Emergent interruptus

Middle of the night come to the ER at once emergencies get my adrenaline running. It’s a necessary rush: I need the jolt of epinephrine to wake me, get me on the road, keep me focused.

But when the ER calls me for a middle of the night get here right now emergency and I’m not the right doctor, all that adrenaline has nowhere to go.

This job would be a lot easier if people wouldn’t make mistakes like that. Took me two hours to get back to sleep.

D.

Watching a grown man cry

Overall this has been a real once in a lifetime experience. It was hard, really hard and unforgettable. Sometimes the hardest things are the most memorable and that’s certainly true of this. I remember the journey between Dogpack and Tincup most vividly. I had difficult times and great times. I had one of the most beautiful places on the planet all to myself, I could swim naked in the lake, get up in the middle of the night and howl at the moon and I came pretty close to some of the big icons of the wilderness. At my first camp got within 20 metres of a large moose and on the creek I almost bumped into a moose surrounded by white timber wolves. I came pretty close to a bear and filmed a caribou swimming across a lake, American eagles would come and check me out and for 50 days I lived off the wild. It makes me smile to think of it – a big smile.

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Tonight,

I’m feeling tired and discouraged and down. I didn’t sleep well last night and there’s no obvious explanation why. I’m beginning to realize that my friend Mike is correct, and that I have no urge to write because I’m generally happy with everything, job, family, etc., except I miss the writing and I fear the complacency of comfort, but I dread upheavals and change, especially now that things are finally settling into a routine. I can’t possibly want to be miserable just to stimulate the muse, can I?

Mostly I’m feeling whiny.

Patients keep asking me what I do for fun. This makes me feel like a very boring individual because what do I do? I hang out with my family. I read, I surf the net. I work out (which isn’t exactly fun). I’m tempted to say that I raise spitting cobras, or I’m a mountain climber, or that I’m researching a book on Craig’s List prostitution. (I do read Craig’s List personals for the yucks — does that count?)

My patient who hates Bakersfield came back to see me today and wanted to know how was I settling in, how did I like Bako, what was I doing for fun. I think she wanted me to admit to being horribly miserable here. Truth is, now that the weather has cooled, my number one gripe has evaporated.

I’m not even coughing anymore. Took five weeks to get over that horrid bug, but Jake and I are finally back to full health.

I think I just need a good night’s sleep.

D.

Coming soon to a TV near you

At our monthly meeting this afternoon at the Kize, they played for us the latest radio spot and TV commercial. The radio spot was unmemorable (something about the Bone Health program for seniors), but the TV commercial was a thing of beauty. Once it hits YouTube, it will surely go viral, and I’ll post it.

So, picture it:

A young woman and man stumble through the front door of a not-too-upscale apartment. Neither looks like an actor — they might have been nabbed off the street to appear in this commercial. They’re all over each other, convincingly enough that one of the docs in the room said, “Hey! You got the wrong video!” The two lovers fall to the floor in a passionate clench, disappearing behind a couch.

Change camera angle. They’re still in their clothes, but the woman sits astride the man. “Hold on,” she says. “Do you have protection?”

He whips out a condom and waves it, cheesy I’m-definitely-gonna-get-some grin on his face.

“But condoms aren’t 100% perfect,” she argues. “What if you have genital herpes, or pubic lice? When were you last tested?

“Last week, and my doctor has already sent me my results.” And now he whips out his laptop, which is already fired up and the Kize’s patient home page is there and he’s tap-tapping away showing her his test results.

She makes a sort of “Wow!” sound of awe, takes the laptop from him, and tap-taps away, looking at her BF’s test results.

There’s some sort of voice-over about how Kize patients can go online to email their doctors, change appointment times, check test results, etc., but no one will pay attention to that. Everyone will be looking at the guy rubbing his hands together slowly, wearing the look of the cat who is about to eat the canary.

Two of the older docs quipped, “Hey — what? I don’t get it!”

D.

The fourteen minute mile

That’s how long it takes Jake and I to run a mile. The school wants him to run it in under 10 minutes, to which I have only one comment.

Are they insane?

We’re not built to run a ten-minute (or less!) mile. We have short little hobbit legs that are meant to run down supermarket aisles, maybe, but not laps. And certainly not miles.

It’s a funny thing. I can put in an hour on the elliptical trainer at high resistance and I’m fine. Drenched in sweat but fine. Put me on the road and ask me to run, and I’m miserable every step of the way. Maybe it’s because I can’t watch TV while I’m doing it.

I feel for my son. I really do. I had forgotten how nice it was to graduate high school and know that I would never again be judged on my physical prowess. Now we’re back in the hell of doing X pushups and Y situps in 60 seconds, bringing up the rear in the mile-running competition, and don’t even bring up the horror of team sports.

I wrote his PE teacher tonight . . . tried to tell him that we’ll do what we can, but we’re constrained by the genetics of the situation. I wish there were more emphasis on individual fitness, less on being able to meet certain abstract milestones.

They issue grades in PE. Grades! Whatever happened to Pass/Fail?

D.

Sorting them out

petajaI can’t part myself from Path Beyond the Stars or any of the other dozen hard-to-find vintage SFs which, while uniformly atrocious, give me some weird sense of comfort.

I could make an appreciable dent in these piles by giving away all of my Pratchett, but I keep thinking that one day, my son is bound to catch the Pratchett bug. I mean, the kid sucks down everything Christopher Moore writes; he’s bound to like Pratchett, right?

And I can’t give away our graphic novels, nor my classics (SOME day I’ll manage to read Paradise Lost), my nature books, my pet care books, or books written by my friends. I would like to give away 120 Days of Sodom but I figure no one else will want it on his shelf, either.

I can’t give away Le Carre’s Tinker Tailor series, since I hope to reread it one of these days, nor can I give up Thomas Pynchon’s Crying of Lot 49, which I find unreadable, but I still want to know why some folks still make a fuss about Pynchon. I won’t give away my Michio Kaku or Steven Weinberg or Kip Thorne — all scientists who have popularized their work for the lay reader — because my son might want to read them some day.

I’m having an easier time parting with a good number of writing books which never did me a damn bit of good, such as The Idiot’s Guide to Publishing Science Fiction, whose title implies that I am something lower than an idiot. Al Gore’s Assault on Reason isn’t going to take up shelf space, nor the work of Cory Doctorow, Scott Lynch, Joe Haldeman, Jon Scalzi, or China Mieville. I’ve enjoyed some of these authors but I have no desire to reread their work. Out they go.

I think I need to go back through the “keep piles” with a sterner eye. But how can I give up my volumes from the Norton Library, or my handsome two-volume collection of Sherlock Holmes stories which I’ll never read but which I’ll always mean to read? It’s hard to part with books you’ve read partially and meant to finish but never did. Like Umberto Eco’s Foucault’s Pendulum, which lies on my table eighteen inches away, and which has once again lost my interest. (Yeah, that one’s gotta go.)

And don’t even get me started about all of our textbooks.

D.

An invasion of sorts

No telling how a teenage girl’s diary ended up at the bottom of our trash can. When I tossed out the morning’s garbage I saw it there, opened to a blank page. At first, I thought it was one of my many writing notebooks (you know, you get an idea for a new story, you have to write it down, but you don’t want it to rub shoulders with all those older crappy ideas that never went anywhere; THIS idea will be different, THIS story is going to go somewhere, so it damn well deserves its own notebook!) so I fished it out and looked at it.

Nope. Not mine.

It belongs, belonged, to a girl who was a high school freshman in 2008. There are no entries later than October 28, 2008, which makes me wonder if she came to a bad end. Perhaps her mother or father, cleaning house, came across the diary and could not bear to have it around (but why throw it into someone else’s trash can?) I’ve already googled her name hoping not to find news reports of some grizzly murder or car accident. She’s clean on Google. So the question remains: why?

It’s a multipart diary with sections devoted to prayers, goals, “trials and triumphs,” etc. The cover design is of a rather Duggary-looking girl in a pink dress that’s up to her chin, looking sweet enough to put ten diabetics into ketoacidosis.

Do I have any responsibility to honor the privacy of a stranger whose diary ended up in my trash? My compromise: I decided to read it but not reveal anything too terribly embarrassing on the blog. Nor would I reveal any identifying information.

With those ground rules in place, here’s what I’ve learned of our diarist:

She’s a thoroughly indoctrinated Christian, praying that this kid or that family be saved. She prays for that sort of thing a lot. (I wonder how many people have prayed for my salvation? At least one that I can think of, back at the Crescent City hospital. *Shudder*)

She’s a young Republican. On the back page is the draft of a letter she wrote to “Mr.” McCain.

She’s trying very hard to be a better person. Seems like her heart is in the right place.

She writes the usual angsty adolescent song lyrics and poetry.

She doesn’t have very lofty goals — “Be the person you meant me to be,” which I presume is addressed to Jesus.

By far, the most detailed section of the diary is “Prayers.” It’s remarkable how pushy some folks can be in their prayers. Not only does our diarist wish for the salvation of others, but she wants one woman to “stop dating and be worthy of a good man,” and she wants all the children to be taken out of one home and for their parents to be saved. Presumably, the kids would be allowed back into their home at that point, but she forgot to pray for that.

She’s not the sort of person I would have talked to in high school (although, oddly enough, one very like her friended me on Facebook). But there’s such a desperate earnestness in her writing and such modesty in her own personal prayers that she strikes me as a genuinely good person, and I can’t help but hope she’s okay. It worries me, though, that the diary ended up in the bottom of my trash bin.

Why?

D.

I drank the Kool-Aid.

Too much hair to be my tribe, but close kin nonetheless.At our hospital in Antioch, a great big picture of Sidney Garfield decorates the lobby’s wall, side by side with photos of one of his first hospitals and quotations regarding his philosophy of medicine. The man was a visionary, recognizing in the latter days of the Great Depression the fundamental illogic of fee-for-service medicine and recognizing that a system providing incentive to keep patients well would ultimately benefit everyone.

At the retreat (my retreat, not Jake’s), they handed out a book to every one of us: Courage to Heal by Paul Bernstein, a fictionalized account of Garfield’s early days in medicine, his nearly disastrous attempt to found a hospital in the middle of the Mojave Desert to take care of aqueduct laborers, his introduction to Henry Kaiser, and the work they did together to change medicine. These guys came up with the idea of a health maintenance organization when those words still retained their meaning: a network of health care providers, facilities, and insurers whose business is most successful when they keep their patients healthy.

Nowadays, HMOs are often considered sharks that want to take premiums and administer as little care as possible. Speaking as someone inside the system, though, that’s not how Kaiser Permanente functions. They really do want their patients to stay healthy, and there’s an ass-ton of emphasis placed on preventive medicine.

Yes, I drank the Kool-Aid. I’m a believer.

kool-aidgif

When I learned that the Kaiser-Permanente model was conceived by a landsman, the son of a Russian Jew, who if not a socialist was at the very least considered a socialist by the medical establishment of his day, I got that warm and fuzzy all over feeling. I’m part of an organization that shares my attitudes about caring for people. I’m part of a pro-labor outfit, one that has been pro-labor from the start. I’m doing good. I’m part of the solution. And it doesn’t hurt the warm-and-fuzzies that they pay me well and give me great benefits for doing good and being part of the solution.

The book is mesmerizing — not because it’s well written (it’s not), but because the story itself is compelling. But the author is unapologetic about being inventive; this is a novel, and he comes right out and tells you in the acknowledgments, “I have tried to respect history wherever doing so served my purposes as a novelist, but wherever it did not I have, cheerfully, and without regret, ignored it.” So there’s no telling how much of this is BS. I figure the love story is probably all hooey, but the bones of the story are probably true.

Not to worry, though, because Tom Debley and Jon Stewart (not THE Jon Stewart. The OTHER Jon Stewart) have written a more factual account: The Story of Dr. Sidney R. Garfield: The Visionary Who Turned Sick Care into Health Care. Yes, I’m going to buy this puppy, even if it means I have to buy it from Amazon since Barnes and Noble doesn’t have a copy available. I figure it will be fun to learn the boundaries of Paul Bernstein’s creative license.

And besides, after a while, Kool-Aid’s addictive.

D.

Try it some time.

Tonight was special.

I’ve been in touch with Mike for a few years now, and we had spoken on the phone once or twice, which was an experience all by itself. It’s uncanny, to say the least, to talk to someone who was pre-pubertal the last time you spoke. Things are familiar but different.

We were really good friends in junior high and ninth grade, but in tenth grade I switched to another high school, and I lost touch with my old friends. In general, I’m pretty crappy when it comes to keeping in touch with friends. (Thank heavens for the Internet, though.) I’m not sure how Mike and I found each other again, but I think I might have googled him one day and found his blog. We’ve been emailing off and on, but this is the first chance we’ve had to get together in person.

He tells me that the GenXers are so into texting that they don’t know how to conduct conversations anymore. Fortunately, we haven’t forgotten how to talk. I suppose these sorts of reunions could completely flop — how much is there to talk about after you’ve had the “who have you kept in touch with” conversation? Turns out, a lot. We had a great time, and I only broke it off because I wanted to get to my hotel before 11 to have some time to unwind, and blog, and check my email . . .

So yeah I’m down in LA for a Kaiser affair. (Sorry, Sis, but I got here too late in the evening to do dinner with you. Next time I’m down here, I promise. It’ll be in about one month.) Jake has his Freshman Retreat tomorrow and I suspect we’re going to be doing the same thing, my son and I: breaking into small groups and discussing relationships. How can you spend a whole day doing this? I guess I’m going to find out (Jake and I both). And I have not just one day of this, but THREE, blessedly scattered one month apart.

Back to Mike: we had a great time. So much fun to see someone I haven’t seen since 1976. 1976! Can you imagine? Back then, 1984 still sounded like the distant future, and don’t even mention the Millennium. We would be pushing forty then. We would be old.

But if growing old means more pleasures like these, I guess it won’t be so bad.

D.

Nowadays, you can find it all on the Internet

Phil Nugent of Nerve dissects the television industry’s timidity in 10 Sexual Controversies That Changed TV. Commenters take Nugent to task over painting an excessively gloomy picture of Hollywood’s handling of gay issues, so don’t miss the wrap-up at the end.

But honestly, who looks to network TV for cutting edge programming? All gays are either asexual, or sexual far off camera; all teenagers contemplating premarital sex decide against it (That Seventies Show was a notable exception); all pregnant teens invariably decide not to abort. One does not look to television for spine.

D.