Showing posts with label medicine. Show all posts
Showing posts with label medicine. Show all posts

Wednesday, August 27, 2008

Rough Day

I am my own person. I have a personality that is unique, and is no more influenced by others than anyone else's except in the fact that I am more open minded than many.

Why is this so hard to believe?

First, tonight, I was informed that I am gullible. Impressionable. Easily swayed by the will of others. I have no personality of my own, and I simply absorb the personalities of those around me. This will, inevitably, wind up with me becoming an apprentice to a serial killer, joining a cult, or killing myself when a man breaks up with me.

This was informed to me by my parents.

And then, when I sought validation that this was not the case from my significant other, I was informed that it was a "reasonable concern" on their part. In fact, said significant other in the past has expressed concerns about my lack of my own personality and the fact that I seem to simply become whatever those around me are.

I AM NOT GULLIBLE.

No, I don't have a unique fashion sense, so yes, I wear whatever people around me who I care about the opinion of tell me looks good. Want to know why? Because I DON'T CARE WHAT I LOOK LIKE, as long as I am not revealing too much for my personal comfort, I feel comfortable, and those around me consider me attractive. You know what else? I don't have a favorite color, really. I wear red because people tell me red looks good on me. So I say it's my favorite color because I wear it all the time. In truth, I don't give a shit what color I am wearing unless it is purple. I don't like purple.

So I'm not a fashion horse. I don't care if I express myself through my clothes. So what? I still want to look attractive, naturally, so I wear clothes that other people tell me look good. When I valued my mother's opinion on my appearance the most (read: no friends), I dressed as she wanted me to. When I valued my peers' opinion the most, I dressed as Vivacia wanted me to. Currently, the only person who I want to find me attractive is Ryter. So SURPRISE, I wear what Ryter says looks good. Do I have to have a fashion sense to be my own person?

And yeah, I listen to metal a lot now that I am dating him. I also still listen to country, and pop, and emo. Around him, I listen to metal most of the time because I don't want to subject him to music he doesn't like. I also listen to it on my own. Because he introduced me to metal. The truth is, I like music that has an effect on me. Metal has an effect on me emotionally. The music is emotional. For country and pop, the lyrics make me think, especially with story songs. For emo and some pop, I can't understand the lyrics anyway so I use it as background noise because it's not distracting. Different music serves different functions for me, just because I was introduced by someone in particular doesn't mean I am influenced by them, it means I share their taste in music.

My politics have always been my own. No influence there, at least not recently. Ryter and I disagree on McCain vs. Obama. He doesn't share the importance I put on sex education, science education, available and safe birth control and a reformed healthcare system. When it comes to politics, we have different priorities. I have different priorities from most people in my life.

And yes, I changed my career goal from "doctor" to "ecologist." Part of that was admittedly Ryter, in that I chose to become a doctor when I was convinced that no one would ever love me so it wouldn't matter that I wasn't going to be financially stable enough to have children until my eggs started to churn out clunkers. I have since realized that medicine is probably not the ideal career for me because I actually will be able to have children with a guy I love some day, and I'd like to do it before I am 30. In addition, it was pointed out to me that I don't handle stress well and I don't function well on very little sleep, and I'd like a career where stress on the job means a few weeks of studies get derailed instead of a person dies and then I lose my license because of malpractice.

Also, I hate willfully ignorant people. I'm not talking about people who have no access to education, that's not their fault and I can't hate them for that. I'm talking about people who are presented with evidence and ignore it or disparage it to fit their preconceived notions. I hate Creationists, and anti-vaccinationists, and HIV denialists. I hate anarchists and communists and fascists, and freegans and vegans (well, religious/moral vegans who don't try to pretend it's healthier or more natural are okay). I hate people who believe telling kids about birth control will make them have sex and people who believe kids who don't have sex education don't have sex. I hate people who think America has the best healthcare system in the world when that only applies to people who have good health insurance coverage, and everyone else gets screwed, resulting in our average life expectancy being lower than most developed nations (I will concede that for those with good insurance, it's probably the best you can get). I hate people who refuse to see reason under any circumstances because it contradicts what they want to believe.

This would not work well in medicine. I think I would stab a scapel into the heart of the first person I met who insisted vaccines were wrong while their toddler was in agony with pertussis. Not good for business.

This does not mean Ryter is controlling me. It means that I am learning who I am. Ryter doesn't care if a mother he doesn't know doesn't vaccinate their child. I do. It just happens that much of my self-discovery is coinciding with when I met Ryter.

I have a personality. I am both compassionate and passionate about causes I believe in. I am fiercely loyal to those who are loyal to me and I want to help everyone who cannot help themselves, and some who will not help themselves. I care intensely about the world around me and want to make a difference, and yet I know I am powerless in many ways, which disturbs me. I am silly and goofy at times, and angry at others. I am slow to warm up to people but will share anything once I am warmed up.

I like music that isn't rap, I like clothes that make me look beautiful to the man I love. I like dancing and singing, which I don't indulge in much for others' sake because I am not very good at either. I love to cook and love to see people appreciating food I have prepared for them. I love to learn about the medical world and read about the environment I would not do well in and yet can appreciate on an intellectual level. I like biological sciences and puzzles of biology and learning how the mind works. I like dark humor but not embarrassment humor, and I like good wordplay. I like technology and imagining the world of the future, I like anthropology and the history of human evolution, I like weird, rare languages and uncontacted peoples.

I like the outdoors. I like hiking and swimming and camping and skiing an riding horses on trail rides, but not in a ring. I like animals and plants and interesting fungi and stargazing and the process of forest decomposition and regrowth and encouraging life to grow on a petri dish, in a cage, in a garden, whatever. I like obscure and ugly animals and anything that lives it's life in the dark. I love viruses, as long as I don't have them.

I like to track diseases and find the patient zero and where they got it from, I like to rant about the way things should be versus the way they are versus the way they will be. I like drawing and sculpting and writing and attempting to recreate the images I see in my head for those around me, and for my own future reference. I like learning about religion and myth and why it exists and what it teaches us, and considering what my own beliefs are. And yes, I am a raunchy person and have my own likes and dislikes there too.

I don't like being around people that much, and I need a lot of down time to process everything around me. I don't like when people criticize my beliefs or try to correct me when I am not right or wrong, simply in disagreement. I don't like crowds or mosquitoes or taking pills every day, or unapplied math or sleeping in the heat or any time the air does not move. I don't like being interrupted, cut off, not allowed to finish a thought, not allowed to take a breath in conversation for fear of that being the case, or when people misinterpret my words, which happens often because I have a tendency to use words in a manner which is slightly unlike their normal use and not even realize it. I don't like roller coasters, horror movies, sudden movement in a quiet area or being touched by anyone I am not very comfortable with.

Not one of the above is influenced by Ryter, or anyone else for that matter.

I'm sorry, world, but I don't understand what the problem is. I don't see where I lack personality. I often change what ASPECTS of my personality I present to people, which is something I am actively attempting to change and which action I believe is what is leading people to believe I myself am changing. Well, no, I am not. I am simply showing you the real me instead of the custom-made-for-you me.

I can recognize when a person is attempting to control me and I will cut them out of my life as needed. I usually recognize it when they start to resent positive changes in my life and when they resent efforts on my part to reveal my true self to them. I can't really cut my parents out of my life yet. But I can still limit their exposure to me because they are a negative influence on my life. I know my parents want to control me, consciously or not, for a simple reason: They are resenting the changes in how much of me they see.

So please. Stop telling me that I have no personality of my own. I have one. I have likes and dislikes and values and priorities and they are all mine. I can recognize attempts to control me and circumvent them, except as regards my parents. No one's gonna talk me into smoking a joint, joining a cult, or eating human flesh and the fact that I have almost no friends outside Ryter has nothing to do with Ryter and everything to do with the fact that I am too shy to make friends or maintain a large social circle. I have almost always had one friend and built all other friendships off that, and right now, it's Ryter. Is it ideal? No. But it will not change any faster if I am living on or off campus, if I spend more or less time with him, or anything else. The only way that will change is if I can convince myself I care enough to change it. I don't care enough about it right now, I'm more concerned with school and my health and doing things I enjoy to change something which, while annoying, is not impacting my life except as a nagging "probably should get around to that" thought in the back of my head.

And if I am talking and talking and don't make sense, please, for the love of all that is good in this world, BE PATIENT. I have a point. But I don't think in words and phrases and I am trying to make connections between my brain and my mouth and convey how I am thinking, but if you interrupt me, you break my train of thought and then I can't finish it. I do have a point, I will get to it, but I do not have the communication skills needed to do so quickly. Please, just... be understanding.

Tuesday, November 20, 2007

New Blog on the Blogroll!

Babycatcher is written by an American nurse-midwife working in Malawi. Her stories are almost as incredible as her work, done in the worst possible conditions, with lazy, jaded, untrained, inefficient or a sheer lack of staff, and with patients with no access to clean water, food, or transportation to the hospital. Malawi has terribly high infant and maternal mortality rates and there's not nearly enough being done. Some of her stories are positively haunting. I'm thinking about sending her some money for infant formula for the hospital (high maternal mortality means lots of orphaned babies), once I learn more about her contact information and the best way to do so (obviously can't send cash). It wouldn't be much-- I don't have too much of my own money to spare-- but it might be something.

Sometime in my life I will go to Africa or India or some other 3rd world area and I will work as an obstetrician* there. I will probably wait until after my children are grown (has to be after med school and I'll probably want to have kids as soon after I get out as possible, and I couldn't do it while they were growing up-- too high risk). But when I have paid off my med school debts and saved my money, I will go and stay for a while in a third world country and try to do good there. I have wanted to do this since I was twelve and I think it will make me a better person, and help me truly understand the world in ways that spoiled Americans can not. Plus, I will be offering a service that is desperately needed by these women.

So read her blog.

*If for whatever reason I don't become an obstetrician, I may still get midwife training, or do some other kind of relief work. It's something I feel morally bound to do before I die. For how long, I don't know, but I will do it, and encourage others to do the same.

Wednesday, November 7, 2007

What I Think About When I Should Be Doing Homework

So I was reading Navelgazing Midwife, which is a fascinating blog, and very helpful to me, because I want to go into obstetrics and gynecology and the blog often talks about problems with OBs.

I was especially interested in her post about birth rape, because I honestly never heard of it before, but it really makes sense. Many women were saying how their OBs didn't respect their choices or tried to force or coerce them into things, especially involving sticking hands or instruments up the birth canal. I read several years ago about doctors who perform episiotomies when the mother doesn't need it, and I was rather horrified. One thing I always assumed about medicine was that you do what the patient (or their legal guardian) wants, as long as it is legal.

Now, of course, in childbirth there is the question of the child and sometimes things go wrong. But misrepresenting information to a mother, or treating her like she is stupid or imbalanced simply because she is in labor? I hope I never get that arrogant, and that if people see me becoming so, they will slap sense into me. I know that when I am in my residency I will have to obey the chief OB, but I hope I can get one who is understanding and compassionate towards the new mothers, and that even if I am not so lucky I will still focus on the mother and pay attention to HER demands.

I think when I get to that point in my life I'll take classes in midwifery, so I can do things like catch the baby no matter what position the mom is in, and learn what's best to say to mothers. And I intend, if at all possible, to hand the baby to the mother BEFORE it gets brought into the nursery. Unless the baby is seriously injured or drastically premature and needs medical attention, mothers should get to see and hold the results of their labor immediately (or when they wake up) and begin bonding (unless, of course, it is a case of the child being put up for adoption or surrogacy and the biological mother doesn't want to hold the baby).

One of the reasons I want to be an OB/gyn and not a midwife or a nurse, besides money, is that as an OB, I will have control, and be able to do things like kick out nurses who belittle the mother or try to pressure her into things she doesn't want. And hopefully in my own small corner of the world, I can start making up for all the shitty, terrible OBs in the world.

And as for myself, when I'm pregnant I'm going to do tons of research and walk into the OB's office (I don't think I'd want to do a home birth) long before labor and say, "I am informed and educated in the subject of childbirth, and I want you to understand that I expect to be in control. Do not try to treat me like a child or an idiot or a hysteric at any point in this process. If you do not agree ahead of time to listen to me and treat me like an educated equal, I cannot have you as my doctor." Hopefully by that point I will be in med school or an intern and have access to OBs I know I can trust.

And then I will probably have a perfectly normal, hospital birth, on my back with my only "unusual" demand being no epidural or offers of an epidural until I specifically request it. I mean, hospital births aren't all that bad. My mom had three healthy vaginal hospital births (even my sister, who was late) and she always talks about how the nurse-midwives who helped her were the most wonderful thing imaginable (there were a couple of other women in labor at the time and hers was fairly normal, so the OB was only really there to check in and catch the baby). But hopefully as an OB/gyn I'll be able to help some of the women who might otherwise have had a really terrible doctor who treats it as a disease instead of a normal biological process that just requires a bit of help and an experienced set of eyes and hands if something's wrong.


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Tonight Ryter suggested that he, Loquelo, Nonaestima and I all get a house in Dover next year, and I commute to campus...

Pros: I like Nonaestima and Loquelo, and obviously Ryter, and I would get to cook my own food and eat healthy. I'd have a real bathroom and a real kitchen and it might even be cheaper than living on campus, depending on where we go.

Cons: Ryter would have to be cleaner. I'm fairly messy myself but I have to have a clean toilet seat and no grime in my shower, and nothing sticky on tile floors or crumbs on the rug. Also, he figured we'd just share a bedroom, and I'm not entirely sure how I feel about that right yet. I wouldn't be living on campus and I'd bet money my circle of friends wouldn't be growing. I'd be paying for gas too. And even though I doubt it would happen (pray it won't), I have to consider what I would do if we ever broke up mid-semester.

Oh, and the number one con: My parents would NEVER agree to it. Not sharing a bedroom. My mom doesn't even want to have me live off campus at all, because she wants me to get the college experience, and she's already worried I spend too much time with him and that he's looking for someone to settle down with while I should be fun-dating. My dad... yeah. Not gonna happen. And they control the money.

Maybe senior year, if I proposed it right. But next year? HIGHLY unlikely. HIGHLY.

Sunday, September 16, 2007

Try it yourself!

I took an online career quiz at Career Cruising (username: nycareers and password: landmark) called the Career Matchmaker, and now I'm posting my results for what my career should be.

Bold: I like this option
*: Something I would be interested in doing-- my interest level varies from one star (might make a good summer job, temp job or last choice) to five stars (I am currently actively pursuing this job). My commentary on the other options is included.

My results:

1.Taxidermist-- AHHHHHHH!!!!
2.Nurse Practitioner
3.Acupuncturist
4.Dental Assistant
5.Massage Therapist*
6.Nurse
7.Librarian-well, not as a career
8.Tour Guide
9.Sign Maker
10.Mental Health Nurse
11.Anthropologist
12.Podiatrist
13.Hairstylist
14.Family Practitioner*****
15.Esthetician
16.Physician Assistant****
17.Plastic Surgeon-- what is up with all the beauty things?
18.Surgeon
19.Doctor*****--This is what I actually intend to do, of course.
20.Dermatologist-not really but they do pay amazingly well
21.Obstetrician-Gynecologist*****
22.Furniture Finisher
23.Picture Framer
24.Activist
25.Bicycle Mechanic
26.Writer***
27.Print Journalist
28.Political Aide
29.Translator
30.Musical Instrument Builder and Repairer-- uh, what?
31.Tailor / Dressmaker
32.Chiropractor**
33.Surgical Technologist
34.Dispatcher--again, not as a full-time career
35.Library Technician--see previous
36.Market Research Analyst
37.Upholsterer-- right.
38.Critic
39.Dentist
40.Orthodontist

Then I added more criteria, to make it a bit more precise. The results were much better.

1.Physician Assistant****
2.Family Practitioner*****
3.Nurse Practitioner
4.Dermatologist - money and a good schedule, I guess.
5.Doctor*****
6.Obstetrician-Gynecologist*****
7.Massage Therapist*
8.Acupuncturist
9.Cartoonist / Comic Illustrator
10.Naturopath
11.Taxidermist - NOOOOOOOOOOOO!!!!!!!
12.Social Worker
13.Mental Health Nurse
14.Podiatrist
15.Neurologist**
16.Surgeon
17.Plastic Surgeon
18.Chiropractor**
19.Anesthesiologist
20.Medical Illustrator****
21.Esthetician
22.Veterinarian
23.Writer***
24.Illustrator
25.Psychiatrist
26.Genetic Counselor***
27.Graphic Designer
28.Animator
29.Gerontologist
30.Gunsmith
31.Tour Guide
32.Artist*
33.Community Worker
34.Industrial Designer
35.Religious Worker - riiiiiiight.
36.Psychologist
37.Nursing Assistant
38.Interior Designer
39.Addictions Counselor
40.Midwife**

It looks like I would be okay with the careers I prefer. Also, alternatively, art seems to come up a lot. What do you think-- would I look good in all black with a beret and a cigarette and weird jewelry, bone thin as I murmur about the sublime use of shape and pick paint out of my nails?

The bone thin is because there's no way I could make money at that...

Wednesday, May 9, 2007

When you cuddle with your cephalopods, it's probably time to stop drinking.

Today is the Lemuria, a day which sadly has nothing to do with lemurs, but a great deal to do with the Lemures, the spirits of the dead. They are allowed to wander the earth for three days from the ninth to the eleventh, and rites are performed in their honor. Also, Manes are offered beans in a house ritual-- Manes were like Lemures, spirits of the dead.

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To all you people who SWORE that Spidey wasn't emo:



Now hush.

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So today was pretty much entirely devoted to studying, with occasional breaks to frequent Fark and Snopes.com, which were distracting me, and also, this evening, to go to the pancake dinner at Philbook and eat French toast sticks just to be contrary.

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On the plus side, I can now tell you EXACTLY how humans arose from protist ancestors, with every step along the way, and I am better equipped to deal with creationist attacks than I ever thought possible. Basically at this point there's no argument against animal evolution a creationist could use that I can't counter-attack. Woot!

A girl in the health care seminar on Monday was complaining about how she had disliked Biology on account of it was all about plants and bacteria and animals, and how she wanted to go into medicine and just wanted to learn about humans and pathogens and stuff. The professor said that that's a common discovery pre-med students make-- that biology isn't all about people.

I was kind of dumbfounded at that. Who goes into biology to learn about humans and pathogens? I'll learn that shit in med school. I wanted to learn about everything else. I mean, yes. I wanted to get the required courses out of the way without worrying that they weren't helping my major, too. But I also wanted to learn about evolution and genetics and all those things. I want to understand the world around me, because I think that the more I know, the closer I am to understanding the universe, and understanding the universe is very spiritually important to me.

It makes me mad that a subject I love is also the stereotype of the "don't care about undergrad" premed student, that only wants to get into a good school. It means that I'll have to work twice as hard to get noticed by admissions officers.

Time to study some more before bed...

Monday, February 19, 2007

"Don't pursue happiness-- create it."

Happy Day of Presidents. I didn't get the day off. Bummer.

Having completed my laundry today, I decided I would try out my new iron steamer thing on this white blouse I have which refuses to stay not-wrinkled. I've wanted to play with it for a while , since I got it at Christmas, but it needs table salt to work (yeah, it's weird) so I had to go get that; today, I finally had the salt and the blouse and I was all set, then I looked at the plug.

It's a European plug.

Am I the only one in the world who sees the utter impracticality of having different shaped plugs for different parts of the world? And different currencies for those plugs, too? I mean, really. We have adapter technology, can't one region start to make the transition? I don't even care if it's the US who has to change, as long as they make the adapters inexpensive and start selling them as a component of every electronic gadget.

Okay, mild rant over. The plug was supposed to come with an adapter but it was missing that part, and I had no idea where one buys a plug adapter, and every time I type "adapter" I want to type "raptor" instead, because raptors would a) make this infinitely more interesting and b) sound kinda funny after "plug." Anyway, luckily for me, Daddy and Shrewd had randomly decided to go walking on the beach in -20 degrees Celsius weather, and were driving by UNH on their way from Portsmouth, so I decided to ask Daddy's advice on the matter.

(Incidentally, Shrewd called me to ask if I had President's Day off, to go with them, while I was in Chem class. It was a good thing it was in that class, because a) the professor couldn't hear my cell phone because I was late and not in the front row, so he couldn't make fun of the fact that it still plays the "Hokey Pokey" since I keep forgetting to change it, and b) it woke me up.)

Daddy studied the device, looked at the image of the component that's missing, and dated himself by declaring, "In my day..." they didn't make them that small, so he was rather confused, but he promised to send me an adapter (raptor) in the mail. Also, he promised to send my extra contact lenses, which I left at home.

They made me sound like we might actually go do something together after my class, but since my class ended at three, by the time they got there and I went to meet them they kinda had to head back. Daddy offered to take me shopping somewhere but I already have soda, popcorn, Ramen, and hot cocoa, so if we get New York-esque snow and I can't leave the dorm I think I'm set, for four days at least. With nothing to hold their interests, they headed home.

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Today was the first time in a while that I wasn't depressed after leaving the Healthcare Seminar. There was an actual current med student talking to us, and from what he said, I would be amazed if I couldn't handle med school. Getting in might be hard, but it doesn't sound like I'll have any issue once I get there.

The other speaker was talking about working in rural areas, which I want to do, except I don't know if I can. There's currently three psychiatrists for all of Coos, Grafton, and Carroll counties in the north of the state, which means I could have to drive several hours to have an appointment with a person who might not be able to meet with me more than a couple times a year. While I hopefully won't need regular care then, I wouldn't want to try, say, postpartum without a shrink available.

That's the trouble with working in rural areas-- you may be going where your services are needed, but there's no help for you if you need services, too.

Plus there are like maybe two dentists for that entire northern part of the state. Geez.

Oh, and here. I'm putting this quiz up today because it makes me laugh with it's inaccuracies.

I Am a Natural Flirt

Whether I believe it or not, I'm a really effective flirt.
And I'm so good, I hardly notice that I'm flirting.
My attitude and confidence make me a natural flirt.
And the fact that I don't know it is just that more attractive!