

'The Bible says I'm evil.'

The professor grins knowingly. 'Aha! The Bible!' He considers for a moment.

'Here's one for you. Let's say there's a sick person over here and you can cure him. You can do it. Would you help him? Would you try?'

'Yes sir, I would.'

'So you're good...!'

'I wouldn't say that.'

'But why not say that? You'd help a sick and maimed person if you could.... Most of us would if we could. But God doesn't.'

The student does not answer, so the professor continues. 'He doesn't, does he? My brother was a Christian who died of cancer, even though he prayed to Jesus to heal him. How is this Jesus good? Hmmm? Can you answer that one?'

The student remains silent.

'No, you can't, can you?' the professor says. He takes a sip of water from a glass on his desk to give the student time to relax.

'Let's start again, young fella. Is God good?'

'Er...yes,' the student says.

'Is Satan good?'

The student doesn't hesitate on this one. 'No.'

'Then where does Satan come from?'

The student falters. 'From God'

'That's right. God made Satan, didn't he? Tell me, son. Is there evil in this world?'

'Yes, sir.'

'Evil's everywhere, isn't it? And God did make everything, correct?'

'Yes.'

'So who created evil?' The professor continued, 'If God created everything, then God created evil, since evil exists, and according to the principle that our works define who we are, then God is evil.'

Again, the student has no answer. 'Is there sickness? Immorality? Hatred? Ugliness? All these terrible things, do they exist in this world?'

The student squirms on his feet. 'Yes'

'So who created them?'

The student does not answer again, so the professor repeats his question. 'Who created them?' There is still no answer. Suddenly the lecturer breaks away to pace in front of the classroom. The class is mesmerized. 'Tell me,' he continues onto another student. 'Do you believe in Jesus Christ, son?'

The student's voice betrays him and cracks. 'Yes, professor, I do.'

The old man stops pacing. 'Science says you have five senses you use to identify and observe the world around you. Have you ever seen Jesus?'

'No sir, I've never seen Him.'

'Then tell us if you've ever heard your Jesus?'

'No, sir, I have not.'

'Have you ever felt your Jesus, tasted your Jesus or smelt your Jesus? Have you ever had any sensory perception of Jesus Christ, or God for that matter?'

'No, sir, I'm afraid I haven't.'

'Yet you still believe in him?'

'Yes.'

'According to the rules of empirical, testable, demonstrable protocol, science says your God doesn't exist. What do you say to that, son?'

'Nothing,' the student replies, 'I only have my faith.'

'Yes, faith,' the professor repeats. 'And that is the problem science has with God. There is no evidence, only faith.'

The student stands quietly for a moment, before asking a question of his own. 'Professor, is there such thing as heat?'

'Yes,' the professor replies, 'There's heat.'

'And is there such a thing as cold?'

'Yes, son, there's cold too.'

'No sir, there isn't.'

The professor turns to face the student, obviously interested. The room suddenly becomes very quiet. The student begins to explain. 'You can have lots of heat, even more heat, super-heat, mega-heat, unlimited heat, white heat, a little heat or no heat, but we don't have anything called 'cold'. We can reach up to 458 degrees below zero, which is no heat, but we can't go any further after that. There is no such thing as cold; otherwise we would be able to go colder than the lowest -458 degrees..'

'Everybody or object is susceptible to study when it has or transmits energy, and heat is what makes a body or matter have or transmit energy. Absolute zero (-458 F) is the total absence of heat. You see, sir, cold is only a word we use to describe the absence of heat. We cannot measure cold; Heat we can measure in thermal units because heat is energy. Cold is not the opposite of heat, sir, just the absence of it.'

Silence across the room. A pen drops somewhere in the classroom, sounding like a hammer.

'What about darkness, professor. Is there such a thing as darkness?'

'Yes,' the professor replies without hesitation, 'What is night if it isn't darkness?'

'You're wrong again, sir. Darkness is not something; it is the absence of something.... You can have low light, normal light, bright light, flashing light, but if you have no light constantly you have nothing and it's called darkness, isn't it? That's the meaning we use to define the word.'

'In reality, darkness isn't. If it were, you would be able to make darkness darker, wouldn't you?'

The professor begins to smile at the student in front of him. This will be a good semester. 'So what point are you making, young man?'

'Yes, professor. My point is, your philosophical premise is flawed to start with, and so your conclusion must also be flawed.'

The professor's face cannot hide his surprise this time. 'Flawed? Can you explain how?'

'You are working on the premise of duality,' the student explains. 'You argue that there is life and then there's death; a good God and a bad God. You are viewing the concept of God as something finite, something we can measure. Sir, science can't even explain a thought.'

'It uses electricity and magnetism, but has never seen, much less fully understood either one. To view death as the opposite of life is to be ignorant of the fact that death cannot exist as a substantive thing. Death is not the opposite of life, just the absence of it.'

'Now tell me, professor, Do you teach your students that they evolved from a monkey?'

'If you are referring to the natural evolutionary process, young man, yes, of course I do.'

'Have you ever observed evolution with your own eyes, sir?'

The professor begins to shake his head, still smiling, as he realizes where the argument is going. A very good semester, indeed.

'Since no one has ever observed the process of evolution at work and cannot even prove that this process is an on-going endeavor, are you not teaching your opinion, sir? Are you now not a scientist, but a preacher?'

The class is in uproar. The student remains silent until the commotion has subsided.

'To continue the point you were making earlier to the other student, let me give you an example of what I mean.'

The student looks around the room. 'Is there anyone in the class who has ever seen the professor's brain?' The class breaks out into laughter.

'Is there anyone here who has ever heard the professor's brain, felt the professor's brain, touched or smelt the professor's brain? No one appears to have done so. So, according to the established rules of empirical, stable, demonstrable protocol, science says that you have no brain; with all due respect, sir.'

'So if science says you have no brain, how can we trust your lectures, sir?'

Now the room is silent. The professor just stares at the student, his face unreadable.

Finally, after what seems an eternity, the old man answers, 'I guess you'll have to take them on faith.'

'Now, you accept that there is faith, and, in fact, faith exists with life,' the student continues. 'Now, sir, is there such a thing as evil?'

Now uncertain, the professor responds, 'Of course, there is. We see it every day. It is in the daily example of man's inhumanity to man. It is in the multitude of crime and violence everywhere in the world. These manifestations are nothing else but evil....'

To this the student replied, 'Evil does not exist sir, or at least it does not exist unto itself. Evil is simply the absence of God.. It is just like darkness and cold, a word that man has created to describe the absence of God. God did not create evil. Evil is the result of what happens when man does not have God's love present in his heart. It's like the cold that comes when there is no heat or the darkness that comes when there is no light.'

The professor sat down.

Tuesday, July 28, 2009

I Made It

I took a deep breath, the wind gently brushing by my face. The seagulls were on the Jackie O reserve, just floating lazily by. There was a sparrow taking a bath in a puddle left by the rain storm; he looked so happy to just be a sparrow and be taking a bath. As I stopped running to take this all in, I realized, for the first time in I don't know how long, that I was free. I didn't have to hurry home to study for a test or write a paper; I didn't have to have the constant stress of study study study on me. This is a path that I have chosen, and I wouldn't have done anything else. But this has been a very hard, yet very very good, last year and a half. I am a nurse now; I can hardly believe it. I just finished my first summer of NP classes and will graduate Feb. 2011. I am ready to have the time, emotionally, mentally, physically, to call back friends that I haven't talked to in ages. I am ready to take a book and spend an afternoon reading in the shade of a big oak tree in Central Park. I am ready to work on an oil painting, learn the cello again, go dancing, volunteer at my church, and just be. I am ready to not have a headache every day. I am ready to maybe let my shoulders unclench, even if it is just a little. In all of this, in everything that has happened, the last few months have been the hardest. I feel as though I have become the worst version of myself, and I don't like that. I don't like feeling like I want to yell at someone just because they are walking slowly in front of me. I hate the fact that when I get as stressed, emotionally and mentally, as I have been these past few months, my swearing quotient goes up. That is just silly, and it is not me. I am ready to not be so emotionally labile and get a grip for goodness sakes! I am ready to not cry about something as insignificant as spilling a glass of water. I mean, honestly! This month will probably go fast, as everything does, but I am praying that for me and my schoolmates, who desperately need this reprieve, that it stretches on interminably, to the point that we start wanting something to do again.
I am so ready to get back to being me, and not feeling like an alien walking around in my body. This has been a difficult summer, but when I think of all we've accomplished, I am in awe. God has been faithful, and has given me the grace and strength I've needed for each trial that has come my way, and I am so incredibly incredibly thankful. Now, it is time to relax. To regenerate. To remember who I am and what I stand for and to be built back up, from the inside out. It doesn't seem real yet; the prospect of some test hangs over my head and I have to keep reminding myself that I don't need to study today, or tomorrow, or the next day. I can step outside, take in the beauty of the sun and the clouds, and be in awe, yet again, of God's handiwork. I can just be. And for the time being, that sounds like bliss to me.

Thursday, July 9, 2009

Hands

Got this from a friend:

"Hands" by Dr. Ray Pritchard

“Jesus called out with a loud voice, ‘Father, into your hands I commit my spirit.’ When he had said this, he breathed his last” (Luke 23:46).

Luke is the only writer to record the final words of the Son of God. Every word tells us something important:

Father—This was Jesus’ favorite title for God. It spoke of the intimate family relationship that had existed from all eternity. His first word from the cross had been, ”Father, forgive them.” His last word was, “Father, into your hands I commit my spirit.” But in between he had cried out, “My God, my God, why have you forsaken me?” He called him, “My God” and not “Father” because in that agonizing moment, the Father turned his back on the Son as Jesus bore the sin of the world. God forsaken by God! But no longer. Jesus dies with the knowledge that the price has been fully paid, the cup emptied, the burden borne, estrangement ended, the battle won, the struggle over. Whatever happened in those three mysterious hours of darkness is now in the past. Jesus yields his life to the One he called “Father.”

Into your hands—Oh, the touch of a father’s hands. What son does not long for his father to reach out and embrace him? There is something wonderful about this expression. It speaks of safety—"I am safe in my father’s hands”—and of greeting—"Welcome home, Son”—and of love—"Dad, it’s so good to see you again”—and of approval—"I’m so proud of you, Son.”

For 15 hours Jesus has been in the hands of wicked men. With their hands, they beat him. With their hands, they slapped him. With their hands, they abused him. With their hands, they crowned him with thorns. With their hands, they ripped out his beard. With their hands, they smashed him black and blue. With their hands, they whipped his back until it was torn to bits. All that is behind him now. Wicked hands have done all they can do. Jesus now returns to his Father’s hands.

I commit—The word means to deposit something valuable in a safe place. It’s what you do when you take your will and your most valuable possessions and put them in a safe-deposit box at the bank.

My spirit—By this phrase, Jesus meant his very life, his personal existence. Now that his physical life was over, Jesus commits himself into his Father’s hands for safe keeping. “Father, I can no longer care for myself. I place myself in your good hands for safe-keeping.”

Matthew 27:50 tells us that at the moment of his death, Jesus “dismissed his spirit.” That is, he voluntarily yielded it up to the Father. His life was not taken from him against his will; when the time came, he gave up his life voluntarily.

The death of Christ is not the final act of a tragedy but the victorious ending of a mighty battle.

On this Good Friday, an apt name for a day that began in the darkness of the night and ended with the Son of God giving up his life for sinners, let us give thanks for Jesus’ death. Not just that he died but for his death itself. And may these words translated by James Alexander in 1830 from an old Latin poem attributed to Bernard of Clairvaux serve as a fitting benediction:

What language shall I borrow to thank Thee, dearest friend,
For this Thy dying sorrow, Thy pity without end?
O make me Thine forever, and should I fainting be,
Lord, let me never, never outlive my love to Thee.

Tuesday, June 30, 2009

Somebody Had a Case of the Mondays...

Monday. Again. Mondays are pretty nearly unbearable. Well, maybe I am exaggerating somewhat, but not much. We have class for 11 hours. Yes. You read me right. 11 hours. That is a long time to have information thrown at you. Well, by the end of the day, we are pretty much done for, and we still have four hours of pharmacology to look forward to. Pharmacology, the class that makes watching paint dry seem thrilling. The class that practically requires you to have a prescription to get an upper just to get through it. It isn’t our teachers’ faults, it’s the subject matter's fault. Really, I don’t know any way one could spice up what is really just a glorified version of reading of the boxes in your local drugstore medicine aisle. Okay, I’m exaggerating again, but honestly. This stuff is dry. Dry as a piece of toast dry. Dry as the dessert in a drought dry. Dry. So, of course, my girls and I do what we can to spice it up. For me, this state of mental fatigue is pretty much akin to how I’d be on one or two glasses of wine (for anyone who knows me well, they know that that makes for a pretty inebriated Stef). So, put that, along with a group of good girlfriends who make one another chuckle, add in a little inability-to-stop-laughing-itis, and you’ve got the ingredients for a pretty crazy time. Crazy in an understated way, mind you. The thing about all this that is really galling is that we need to know this info. These are drugs we will be prescribing for our patients in a few years, so it is imperative that we have this stuff straight. But it is just so HARD to sit through four hours with two ten minute breaks of monotonous drug talks that it makes you want to tear your hair out! Really, I’m surprised I haven’t been entirely reduced to a dazed, lazy-eyed, drooling mess by the end of class. These past two weeks have really been something else, too. Last week was the cardio drugs lecture, a lecture presented in powerpoint slides, three on an 8.5” x11”, double-sided, making a stack of papers that would make War and Peace blush with embarrassment, or whimper for mercy. Last week was mind-numbing enough, but this week…whoa. This week made last week seem like a night at the comedy club. This week was Osteoarthritis, Pain Management, Rheumatoid Arthritis, and GI stuff. Gig and I almost waved white flags for mercy, and we were only a quarter of the way through. But, like I said, the way I cope with and respond to stress is humor. Laughing. Making up songs and funny poems to get me through. That’s just how my mind works. Well, tonight, Gig and I came up with some doozies that had us laughing into our hands, turning red, and hoping the teach didn’t see us.
When we got to talking about arthritis, there was a lot of discussion on how it affected “weight-bearing joints”. Meaning, knees and such. Well, my mind was already so far gone that the only thing in my head was a picture of marijuana, a “joint”, with some barbells on it. A weight-bearing joint. I was picturing this marijuana going to the gym, working out, strutting around, showing the ladies its sleek new physique. I was clearly losing it. Then we talk about headaches. Our teach asks us what some abortive therapies for headaches are? Well, since I was working on a pretty good one right about then, the options of 1)leave class, 2)craniotomy and/or thoracotomy, and 3)sharp stick in the eye, seemed like pretty good ideas. Moving on to gastrointestinal issues, fondly known as GI stuff. I sat there thinking, “Wouldn’t it be funny if instead of GI Joe there was a whole series dedicated to the heroics of our gastrointestinal tracts? Like, a picture of an intestine wearing army fatigues, absorbing fluid and nutrients and just generally being a good guy. GI Smooth M (as in smooth muscle)!” Okay. Yes. I am such a nerd. Gig and I started writing songs, set to old tunes:
Based on “Shoop” by SaltnPepa
Here I go here I go here I go again Girls what’s my weakness? Dyspepsia! Okay then.
And more from “Shoop”:
On your mark get set go, let me go, let me shoop, to the next pill in the proton pump suit.
From “What a Man”, I can’t remember who sang this, maybe SaltnPepa again?:
What a duodenum what a duodenum what a mighty mighty duodenum…I wanna take a minute to and give much respect to to the bowel that made a difference in my digestion…
Based on Warren G’s “REGULATORS”:
Proton Pump regulators!!!! Mauna. It was a smooth pink esophagus, an acid-filled belly, Warren G was in the antrum, trying to consume, some acid for his G’s, so I could get some relief, Rollin’ in the juices, just chillin’ all alone…Just hit the PPI on the parietal cells on a mission tryna stop Mr. Acid G, seeing a stomach full of acid ain’t no need to squeak all you docs know what’s up with PPI
Stupid. I know. Our teacher had the tendency to keep saying “caveat” when she was talking about the exceptions to something with the drugs. I began to notice the people around me giggling whenever she said this, and thought that perhaps they were envisioning making a drinking game out of it. She must have said ‘caveat’ fifty times.
Anyway, thank the good Lord that Monday is done. Phew. Now just have to memorize all this business for the test next week…oh yeah. And for the rest of my life.

Friday, June 19, 2009

Observations While Studying

My life has funneled down into a vortex of studying, going to class, and sleeping. It will be over soon (the over-abundant studying) but one thing I'll say for it: we've met some really strange/interesting people while doing so. The past few days we've been camped out at Barnes and Nobles; here's a snapshot of some of the strange people who have walked up to us or just started talking to us.

The Un-Encouraging Nurse from Sloane-Kettering
We were sitting at our two tables, quizzing each other aloud with NCLEX questions, and a late-thirties pregnant lady comes and sits at the table next to us. I didn't really take notice of her, except saw that she was super skinny and was reading a book on how to be naturally thin. The thought flashed through my mind, "Maybe she's anorexic" but then noticed the baby bump. Anyway, so we kept quizzing and I saw her keep shooting glances our way, and finally she interrupted and asked us what we were studying for. We told her, and she proceeded to tell us that she was a nurse at Sloane and she had been interviewing a lot of new nurses for positions, but they just weren't hiring. We told her that we were in the NP program at Columbia, and she told us she had graduated from NYU and then talked at us for literally a good twenty minutes straight about how we "must, absolutely must" get bedside nursing jobs before becoming NPs because they wouldn't even look at NPs who didn't have that requisite experience, etc. etc. She told us that no one was hiring and it was very hard right now (duh, we know) and then continued to elaborate upon her doom and gloom theme. G was getting seriously pissed, and we listened politely to her but tried to wrap it up as soon as was politely possible. It was seriously discouraging, and she assumed a lot of things about us and our experience level thus far, telling us that clinical time wasn't enough, we needed hospital time. I am choosing to believe that she extended her unsolicited advice out of the goodness of her heart, but if I was being completely objective, her tone and mannerisms seemed to have an undertone of an attitude I have noticed a lot out here. When we tell nurses that we are going to be NPs and have done the accelerated nursing program, there is usually an "oh" followed by a "well, you need experience otherwise you are going to suck and don't know anything" in not so many words, but implied. It seems that nurses who have been nurses for awhile rather resent us for what we are doing. Understandable, I guess. Unfortunate, but understandable. I have gotten to the point where if I am talking to a nurse, I don't even tell her I am going to be an NP. I don't want to deal with the attitude.

The Retired Plastic Surgeon Who Told Us What We Knew
We were reviewing the endocrine portion of the questions and had gotten to something called Hemoglobin A1C which you take in diabetics to tell how well, long term, they have been controlling their blood sugar. This is a point that had been driven home to us all year, and we were just discussing it, when this short, cute, old man came up to us and said, with no preamble, "A1C is by far the best indicator of blood sugar control..." and then went off about it for a few minutes. They say your true character comes out when you are stressed or tired, and as I was both, I'm not sure I like what my internal reaction to him tells about me. I was irritated. I was like,inside, "Look. WE KNOW. We have been studying forever and are going crazy and we don't need to waste time humoring someone who wants to tell us all about something that we know better than our own names. Please, for the love, just leave us alone!" But I got over it, and realized I was being a huge meany, and prayed for a better attitude. We chatted with a bit and he told us what he did, and then told us that we were entering a noble profession and that we were very needed. He turned out to be very sweet and encouraging, and was a nice change from the Sloane dispenser of Doom the day before.

The Old Lady Who Quizzed Us
Later on that same day, we were still quizzing, and I noticed, behind Allie, a strange-looking old lady who was practically hanging over her shoulder, listening to her asking us questions. It wasn't subtle and it wasn't an isolated event; she practically had her ear next to Allie's mouth, and was looking at me, and then was rocking back and forth and looking at Gig. It was very bizarre. She was listening to us for a long time, but I studiously avoided making eye-contact. It was getting really out of control, and suddenly, she pipes up from behind Allie, just butting into conversation, "You are a nurse at a nursing home. One of your elderly clients comes up to you and says, "My testicles, my testicles, I lost my testicles! I had them this morning, put them down next to the sink, and lost them! Where are my testicles?" What was he really talking about having lost?" We were all much taken aback, needless to say, but answered, "Um, his spectacles?" "Yes!" she says, and we ask her if she is a nurse (like we couldn't tell) and she said she used to be. She had the look of being a long-term psych nurse. I'm sorry to stereotype so shamelessly, but you really can tell the nurses who have worked in a psych unit for their career. On a side note, I don't think my friend Liz will be like that, though. She's a peach! Anyway, she continued to listen to us, almost on Allie's back, until we ran out of steam. Gig murmurs under her breath a sentiment I'm pretty sure we all shared, "I'm SO OVER people right now!" Amen, sister.

The Artist Who Tooted His Own Horn
I was at Starbs yesterday, trying futilely to connect to the internet, and asked the man next to me, who had tried already to strike up a convo with me, if he was connected. He was, and then proceeded to ask me what I did...he guessed writer. I said, no, nursing, and he told me about his recent foot surgery and gall bladder removal and how he wasn't listening to the doctor and resting. We talked shop for a bit, then he told me all about a van he's painting for MTV with his art. He turns around and shows me the back of his sweatshirt "See? This is my stuff!" It looked like graffiti art. Cool, but not really my thing. He then tells me all about how famous he is and how his art is in all the major museums in the world, etc. etc. He seemed quite proud of his accomplishments. I listened, but I thought that there was a fifty/fifty chance he was completely full of crap. We talked, or rather, he told me of his accomplishments, for at least a half-hour and then I started pack up, while still listening to him. I had to get work done, and it sure as heck wasn't going to happen here,apparently. At one point, he told me how there were demons in this world (which I agree with) and how he got in a fight with a possessed guy and beat the crap out of him (this he tells me with a puffed out chest). Cute. Anyway, I too have had my fill of people for awhile. I pray that God would make me internally kinder to those people out there who I just don't understand, but for now, I think I'm content to stay in my cozy apartment and lose myself in an Agatha Christie.
There certainly are many many interesting characters in this world, and I usually greatly enjoy meeting them, but I am too burned out right now to even make the effort.
And as I write this, a lady with unfortunate bright blue eyeshadow, which matches her J Crew shirt, walks in and sits by me. Oh no. Please, Lord, no.

Thursday, April 9, 2009

Passover


“Now on the first day of Unleavened Bread the disciples came to Jesus, saying, ‘Where will you have us prepare for you to eat the Passover?’ He said, ‘Go into the city to a certain man and say to him, “The Teacher says, My time is at hand. I will keep the Passover at your house with my disciples.”’And the disciples did as Jesus had directed them, and they prepared the Passover.” –Matt. 26:17-19

I got to experience my first Seder last night, at the home of the aunt and uncle of a dear friend, and it was truly amazing. I’ve always wanted to celebrate with a real Jewish family; see the traditions and rituals that Jesus most likely would have partaken of. As a Christian, these next few days are very solemn and heavy for me, and cause me to do a lot introspection and thanksgiving to Christ for what He did. I want to know all aspects of God’s character, and He was a Jew. Anyway, it was such a privilege for me to be invited to partake in the Seder. Allie’s family is so wonderful, and prepared quite the feast for us.
The evening started with the Kiddush: “Blessed are You, L-rd, our G-d, King of the universe, who creates the fruit of the vine. Blessed are You, G-d, our G-d, King of the universe, who has chosen us from among all people, and raised us above all tongues, and made us holy through His commandments. And You, G-d, our G-d, have given us in love.”
This is said in Hebrew, though, and when I closed my eyes, I could hear the voices of God’s people since the beginning reciting these holy words. I got goosebumps. As we went through the Haggadah, the book of Passover, we remembered the plagues that God sent on the Egyptians when Pharoah would not let the Israelites go. We dipped our pinky fingers into the wine after saying each plague, and placed one drop on our plates, for a total of ten. This was in commemoration of the tears shed by all, even the innocent Egyptians who suffered the plagues as well.
When Allie’s uncle lifted the unleavened bread and broke it, and lifted the cup of wine and blessed it, I almost started crying. This is something that we have done every Sunday since I can remember, at church. For us it is called Communion, and is in remembrance of the Last Supper, which Jesus ate with His disciples before He was betrayed in the Garden of Gethsemane. When I saw this, and that this was something Jews have been doing since the first Passover, I realized anew how intricately my faith is woven with that of the Jews. Of course, I’ve always known Jesus was a Jew, that goes without saying. But to see the beautiful ceremony of remembrance and thanks to God that Jesus partook of, in living color, here in front of me, well, it absolutely overwhelmed my heart with joy and solemnity. I can’t really put it into words, but I’ll try. It was like I was transported back in time, briefly, and saw with my own eyes the bread and the wine that Jesus broke for His friends. They thought they were going to just a normal Seder, but He knew it was so much more than that. In church last week, the pastor said that at the Last Supper, there was no lamb on the table, as is tradition, because the Lamb, the Passover Lamb, the sacrifice, the blood that would cover the lintels of the doors of His people and save them from death, was AT the table. Jesus is called the Lamb of God, and this took on a whole new significance for me last night.
I felt like I was a part of something so much bigger than me, and all of the thoughts and stirrings of my heart stilled, and I was there, worshipping the Creator of the universe, blessed be He. I wish I could adequately put into words exactly what it was like for me, but I don’t think I can. To say it was moving or powerful wouldn’t be going nearly far enough.
At one point, we remembered Allie’s grandmother Mira, who lost her entire family in the Holocaust, and survived concentration camps herself. She met the infamous Dr. Mengele, and as we read a remembrance her husband had written for the family years ago, I was tingling all over. Things that had only just been periphery to me were crashing down upon me with weighty significance. Allie is one of my dearest friends; I love her so much. And as I heard the story of her grandmother, the agonies she suffered, how she overcame them and still praised God, I praised God along with them that I was able to be apart of this beautiful remembrance. Allie told me later that her grandmother was saved twice, both times by a Christian. Wow.
Today, tomorrow, and Sunday might possibly be my three favorite days of the year. What Jesus did on the cross for us is the most glorious and most horrific thing done in the history of life. Glorious, because He did what no one else could do; He reconciled us to God. Horrific, because of the agonies and disgraces, the sheer horror of what He suffered. I have watched “Passion of the Christ” exactly once. I couldn’t watch what was being done to Him, Him Who is my heart of hearts, more than that. It absolutely slays me, and I have to spend many hours in prayer and solitude afterward, just to regain some emotional stability. But these next few days carry an incredible, momentous weight for me, and I can’t wait to celebrate the Resurrection with friends on Sunday.
Going to Passover last night with such a wonderful, loving family was such a great gift to me. I woke up this morning with my heart just singing to God, and remembering again how incredibly blessed I am.
On a side note: yesterday was also something called “The Commencement of the 206th Solar Revolution”. From what a friend told me: “The sun has a cycle in which every twenty-eight years it returns back to the position in which it was originally suspended on the first Tuesday night of Creation. Celebrating this phenomenon, Jews throughout the world arise the next morning (Wednesday) and gather together. Seeing the sun, they recite the beracha “Oseh ma’asek beresheet”. Apparently the sun has only been in this position, on Ereb Pesah (first night of Passover) only three times in history. Once, before the first Passover, when the Jews left Egypt. The second time, when Esther saved the Jews from the evil Haman. And third, yesterday.
The prayer they pray in the morning of this event is called “The Blessing of the Sun”:
Blessed are You, Adonai,
Our God,
King of the Universe
Who performs the work of Creation.

Sunday, March 22, 2009

Dropping Eaves at Starbs

One of my favorite things to do in New York is eavesdrop. It is probably rude and I should maybe try to make myself stop doing it, but I really love it. I should qualify this statement; I do not eavesdrop on people that I know; that would be straight-up rude. But the distance provided by not knowing someone makes it more like watching a movie than intruding. I think I do it so much because it is like reading a book, except I get it in real-time, verbal form. So here I am, working on my book, at my favorite Starbs in the city (on 67th and Columbus) and thinking of the already interesting interactions I’ve heard/seen this week at Starbucks, on subways, walking down the street, waiting in line, and just generally everywhere in this amazing city. It’s around two in the afternoon, and I came down here today because it is the last day of spring break, and I am procrastinating. Or maybe just soaking up every bit of free time I have until integration starts next week. I’ll go with that excuse. Yes, I’m just maximizing my time. Anyway, I get on the train, listening to my iPod shuffle, and reading a book. The 1 is typically crowded; it is a Saturday afternoon, which generally lends itself to predictable standing-room-only rides. A couple next to me has come on and I soon realize that they are in the middle of an argument. They are being pretty vocal about it, I think because they think that I am both otherwise occupied with the book, and can’t hear them with the iPod. Well, the snatches that I’m able to catch are intriguing and I want to hear more. I sneakily shut off my music but leave my earbuds in, just to sink to new levels of deviousness. This woman was very put together, very nice looking. I didn’t get a look at the man, who was standing right behind me, but he sounded educated. She was saying to him, “You have to be harder on her. You can’t let her get away with it. She’s doing really terribly in school, and I want her to graduate normally, not get a GED.” He replies, sounding very defensive and upset, “Look, I don’t know what you want me to do. I talk to her about it. She’s my daughter. I’m not going to beat her. I refuse to!” My eyebrows raised at that one, I thought imperceptibly, but the woman quickly switches into Spanglish, perhaps because she noticed my feigned reading. Shoot. I really have to learn Spanish this summer. I think the gist was that they were divorced (?), the daughter was failing out of school, and the Dad was not being hard enough on her, according to the Mom. They got off at the next stop, still with the woman snipping at the man, so I’m not sure what the full deal was.
An adorable, stooped, balding octogenarian comes up to me. “May I sit here, miss?” “Why yes, of course!” I say, thrilled. Nothing makes my day more than an adorable old guy. We chat for a bit, and then I lapse into reading my book, him his paper. A little while later, a tall man wearing a navy coat with red and gold epaulets and tassels comes in and says to my tablemate, “Sir, your car is ready.” I look up at him, and shock must have been on my face, because he chuckles a cute old-man chuckle. I say, like the awestruck Midwesterner that I am, “You have a driver?” He says, “I was delivering rugs today. I sell Turkish rugs and was delivering to a man down the block.” Gosh, he’s still delivering rugs at his age? He can barely stand up straight! Wow, good for him!
As I look out the window, daydreaming, I see across the street from me a tall man in a red baseball cap hugging and kissing a beautiful petite Asian woman, who looks to be about my age. There is a limousine driver respectfully waiting for them to say their goodbyes, his back turned to them, and facing me at the Starbucks. She is smiling and laughing, her hands clutched around his neck as he playfully leans down to nuzzle her on the cheek. They kiss, tenderly, and then she gets in the car, reluctantly. He stays there, planted on the corner, as the driver loads her luggage and walks to the driver-side door. They are mouthing words to each other through the car window as the car eases from the curb, and he walks alongside it, while she is inside, waving at him. He watches the car pull away, with an indiscernible expression on his face. I can’t quite interpret it. It looks kind of like, “Shoot. Well, what do I do now? She’s cute but she’s gone.” He walks slowly, hands in his pockets, back to an apartment building and goes through the front door, presumably back to his now-empty apartment. I wonder what their story is? I sit here, making up scenarios. I will never know.
Down the counter a little from me is a German man with a rattail, talking with very thick accented English to someone on the phone. He was sitting next to me for awhile, but I kept glancing at him, because from the corner of my eye, it looked like he was reading what I was typing on my computer, and it was making me really uncomfortable. I wanted to type, in the middle of a sentence, “I see you reading this, dude. Bug off. This is personal stuff.” The irony of my being spied on while I write about eavesdropping hits me and I laugh to myself. Well played, God. Well played.
Some tweens come in. I’m getting pretty bad at judging ages of youngsters now (did I just say ‘youngsters’? Oh goodness gracious me. Geez Louise Mr. Pumpernickel Redbuttons) since the girls all look like they could be anywhere from 13-23. The girls are all very well makeuped; much overdone in my opinion. Did I look like that at 15? Grown women wearing makeup is unremarkable, but when I see teenage girls doing it, they just seem kind of silly. But, I’m sure I was silly, too. I remember what it was like, wanting to be older, wanting to look like a grown-up and be taken seriously as a grown-up. I remember what a big day it was for me the first time someone working behind the counter called me “Ma’am”, instead of my usual “Miss” or nothing at all. I’m a “Ma’am” now? Really? Wow, I must look old! I think I was 17 at the time. Funny how as we grow up, we start wanting to look younger. I kind of want to take those girls aside, and say, “Hey. Enjoy your youth, and don’t try to grow up too quickly. It’ll come soon enough, believe me. Then you’ll have bills to pay and broken hearts to nurse and apartments to find and sometimes it just makes you wish you could be five again, when the most challenging decision of the day was whether you’d have PB&J for lunch, or turkey.” And they’ll look at me and one another, raise their perfectly plucked eyebrows, and say, “Who’s this old lady giving us advice?” And I’ll say, “Someone who’s been where you are, and is where you’ll be.” And I’d get a bunch of “whatevers” and “as if”s or whatever it is kids these days are saying. Oh man, I just used the expression ‘kids these days.’ What am I, like 105? Sheesh.
The boys they are with look like they just stepped off of “Project Runway”. Slicked back hair with bizarre sideways coiffed bangs, tight jeans and striped shirts with studs, jackets with buckles. Wow. If guys dressed like that when I was a teenager, they’d have been shot. It was all about the Abercrombie and Fitch back then. Preppie to the max. I think there might have been an unofficial contest about who could be the preppiest in school. By choice, the only thing even close to Abercrombie and Fitch that I owned was a shirt I got at the State Fair that said, “Abercowpie and Bitch” or something like that. Just thumbing my nose as the estab in whatever rebellious teenage way I could! Again, the irony hits me that here I am, on a Saturday afternoon with frizzy hair and minimal makeup, wearing a sweatshirt and jeans with sneakers, and I have the gall to critique others on their fashion sense. Teenage boys, no less, who are, I guess like all of us, trying to figure who the heck they are and where the heck they fit in. I’m mean, and I really shouldn’t talk, especially in a current get-up like mine.
I can’t seem to turn around with seeing Israeli guys hitting on blond girls. I take that back. Very tall, shaved headed Israeli guys hitting on blond girls, mostly wearing black jackets. One might say to me, “Stef! You are racist! How do you know those guys are Israeli? They could be anything.” I know for two reasons: 1) I’ve had my fair share of attention from shaved-head tall Israelis and 2) I can hear them speak and they sound like every other Israeli I know. Don’t get me wrong, I only mention the Israeli part because it ties in with this theory I am developing about how I’ve seen certain kinds of men attracted over and over to certain kinds of women. That is pretty general and vague, but I’m afraid that going into examples would really make me out to sound like an arrogant white chick, so I’ll refrain. I know we all have our types; personally, I have a tendency to be inexplicably drawn to tall brown haired guys or redheads. So, I am really no one to talk. But I bring this up because as I was walking to Starbs today, I saw yet again another tall Israeli guy talking and smiling with that specific “I’m interested” head tilt to a petite blond wearing a black jacket. I realize they could have been friends already, they could have just run into each other after a long absence, I don’t know. But just reading body language, he was hitting on her, in his tracksuit, and she was loving it. I mean, seriously, who wouldn’t? He was pretty cute! It was funny though, that here I was thinking about it, and then I see it before my eyes.
The table I am sitting at is by the door, and not only do I get the draft every time someone comes in (small price to pay for privilege of getting a table at a Starbucks on a Saturday in NYC), but I am taking an inordinate amount of enjoyment from watching people consistently push on the locked door, thinking they can get in or out through it. I’d say ninety-nine point nine percent of people either coming or going have originally pushed or pulled on said locked door, found it not budging, looked up in confusion and/or anger at the doorjamb, and then went out the other door. Some look embarrassed, some frustrated, some just plain “Oh well” about it. I decided that I am going to surreptitiously count how many times in a half-hour this happens.
From 3:13pm to 3:43pm, out of thirty people who entered and exited the coffee shop through this set of doors, 22 initially tried the wrong door and made faces, and 8 got it right the first time. That means that 73% of people who enter/exit Starbucks and use that door get it wrong the first time. 27% get it right the first time. I’d have to take a larger sample size to really get a good grasp on the stats surrounding the misuse of this door, but it continues to be pretty funny sitting here, watching everyone do it the wrong way. I can laugh without feeling too bad because I have done it myself many times. And a lady just walked out the door with toilet paper stuck to her shoe and I didn’t have time to tell her about it. And I think Kaptain Kangaroo just walked in. Ordered a doppio, said hello to his friend, Mr. something, and left.
I went up to the bar to get some food, I was ravenous. A guy up there said, “Are you getting all of your work done?” I laughed and said I was, and then ordered my bacon and gouda sandwich and a water. The sandwich is bery bery good-a. Ha. He asked me, “Do you want a refill on your iced tea?” How did he know I have an iced tea? But yeah, sure! “But how much is it?” I ask. “Is it free?” “I’ll tell you what I’ll do. I’ll give it to you for fifty cents.” Seriously? A $3.47 drink for fifty cents?? You got it, man. “Gosh, thanks!” I say, and then proceed to tell him about the fun I am having watching people trying unsuccessfully to get out of the locked door. I am even nerdy enough to tell him the percentages I figure out. I am sooo cool. He laughs, and hands me his business card. Apparently, besides being a barista,he is a life coach. Interesting.
So I’m still sitting at the table, it’s 5:30pm and this little baby in a stroller comes in, pushed by his dad. The dad gets a drink, and then pulls the baby stroller over to the wall by me. I look up and smile at the kiddo, and he smiles back, a big, toothy grin. The dad looks to see who he is looking at, and sees me smiling at his son. The baby and I smile and wave at each other, and the dad wheels his son over to me. “Hello, sir!” I say to the baby. “What is your name?” The dad, of course, answers that his name is Andrew and it’s his birthday in a week. Andrew claps his hands in glee, and I clap too. “Happy birthday, sweetie!” He smiles and tries to take my computer cord, then lift my purse (even I can barely do that), and finally wants to make off with my drink. The dad moves his son out the reach of these items and then we smile and clap hands some more. They say goodbye and leave, Andrew smiling at me all the while. What a great day. Cute old guys, adorable almost-one-year-old babies, and making progress on my book.
What an entertaining afternoon at Starbucks this has been!