Category Archives: pointless whining


Lifestyle changes

I had my third and final “University” meeting in Pasadena today — the Kize’s attempt to indoctrinate us inculcate the corporate values in its new employees. As I’ve mentioned previously, I’m thoroughly indoctrinated inculcated. But I think they need some work getting their message straight. All well and good to lecture us for 30 minutes on the merits of exercise, how important it is to “live the Thrive message” and set a good example for our patients . . . but then they serve us cookies and quiche cups and coconut shrimp and egg rolls?

Don’t get me wrong — the food rawked. I ate my fill. And now I’m way too bloated to participate in the Kize’s triathlon.

D.

When the rush is over

I once bought a decoupage placard that read,

When the rush is over, I’m going to have a nervous breakdown.
I’ve earned it, and no one is going to keep me from it.

Kinda funny considering I was 9 or 10 when I bought it. Well, I no longer see the appeal of a nervous breakdown, unless it’s the temptation of relinquishing all adult responsibilities. Isn’t it odd, though, that no one says “Aunt Jane had a nervous breakdown” nowadays? It’s as if a disease vanished overnight.

I’m tired — not only from the long commute, but also from the strain of yapping at headhunters on the phone and constantly thinking about priorities (good weather? good educational opportunities for Jake? medical care for Karen? money?) and wondering “Am I too old?” (and wondering, “Shall I eat a peach?”) and swinging from one day thinking I’ll have to choose between several attractive offers to the next day thinking no one will make an offer. It’s enough to make anyone sigh. Repeatedly.

But no, I don’t want that nervous breakdown anymore.

But a vacation sure would be nice.

D.

No padding

f16paI’m relatively thin right now — a byproduct of the Santa Rosa stress factory, that recent stomach bug, and being in a car three hours a day (less time to be stuffing my face). So my butt lacks padding. This became painfully obvious by the fourth hour in the airport. Yes, my plane got delayed. I wouldn’t mind those “arrive two hours early” rules quite as much if they would get me in the air on time. But no, at SFO (San Francisco International), departure times are suggestions.

Today, for example, I arrived two hours early, and was pleased to note that my flight to Burbank was on time. The boards continued to list it as “on time” fully five minutes after the departure time had passed. No plane, no word as to what had happened. The nervous nellies among us milled about. The seasoned travelers continued farting around on their laptops, oblivious to the delay. Finally, the boards were corrected to read a departure time of 5:00 (original departure time, 3:15 PM), but that was still just a suggestion. I don’t think we made it into the air until 6 PM.

SFO has one runway. ONE. So there’s always a hell of a line-up to the plate. When we finally made it in line, we had 11 planes ahead of us, and it must have taken 20 to 25 minutes to get those planes into the air. How does an airport get “international” status with only one runway? That’s insane.

I could have flown out of the Santa Rosa airport, but I would have had to fly into LAX, which is a nightmare all unto itself. Maybe next time, if there is a next time, I’ll try that instead. The way I did it was the only way I could swing a one-day turnaround (I’m coming home tomorrow evening), thus conserving precious paid time off days.

Anyway, I made it. I’m here in Burbank, spitting distance from Bob Hope’s Airport, enjoying my exceptionally spacious hotel room at the Airport Marriott. I had dinner tonight with one of my pals from residency, and tomorrow I’ll have a no doubt low stress interview with folks who are, by several different accounts, cool people. That’s not the worrisome part. The worrisome part is flying back to SFO.

D.

wiped

I finished early today, mostly because this was my last day of IT training and the instructor covered the afternoon’s material in record time. I figured I would get home correspondingly early, but the traffic was not cooperative. Highway 101 in particular was a bitch, a parking lot from Petaluma to Rohnert Park. You wouldn’t think sitting on your ass would be tiring, but there’s something about traffic that really takes it out of me. When will the Japanese invent cars that do all the driving for you? At least then I could put the time to good use.

I’ve decided I want too much out of life. While I’m thankful I have a great job at a time when having ANY job is a blessing, I want more time for my family, too. The little pleasures . . . like making a good dinner for them. Tonight, since I still managed to get home 20 minutes earlier than usual, I was able to make a pasta puttanesca. That’s a dish a guy can be proud of! Not like last night, when I fixed ’em some sausage. Might as well make Hamburger Helper.

And I want to write, and I want to read my books, and I want to study for the Sleep Medicine boards exam, which is only an option in 2009 and 2011. (After 2011, I would need to do a one year sleep fellowship AND take the test to get board certification.) I want to work on my blogs and my medical website and I want the muse to wake up and I want, I want, I want. I’m telling you, I want too much. And I need to start thinking about the job search, since the current gig is temporary, and if they don’t find me a permanent spot in the system I could find myself in dire straits next August.

This weekend, I’m going to see if I can find some audiotapes on sleep medicine. If so, at least I can put my three hours or road time per day to good use.

How do people do it?

D.

Not bitter

Back in Crescent City, every few months a patient would check out my diplomas and say, “What are YOU doing HERE?”

The implication was that someone with my background shouldn’t be practicing in a small town. He should be some big name somewhere. And that’s the nicest interpretation of “What are YOU doing HERE?” More than once, after I explained my reasons, the patient would add apologetically, “Well, you know how it is. We tend to get a lot of other people’s fuck-ups.” Or language to that effect.

***

Tonight, I had dinner with an old friend and classmate. We compared notes, and we decided that life isn’t fair. Life doesn’t reward you for how well you did as an undergrad, nor for the fact you passed your boards the first time through, nor for providing quality care to your patients. Who does life reward? A whole lot of shmucks.

There is no fundamental relationship between brains and success. (Okay, I just added “pointless whining” as a category for this post. I’m not taking myself all that seriously.)

I talked to Karen about this tonight. “Is it luck? Is that it?” I wanted to know. Or do my friend and I lack some je ne sais quoi?

Karen thinks it’s the latter, and she has a name for the nameless je ne sais quoi. Salesmanship. My buddy and I both thought we could become successful practicing ethical, quality medicine. Boy were we ever wrong. We forgot about salesmanship!

We’re looking forward to the day when Universal Healthcare hits. Then we can just be docs, and be content in the knowledge that that jackass down the street/upstate/across country who we know doesn’t give a damn about his patients but still makes a million a year? That jackass will be making the same salary we are.

There’s a problem with that fantasy, though. There always is. Two problems, in fact.
(A) That jackass will still be raking in the dough by doing botox and restylane injections.

(B) A doctor dies and goes to heaven. (Hey — it could happen!) He says to God, “Lord, I have one question. Will America ever have Universal Healthcare?” And God says, “Yes. Yes, it will.” Dramatic pause if you tell this joke out loud. “But not in my lifetime.” Ba dum dum.

D.

Worry wart

I worry about making a living — maybe not two months from now or six months from now, but two or three years from now? Anything can happen.

I worry about hostile competition, and all the grief they can cause.

I worry about the fact that outside of my own family, I never know who to trust. (I can’t help it. Paranoia runs deep in my blood.)

I worry about the fact that I’m having a harder time remembering whether it’s “who to trust” or “whom to trust.” All I remember is that sometimes, the answer is counterintuitive, and that it depends largely on the structure of the clause.

I worry about my son’s future.

I worry about OUR future.

I worry about my blood pressure. Yes, this is counterproductive.

But most of all, I worry about President Sarah Palin.

What are you worried about?

***

Anyone up for live-blogging tonight?

D.

Settling in

As you can see, we now have internet access. Life is good again . . . we have tossed aside our mental crutches and can now bound blithely through the interwebs.

Here are some early observations from Week #1.

(more…)

lolmunch

D.

At the risk of appearing churlish

Edited to add: It’s 11:14 PM. Only 46 minutes left of call in this community. Oops, make that 45. After that, several weeks will pass until I’m on call again.

What the hell will I do with myself? 

You knew I couldn’t leave Crescent City without

. . . one last narrowly averted airway disaster. I guess the Fates figured I still had a few hairs left to lose (or turn gray).

. . . one last patient who made us glad we keep disposable plastic sheets on our exam chair. Actually, we’ve had TWO of these people, and I’m still seeing patients until the 12th. Somehow, I think we’ll go through a few more of those sheets.

. . . one last brainsucker. For the fourth time, why are you here to see me today? Hint: it should have something to do with your ears, your nose, or your throat.

. . . one last (but not least) misguided attempt to convert me.

More on that one below the cut.

(more…)

Remember to breathe

Live-blogging tonight — anyone up for it? 7 or 8 PM PST, like usual.

***

My high school gf used to accuse me of being overdramatic because I would give these huge, heartfelt sighs. Truth was, I would forget to breathe, and when you forget to breathe there’s nothing like a big ol’ sigh to get that oxygen back to the brain. Did she believe me? Naw.

It’s stress-related, like so many things. When I’m stressed, my bladder decides it needs exercise three or four times an hour but my diaphragm goes on holiday. So there I am, peeing and holding my breath and losing weight without even trying.

(more…)

Next page →