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Archive for July, 2011


❶ RIDICULOUS birthday card from my brothers, a month and half late and therefore, quite a surprise ❶

You might have read my last post and gotten a sense of how stressful this past week has been, now that I’ve started working on the wards.  The real reason I survived this week was nothing more and nothing less than my FAMILY.  Not only did Jeffrey’s parents fly up to visit for four days (and take us out to eat, clean both of our cars, mow the lawn, clean the mildew stains above the garage door, bake chocolate-chip cookies, and leave the freezer PACKED with casseroles ready to be stuck in the oven), but all week I got little reminders of the presence of everybody else–though physically far away.  Here’s to family!

(please excuse the quality of most of these pictures… no time for anything other than iPhone pictures lately!)


❷ birthday present I got in the mail from my brothers (the dress), but which has “mom-picked-it-out-and-bought-it-herself” written all over it ❷


❸ peg solitaire game we inherited from gramma Maxine, and which entertains visitors to our sun-room ❸


❹ picture-message from my cousin of my niece, la Choriza, wearing her first “ponytail” ❹


❺ fresh seafood dinner with Jeffrey’s parents the night before they left… THANK YOU FOR EVERYTHING!!! ❺

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So thiiiiiiis is what residency feels like…….

You may have noticed that it’s been well over 10 days since my last post…. WELL, here’s why:  Last Thursday was my first day on the wards.

What’s “the wards,” you ask?  It’s what you think of when you think of people being in the hospital, sick, with tubes going into their arms and monitors attached to their chests… and doctors taking care of them day and night.  Last Thursday, for the first time in my life, I was the doctor taking care of them.  Like, a real doctor and stuff.

My first day was a particularly UN-ideal day for a first time intern (me).  The senior resident (way smarter than the intern residents), was only there for half a day (BAD NEWS).  There were 3 new admissions to the hospital.  There were 2 discharges.  At noon, the sub-intern (seasoned medical student who gets to pretend to be an intern for a month) informed me that she was post-call (had to go home after having spent 30 hours at the hospital) and that I would be taking care of HER patients as well.  And I, had NO. IDEA. how to do anything.  The morning went something like this:

Senior resident: “Make sure the page 1 and page 2 for the patient in room X are ready for discharge!”

Me: What’s a page 1 and page 2?

Senior resident: “Update your signout sheets before I leave!”

Me: Where are the signout sheets?

Nurse: “Can your patient in room Y start taking food by mouth?”

Me: I still don’t know anything about my patient in room Y.

Senior resident: “Tube patient X’s prescriptions to pharmacy NOW.”

Me: Tube?  What tube?!  And what prescriptions? 

Secretary: “Radiology on the phone for Dr. Garza Flores!”

Me: (after a 5 second delay)  Oh!  That’s ME!  Why me??!

Senior resident: “Ok, I’m leaving now.  Take care of the floor and see you tomorrow.”

Me:  CRAP CRAP CRAP CRAP CRAP!!!!!!!!!!!!

Fourteen and a half hours later, I managed to admit patients, discharge patients, find the page 1 and page 2′s, answer the radiologist’s questions, find the TUBE that ends up in the pharmacy, decide whether patient Y could start taking food by mouth, and get home just in time before Jeffrey left home for a night at the hospital… and started to cry as soon as I saw him:

IT WAS HORRIBLE!  I DIDN’T KNOW HOW TO DO ANYTHING YET!  THERE WAS NO TIME TO ASK PEOPLE TO EXPLAIN STUFF TO ME!  THE SENIOR RESIDENT LEFT, ALL THESE NEW PATIENTS ARRIVED….

Blah blah blah.  I was exhausted, did not want to go to work the next day, and could not find the energy to even turn turkey and cheese into a proper sandwich.  Jeffrey left 20 minutes after I arrived, and dinner by myself looked something like this ↓

Dinner of champion doctors.  CLEARLY I deserved a beer.

I dreaded the next day, but survived.  I actually left the hospital at a reasonable hour (6 PM… after having arrived at 5:40 AM), and I had to ask less questions than the day before.  Yesterday I left all my patients neatly tucked in before I passed them off to the next resident, and left the hospital realizing HOW MUCH FUN I’M HAVING.  A week into this, I know how to write prescriptions and which orders have to be written in the computer and which have to be written on paper.  I know that a PICC line needs “3-5 mL of 10 units/mL Heparin PRN patency” in order to not get clogged.  I know that if want a patient to drink more water, I need to write an order to taper them off of IV fluids, from maintenance dose to half-maintenance dose to no fluids… AND I have to make sure I tell the nurse about it (otherwise I might find out 2 hours later that the IV fluids are still running and no one knew anything about the order I wrote).  I learned the pager number for the IV nurses, in case I need blood drawn on someone.  I learned that when a kid sneezes his nasogastric tube might come out, and I learned that there’s no easy way to explain to someone that you need to stick your finger in their rectum.

Today I start my week of nights.  I will be running around while the rest of the world sleeps, and drinking coffee at odd hours.  But I’ll survive, and by the time next week ends, I’ll know twice as much as I know as I type these last words.

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❶ voluspa aromatherapy candle in “santiago huckleberry”…  for optimum study conditions ❶

This week has been so insanely crazy that it came and went faster than I could stop to think what day of the week it was.  Between driving to my 45-minute-away continuity clinic, developmental testing of Autistic kids, 13-page patient write-ups, completing the requirements for my newborn resuscitation program certification, cross-covering at the NICU, taking a killer in-service exam, trying to make it to both morning report and noon conference on time, and squeezing in a little bit of studying at night, I think I forgot what my husband looks like.  So I will leave you with the five things that kept me sane this week, and go off to hit the books again.  I give a presentation on Wednesday for all the developmental and behavioral doctors.  Yikes!

❷ black pearls from Jeffrey for my birthday!!! ❷

❸ vintage doorknobs all over our house, because beauty is in the details ❸

❹ new watering can + hand-painted pots + fresh basil and rosemary = Ale and Jeffrey started their first garden! ❹

❺ Spike, and other mementos of good friends scattered throughout the house  ❺

Happy weekend!  Do you get A WHOLE 2 days off, or will you be on call Saturday night as well??  :/

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I took a particularly demoralizing test today.  The interns were warned not to try studying for it.  Its purpose was to provide a baseline representation of our current pediatrics knowledge, to compare to our score on the same test 3 years from now (after residency has turned us into pedi geniuses).  Nevertheless, it made me feel inadequate.  So to nourish my current state of mind, I will think back to a place I once called home; a place a friend once precisely described as “somewhere between here and Heaven”: Italy.

Here I go…

Running into the great master

I had scarcely lived out my fantasy of exploring the Tuscan countrysides on foot for 3 days when Paolo, my Florentine art history professor, announced our first field trip to Florence.  Ecstatic out of my mind, I threw my exaggeratedly highlighted guidebook and camera into my bag, and laid out my most fashionable coat, hat, and boots to greet the cradle of the renaissance in style.  I made a list the night before of the things I needed to see, and packed plenty of paper and pens to take notes along the way.  The entire 80-minute train ride from my residence in the little hillside town of Castiglion Fiorentino to the magnificent city, my heart pounded with anticipation and butterflies annoyingly tickled my stomach.

I’m gonna see the David!  I’m gonna see the David!  I’m gonna see the David!

And by the David, I meant THE David.  Michaelangelo’s.  You know, the one he sculpted when he was in his 20′s?  That one.  Finally, after so many years of reading about it, collecting books on it, drawing it, studying it and seeing it in my dreams, I was going to meet The David.

Imagine my disappointment—matching hat and all—when Paolo announced that our appointment with the masterpiece was not for another 2 months, and that today we would be enjoying a grand tour of several basilicas.  Waah waah.  I had dressed up for him and him only!

Regardless, I listened intently and took notes on all the knowledge he imparted on us that afternoon:

1/31/2007 – Chiesa di San Miniato, 1063.

Columns and arches show revival of Classicism; concern for symmetry not yet developed so they lack uniformity; facade shows Byzantine art, more “elementary” among the styles of painiting; the Romanesque…

I took a reputable amount of pictures and provided a fair share of “oooooh!” and “aaaaah!” remarks.  Last on the list was the Basilica di Santa Croce.

Basilica di Santa Croce, 1300′s.

…the pointed arches disengage the vertical plane from the horizontal plane in an attempt to connect the celestial to the eartly, God to the people; the desire to unite the physical and the metaphysical…

Suddenly, as I adjusted the volume on my earpiece, I realized where I was standing and nearly dropped my notebook.  I was standing in front of a tomb—a tomb ornately embellished by his three arts: sculpture, painting, and architecture.  I was standing in the presence of Michaeli Angelo Bonarotio himself, at the place where he was laid to rest and where all along, I was supposed to meet him for the first time.  Shaking, I asked my roommate to take our picture.

Thank God I dressed the part!  Welcome to Italy, Ale.  Welcome to Italy. 

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❶ a bluejay sunbathing by the bird-feeder ❶

I don’t understand why Jeffrey is so opposed to getting a pet wallaby, especially now that we have a yard for it to hop around in freedom.  I learned on the internet that you can train them to come grocery-shopping with you, and carry your items in their pouch so you don’t have to get a cart……… AWESOME.  I can’t possibly think of a better way to spend $1,200.  But just as he shot my super reasonable idea to the ground, he made up for it by purchasing a large supply of birdseed, and a large supply of wildlife feed.  He scattered the goods all over our yard and when I got back from the hospital—SURPRISE!  He had turned our home into a nursery of accidental pets!  I couldn’t be happier with the little creatures that see me off to work every morning, and join me in the late afternoon as I relax on our hammock.  (Even if they’re not exactly marsupials.)

❷ lesson of the day: chipmunks are the size of a tennis ball ❷

❸ nine little finches sitting on a tree ❸

❹ ittie bittie creepie crawler, hiding from the finches! ❹

❺ squirrel getting ready to pounce on the scattered feast (as soon as my camera and I get out of her face!)  ❺

How much do you like animals???

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Happy 4th of July weekend, everyone!  Did you get the whole weekend off?  I didn’t… I spent all day at the NICU (neonatal ICU) yesterday, and more than one baby decided to stop breathing on us at the same time.  I almost passed out with stress.  The kiddos did fine though, because the people I work with are GENIUSES!  Anyway, do you get Monday off???  I DO!  If you’re feeling crafty but need some inspiration for your day off, perhaps you’ll like my recent project…

A few weeks ago, I was SO MAD at our moving company for being ELEVEN days late in bringing our stuff up from Houston to Boston.  I was ridiculously furious, and very tempted to vent about their incompetence on DotS…  But my blog has no room for negative energy.  Instead, I channeled my anger by finding a Walmart and purchasing supplies to make some sweet new lampshades for our freakishly empty living room.

As with my last DIY project, this one was inspired by my favorite (but usually off-limits due to priciness) store: Anthropologie.  I am especially obsessed with Anthro’s handmade lampshades.  I happen to own one particularly awesome one thanks to Jeffrey’s parents :) .  However, I wanted ALL my lampshades to be as cool!  Deciding that $100 a lampshade is just ridiculous, I made them myself.  For my project, I used this lampshade as inspiration.  I love the traditional simplicity of the plain white flower, and thought such a design would perfectly contrast the bright abstract paintings my grandma painted for me.  So this is what I started with…

Before: plain and boring, neutral lampshade from Walmart

You will need (click to see pictures of each item):

  1. A plain lampshade of your choice: $12 for the above lampshade
  2. At least 3 different pretty pieces of fabric of your choice; chose fabrics of different textures and shades of color; get about a square yard of each, and make sure that one of the fabrics is felt (felt is thick and will serve as a sturdy base on which to create your lampshade’s designs): about $8
  3. A few interesting buttons of your choice: $2 for 3 of the buttons shown
  4. Yarn in at least two shades of green: about $4 each
  5. Funky, playful trim to go around the perimeter of the lampshade’s bottom edge (make sure to measure the perimeter of your lampshade, and buy enough trim!): about $4
  6. Small quantity of leather trimming: about $2
  7. High-temperature hot glue gun and glue sticks (low-temp glue guns cool too quickly, and don’t give you enough time to work once you’ve dispensed the melted glue): $6
  8. Scissors
  9. Pen or pencil

Easy breezy steps:

  1. Based on the size and shape of your choice, sketch the outline of the flower you want to make for your lampshade on the felt fabric, and cut it out; this will be the base upon which you make the flower
  2. Sketch and cut out petals of different shapes and sizes using all the different pieces of fabric you purchased; you will also need a small, circular piece of felt to place at the center of the flower once all the petals have come on
  3. Using the fabric glue, start gluing the petals to your felt flower base; glue the largest petals first, and slowly work your way to the small ones in layers; only put fabric glue on the inner edge of the petals (because the fabric glue will go through the fabric and be messy-looking, so you want to minimize the area of the petals that looks like this)
  4. Continue to glue all of the petals until your flower looks something like this:
  5. You will notice that the center of your flower is really ugly-looking, with all the overlapping petals and the fabric glue seeping through; using the HOT GLUE gun now, place the circular piece of felt over the middle; hot glue has advantages and disadvantages: it is less durable, but it does not seep through fabric the way fabric glue does!
  6. Since you only glued the petals from the inner edge, the rest of the petals will be pretty flimsy; you can now use a small amount of hot glue over the middle and outer portions of the petals to secure them in place; also using the hot glue gun, you can now decorate the center of the flower using the buttons you picked out
  7. It’s now time to make the leaves (this takes a little bit more patience!); once again, sketch and cut out the leaf shape out of felt; using the fabric glue, start by gluing a small piece of yarn vertically down the middle of the leaf;  subsequently, glue individual pieces of yarn around both sides of this central piece; the pieces of yarn used will slowly grow in length; work carefully from side to side until the whole area of the leaf is covered in yarn
  8. Make a second leaf in the same manner using the other shade of yarn
  9. Finish off the leaves by hot gluing some of the leather trimming down the middle
  10. Using the hot glue gun, glue the flower and the leaves onto your lampshade on the location of your choice
  11. Perfect the look of your lampshade by hot gluing the funky trim around the perimeter of the bottom edge

And the big reveal………………………..

After: Affordable, faux Anthropologie lampshade!


What do you think?!?!!!!  I made two and placed them on opposite corners of the living room, and they get compliments all day long!  If you decide to try this yourself, send me pictures of the finished product!  I’d love to see what you create.  And again, happy 4th!

(Wasn’t this so much better than a post about why BEKINS MOVERS suck?)

For specific questions, message me and I’ll do my best to offer helpful tips.  Also, check out the new and improved About DotS section, which has been changed to reflect my transition from med school to residency.  And if you’d like emails about my new posts, please subscribe by clicking on the “Get Post Updates!” section on the right-hand sidebar.

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