Thursday, July 19, 2012
I love Grady.
I have discovered that I love Grady Memorial Hospital. I didn't want to make a snap judgment. At first, the sheer complexity of the layout baffled me, as did the uncanny locations of different services. Also, lots of people hang around the front entrance along the city block of Jesse Hill that's cordoned off between Armstrong and Gilmer for foot traffic only. People of all ages are in various states of disarray, colorful array, intense cellphone conversations, out-loud yelling throw-downs, random-talking, rummaging, smoking, etc. At first I found myself on-edge in the Front-of-Grady gauntlet. Now I rather enjoy it, especially in the morning when things are just beginning to stir.
Now that I've done a few rotations at Grady (actually the transition happened around my second week of surgery), I find the layout less baffling and more interesting. I love the fact that it's a historically rich hospital, though I don't know the entire history. I enjoy the strip out front of Grady: you never know what you'll hear, or what outfits you'll see, or which of your former patients you'll bump into. I've personally been loudly complimented on my appearance a couple of times out in front of Grady :). The things I love most about Grady are the views from its generous old-timey windows. Okay, a lot of the windows look directly onto brick walls, or are completely encrusted with oxidized A/C drip, or are tinted a dingy sort of gray so nothing looks good out of them. But many offer sweeping vistas (see above) of city and sky. Imagine: walking into a patient room, realizing they lucked out with their view, and letting them know: Hey! You got a great view! Will you pretty please keep your blind up? I feel so sad when the blinds are broken in the down position.
I like Grady because it has flava. Up one side and down the other: flava. People in turbans, people in neon, people with intentionally-torn clothing. Friendly people who will talk to you. Crazy people who will talk to you. People who have not taken care of themselves who will talk to you. They haven't taken care of themselves less out of stubbornness and more because they have NO model for doing so, no resources to draw upon, no cultural value assigned to healthliness, etc. They eat what they eat and they do what they do to kill the pain of: loneliness, indebtedness, sadness, guilt, anger, poverty. For instance, here's a van that says a lot:
I can't believe this thing still goes. It may be younger on the inside than it is on the outside, which is actually what I'm hoping for my own self. Apparently, when this minivan does muster up the courage to go, it goes to Grady.
Lots of people really need help - more help than Grady ever will be able to give. On one hand, most of Grady's clientele will flout doctor's orders faster than you can say Jack Robinson. On the other hand, what choice do they have? Realistically, I mean. They're making something work that just barely works. Ingenuity beyond pride. There's something to it. John Ector used to say about Cheetos (my very favorite trash food): they'll keep you alive. I'm not saying these modes of living are good, but I am saying it's good to be there at Grady and in among it. It's good to shake hands with my patient and see him imagine a brighter future with fewer COPD exacerbations...or maybe no more lengths of limb amputated.
It's up to me, in that moment, to believe against rationality that they can do it. I don't know how much this really helps...which is why public health is where the money is. I don't have any good way in mind to relieve the ATL from the larger evils: coca cola, cheez doodles, little debbies, vienna sausages, 40 oz beers, and crack. I don't have any suggestion that will handily do away with black-on-black violence, motorcycles, prostitution, child sex trafficking, or intimate partner violence. Education that somehow doesn't work (no finger pointing; teachers are awesome people). We are so screwed, as a whole. But we have GOT to start somewhere. Why not the DASH diet?
Link to Amazing post by Dr. Kimberly Manning
Hey, everyone. I have to share this. I found it riveting and beautiful, even the comments. It is high time for someone to write well about this topic, and Dr. Manning is clearly the One to do it. Enjoy!
From Domesticity to...Something Else
This is a blog post I began on another blog (Keep it Human).
I am also a med student, and I am also a mother of two (shown above with their daddy in the background).
***First, to give you a sense of where I am in life: I am at the dining room table. It's 9:30 p.m. I'm eating one of the fudge-sicles I got for my daughters - Mazie, age 9, and Vivian, age 7 - at the grocery store today. It's 80 degrees outside and our windows are open to the crickets and the hum of neighbors' air conditioners. In this apartment, papers aren't crisp. My tongue is sore from today's choice of foods: cheddar potato chips, a whole pint of cherries, a large decaf, cuban beans, and the popsicle. I am sitting in front of a laptop computer that has become the one non-living item I would grab first if the apartment caught fire. For it is the embodiment of a lot of work I probably haven't backed up adequately. On this computer: ideas, spreadsheets of anonymous data, copies of letters I've written, meticulously-made notes on lectures that have blended into one item in my memory. Around me, the apartment I share with my husband and kids is disheveled with various stacks of paper...under furniture, beside the table, atop the table, trailing over to the stairs (that's the cat's fault). The papers are almost all mine.
***When I started med school, I asked my stepdad for advice. I always ask my stepdad for advice. He went back to professional school when he was the same age I was at the time, 31. He told me this: "Do not waste a single minute thinking you shouldn't be there because you're older, or that you need to apologize for yourself in any way." He said he felt in retrospect that he wasted time and effort second-guessing himself instead of just plowing forward and doing the work (don't get me wrong - he definitely did the work ALSO).
***Three years later, I have a much better understanding of what he meant...yet I am just beginning to take hold of that sense of belonging that he urged me toward. I have spent time worrying that I am in the wrong place. I have often felt inferior because I took a different route. Those feelings of inferiority weren't anyone else's fault. In fact, fellow students, preceptors, and administrators alike have welcomed me and have been 100% accepting of my nontraditional status.
***The only way I have to frame the difficulty I've had just-working and not worrying about whether I should be working in this particular way is a matter of identity. When I walked through the doors of EUSOM on the first day of orientation, heart aflutter and puffy-eyed from having cried my goodbyes in the car a moment before, I was a MOM. And a WIFE. I knew I wanted a career, and physician seemed outwardly like a good fit, but I had busied myself for the previous five years with a hard-won old-school domesticity. If anything, the domestic phase was the one that didn't fit my personality at first. But by the time I got to med school, I was in it and it was in me. I had my routines down to a science, laundry cycles established, folding rituals, menus, recipes memorized and cooked by muscle memory. I used cloth diapers and liked it, I could recite the contents of the fridge at any time (literally), and I knew where everything in the house was. Tape measures, business envelopes, pants hangers, chrome spray paint, garden shears, spare drier sheets...you name it. My linen closet was a vision, and my floor was free of paper piles.
***Once med school began, I spent a lot of time in class worrying about the contents of the refrigerator, or my kids' teachers, or their safety, or their arrival to and from the things they had to do that day, or their reading development or apprehension of math facts. I told my husband which spatula to use. I cried about mold in the bathroom. I developed a mental tic wherein if I heard a siren, as I often did because the med school is directly across the street from Children's Healthcare of Atlanta, I spasmodically entertained the idea of the ambulance bearing one of my children. The urge to call my husband and make sure it was not our kid would rise until I called. I wouldn't ask him directly for fear of seeming crazy, but I'd find out what was going on, you know, in general, and listen for signs of panic in his voice. He eventually began to ask when I called for no apparent reason, "Did you hear an ambulance?" He had figured me out, and after that it was clear how crazy I was being, so I forced myself to stop.
***But let's face it: I had lost control and I hated losing it. I had to hand over the daily care of my most precious softies to other people. As simple as this sounds, and as much of a relief as it could seem in the abstract, actually losing the control of the workings of my household felt like a small death.
***In med school you have milestones: Your first didactic phase test, your last didactic phase test. Step I, your first shelf, last shelf, Step II, etc. As I progressed through these mile stones, I kept expecting to fall flat on my face and be proven to have been badly mistaken about choosing med school. While I had my share of private ignominies, the catastrophe never arrived. And here I am with one year remaining and...my floor is a mess.
***My floor is a mess, my bathroom has mold, my husband put the kids to bed tonight. But something else has happened. As I am bleary-eyed, I'll pick up there next time.
Til then, thanks for reading!
Brandi
***Now it's 5:50 in the morning. The papers and the mold persist, and my kids are still abed. But I want to tell you what has happened and how I tolerate things I never used to tolerate. I have to say here: the mold and the papers are an emblem. In fact, I am not simply a former neat-freak. I am a former control freak. The mess stands for a lot of other hidden factors that are harder to explain. But we'll call it mold for now.
***What happened was the inevitable march of time and data adding up to one shocking conclusion: my kids are thriving and my husband is a good person to care for them. I know, it's stunning, right? When I felt a strong disparity between the real and the ideal of daily life, I started going through the mental exercise of asking myself: Will this hurt anybody? If the answer was no, I forced myself to put it aside. This tactic works fairly well with non-domestic aspects of child-rearing also, by the way.
***While it may seem that my domestic standards have been thoroughly dismantled, with only "Remaining Alive and Free of Injury" remaining, the shift has allowed me to see the entire world and my role in it much more pragmatically. I still strive to do excellent work, but I really try to let go of everything that doesn't really matter. I will still drop everything to help mediate an argument between my kids...or help with an art project...or answer one of those really interesting questions I can't believe they asked. I haven't thrown out the baby with the bathwater. But I think I have jettisoned a lot of unnecessary baggage. I don't worry about how they look. I encourage their own sense of style. Lots of times they put together really interesting outfits that I never would have thought of.
***I certainly don't worry about how a thing gets done. I don't exert my control over the orderliness of the shelves. The laundry festers awhile before it gets folded and I don't iron it either. The thing we insist on is having a clean sink before bedtime, and usually Richie does that while I cram a few more school-related things into the end of the day. I don't worry about the way I look very much, and I certainly don't worry about the way my house looks. I still love the feel of clean floor under my feet. Richie cleans up in the ways he thinks are important, and his ways are important. They are different from my ways. But he does it and I don't get to tell him how to do it.
***I am also more relaxed with my kids, much less likely to micromanage, and much more likely to say Yes. I love to say yes. If I say no, I usually ask them to think about the logistics of their request and try to get them to see it my way before I say no.
***So, what felt horrible at the time has actually been a powerful and necessary transition - a transition that has forced me to let go of some things only I cared about and to do a lot of things that a lot of people care about. Now I am about to march forth with research, writing, and learning how to care for patients. These activities are extremely important to me. If I don't do well at these, someone will get hurt - or at least helped less effectively. Meanwhile, my kids are thriving. I find creative ways to have fun with them, and I savor time with them as I never did before. My husband is an amazing domestic god. I help out, but I have to ask where the scotch tape is.
***There are some to whom the above struggle would not make sense at all. It looks from the outside like a no-brainer: you have the opportunity to go to med school; who cares about the running of the household? But if you are a stay-at-home mom, I'm sure you get it about the ownership and sense of pride you begin to take in the running of your household. It's relatively thankless work, denigrated since the late sixties. But it can be beautiful, pleasing work as well. I just had to switch to a job with an 80-hour work week, and since I was so invested in domestic work and it was part of my identity, it felt really bad to let it go.
***I'd love to hear feedback on what I've written. I've left a lot unsaid, and maybe some of that was crucial. In the meanwhile, feel free to respond!
Tuesday, July 17, 2012
Everything has changed again!
Hello! It's been a long time since I've posted because I've been doing a ton of other stuff. This summer has been wonderful so far, with the ability to make my own schedule as long as I work a lot :). Seriously, I get to spend several hours in the late morning with the girls each day, and that has been wonderful. Now, for instance, we are all eating our yogurt/flax seed/fruit parfaits while sunlight streams through their hair and they tell me about their plans.
I heard Mazie come down the stairs this morning and go directly into the kitchen. Vivian and I were playing in the living room at the time. I got up and followed Mazie to the kitchen to say good morning. She had already gotten out the bread and tin foil to follow through with her plan to befriend a crow.
Vivian has already made jewelry for Flowers, her toy piglet.
*Abandoned post and then came back*
Whew! Today I: emailed about a zillion people to work on gaining access for my surveys, got a dress altered, bought more blue paper (with girlies - they got erasers), washed two loads of laundry (including my lab coat which was looking dingier than need be), showered, rode bus to Emory, collected surveys mostly in surgery waiting area and radiology, created more surveys (thereby disturbing a considerable number of people in the med library), rode bus home, organized surveys...and now we're about to leave.
Good day!
Thursday, May 17, 2012
Lovely May
Mazie's art got to be in an installation at the High Museum of Art downtown. Mazie's is the fish in the jar (top).
This is what it looks like at our house right after bathtime.
The girls together outside the High Museum. Mazie is feeling conspicuous. Can you tell by her face? Mazie "Boots" Gunn, doing a project that involved a length of board: Vivian playing the stick game:
Spring has flown by. Tonight a storm rolled past, but did not storm on us. It mainly just tinted the sky a funny color and caused all the leaves on the trees to turn over. What a lovely evening to eat ice cream on the stoop! The girls have one more week of school. I cannot believe that third / first grade is already finished! The girls have both had wonderful years this year. We had three little girls on our block who were just their ages. Then, a few weeks ago, they all moved away at the same time. Our girls will have to get new neighborhood friends because their buddies' absence definitely puts a kink in their summertime gang plans. Warm weather is here, and for the Gunn family that means open windows and salads. Ahhhh....
This is what it looks like at our house right after bathtime.
The girls together outside the High Museum. Mazie is feeling conspicuous. Can you tell by her face? Mazie "Boots" Gunn, doing a project that involved a length of board: Vivian playing the stick game:
Spring has flown by. Tonight a storm rolled past, but did not storm on us. It mainly just tinted the sky a funny color and caused all the leaves on the trees to turn over. What a lovely evening to eat ice cream on the stoop! The girls have one more week of school. I cannot believe that third / first grade is already finished! The girls have both had wonderful years this year. We had three little girls on our block who were just their ages. Then, a few weeks ago, they all moved away at the same time. Our girls will have to get new neighborhood friends because their buddies' absence definitely puts a kink in their summertime gang plans. Warm weather is here, and for the Gunn family that means open windows and salads. Ahhhh....
Tuesday, April 10, 2012
Spring update
Not flattering, but real: Me post-all-nighter with Richie at the playground with the girls (not shown :)
We went rollerblading...
And got caught in a rainstorm! Boy, was it fun!
Art Installation: Dinosaur Wedding by Vivian Gunn.
It's been a super long time since I've posted anything, even photos. I have been in work mode to the point where I sort of cut off all distractors. The reason I'm posting today is that I feel pretty cut-off from a lot of people and things I love. Certainly, I don't begrudge the intense learning year that's just passed, but I hope that relationships and outside interests will perk up again when I feed and water them.
What's going on right now is the conclusion of 1st and 3rd grades, lots of meticulous detail work at Bankhead Mfg., and Step II studying.
Vivian and Mazie have worked hard and done well this year. Vivian is a fearless writer. She will crank out a multi-page story without taking a break. Those are always fun to read - I'll try to post one. Vivian got a really cute discipline reminder that Richie and I had a difficult time taking seriously - "Whistling in hall." Yep. She's a whistler. We told her we loved to hear her happy sounds, but to please remember that the hall is a quiet zone. Mazie has had project after project after project this year. It's actually a running joke among third grade parents. She's built a shadow box of York (of the Lewis and Clark Expedition), she's illustrated a poster for Frightful's Mountain, she's made a diorama of the Washington, D.C. Mall. Her most recent project was "Become an expert;" she chose to make a poster about cartooning. I'll definitely post that one. Mazie and Vivian's birthday parties had to be postponed because Vivian got Strep throat the night before. I'll post photos after we have it, though!
Richie has just finished up a project with work that is a plate steel sign that commemorates one of the older retiring heads of the company. It's funny - the sign looks great judging by the photos I've seen, but the devil is always in the details. With the sign, the details apparently have nothing to do with the design of the sign - "that's easy" as Richie says. For this project, they decided that if they constructed the sign the way things are ordinarily constructed, it would end up looking like it was crying once oxidation set in and the rust ran down. So they modified the construction of it such that there's a complicated drill-hole pattern in the back that has to match perfectly between elements. It all came out great and the sign will never cry, but Richie was fretting over the drill hole pattern for a bit. That's just an example of the problems he solves at work.
We get a month to study for Step II, and I am trying to use it to its fullest. Step I studying whips us into shape for being able to put our heads down and chug through practice tests. It's actually pretty fun to synthesize disciplines and put it all together. I am feeling the weight of my education. I am not the quickest study in my class by far, but I have learned an incredible amount. The coolest thing studying for Step II versus for Step I, which was taken before Core Rotation year, is that I've actually seen most clinical scenarios that come up in practice questions. I'm thinking back to the patients with a gastric ulcers, the patients with diabetic ketoacidosis, the ones who suffered side-effects of medications. Learning really is different in context.
Thanks for reading and happy springtime!
We went rollerblading...
And got caught in a rainstorm! Boy, was it fun!
Art Installation: Dinosaur Wedding by Vivian Gunn.
It's been a super long time since I've posted anything, even photos. I have been in work mode to the point where I sort of cut off all distractors. The reason I'm posting today is that I feel pretty cut-off from a lot of people and things I love. Certainly, I don't begrudge the intense learning year that's just passed, but I hope that relationships and outside interests will perk up again when I feed and water them.
What's going on right now is the conclusion of 1st and 3rd grades, lots of meticulous detail work at Bankhead Mfg., and Step II studying.
Vivian and Mazie have worked hard and done well this year. Vivian is a fearless writer. She will crank out a multi-page story without taking a break. Those are always fun to read - I'll try to post one. Vivian got a really cute discipline reminder that Richie and I had a difficult time taking seriously - "Whistling in hall." Yep. She's a whistler. We told her we loved to hear her happy sounds, but to please remember that the hall is a quiet zone. Mazie has had project after project after project this year. It's actually a running joke among third grade parents. She's built a shadow box of York (of the Lewis and Clark Expedition), she's illustrated a poster for Frightful's Mountain, she's made a diorama of the Washington, D.C. Mall. Her most recent project was "Become an expert;" she chose to make a poster about cartooning. I'll definitely post that one. Mazie and Vivian's birthday parties had to be postponed because Vivian got Strep throat the night before. I'll post photos after we have it, though!
Richie has just finished up a project with work that is a plate steel sign that commemorates one of the older retiring heads of the company. It's funny - the sign looks great judging by the photos I've seen, but the devil is always in the details. With the sign, the details apparently have nothing to do with the design of the sign - "that's easy" as Richie says. For this project, they decided that if they constructed the sign the way things are ordinarily constructed, it would end up looking like it was crying once oxidation set in and the rust ran down. So they modified the construction of it such that there's a complicated drill-hole pattern in the back that has to match perfectly between elements. It all came out great and the sign will never cry, but Richie was fretting over the drill hole pattern for a bit. That's just an example of the problems he solves at work.
We get a month to study for Step II, and I am trying to use it to its fullest. Step I studying whips us into shape for being able to put our heads down and chug through practice tests. It's actually pretty fun to synthesize disciplines and put it all together. I am feeling the weight of my education. I am not the quickest study in my class by far, but I have learned an incredible amount. The coolest thing studying for Step II versus for Step I, which was taken before Core Rotation year, is that I've actually seen most clinical scenarios that come up in practice questions. I'm thinking back to the patients with a gastric ulcers, the patients with diabetic ketoacidosis, the ones who suffered side-effects of medications. Learning really is different in context.
Thanks for reading and happy springtime!
Sunday, December 11, 2011
Look carefully! This is the Aviary at Emory University Hospital Midtown (Crawford Long). It's all fixed up for Christmas. The birds looked sort of freaked out about the nutcrackers who were appearing to be moving in on their food.
This is the skyline from EUHM. Pretty nice.
This is a gathering at the Moriches' for a belated Thanksgiving celebration. Totally awesome!
Mazie and I were twinsies. Vivian joined in.
And last, but not least...egregious blonde depiction of Jesus from a children's Bible at Richie's folks' house. What?! How did someone get away with this?
Happy Holidays!
PS we have a tree but it is without lights or ornaments at present. I have spent most of this weekend doing a literature search for research project!
Thursday, December 8, 2011
Happy Crafting
Tuesday, December 6, 2011
Wow - I can't believe it's already the sixth of December.
The month between Thanksgiving is crazy for everyone, I'm sure. I can't even put my sweatshirt on frontwards, for crying out loud.
Earlier today there was a flurry of e-mails regarding snowflake costumes and then one about green pants for a tree costume (mazie's grasshopper costume had green pants so we were able to help). We are trying to let everyone know that as far as the Decatur Gunns are concerned, Christmas is for children. I just picked up two very bright crocheted afghans at Last Chance Thrift Store half off Monday on my way home from clinic yesterday - one for each girlie, post-laundering, of course. And it is time for me to submit my research proposal. Thursday is an advisor meeting and Friday is a dean's meeting. Tomorrow my uWise tests are due for OB/GYN. Tonight was small group. Richie is at the church right now (since 7 when I got home from small group), helping to renovate. He was there last night from 5-10.
And there's OB/GYN...so interesting. Today I got to be in the operating suite and in the clinic at Midtown. It's so interesting, and so much fun! Can't wait for L and D.
Now some pictures. They'll appear at the top.
Thursday, November 24, 2011
Saturday, November 19, 2011
Favorite Holiday
I think Thanksgiving is becoming my favorite holiday. I just wrote a ton of thank-you notes, hoping for amnesty on the timing. I am done with Ambulatory Care (which I loved) and am on to OB/GYN next. I can't wait to catch babies!!!
Vivian had her Zoo Atlanta field trip yesterday. Her favorite animal was a bird whose name she can't remember that had a special behavior. The tour guide would stand next to the glass and open her mouth and the bird would try to feed her through the glass. That was what Vivian said, anyway.
Mazie is doing a project of her choosing in school. She is researching sound effects and Foley artists. We are pretty sure it's just to increase her repertoire of mouth sounds (which are - no kidding - turning into bona fide tics), but she's really interested in it. I'll try to remember to post what she comes up with.
Here are some pictures of The Gunns' attempt at cheerleading stunts. I can't remember when during public school I learned to do this, or who my cheering stunt partner was, but this little move has served me well for something like 20 years.
Vivian had her Zoo Atlanta field trip yesterday. Her favorite animal was a bird whose name she can't remember that had a special behavior. The tour guide would stand next to the glass and open her mouth and the bird would try to feed her through the glass. That was what Vivian said, anyway.
Mazie is doing a project of her choosing in school. She is researching sound effects and Foley artists. We are pretty sure it's just to increase her repertoire of mouth sounds (which are - no kidding - turning into bona fide tics), but she's really interested in it. I'll try to remember to post what she comes up with.
Here are some pictures of The Gunns' attempt at cheerleading stunts. I can't remember when during public school I learned to do this, or who my cheering stunt partner was, but this little move has served me well for something like 20 years.
Tuesday, November 8, 2011
Tuesday, November 1, 2011
Monday, October 31, 2011
halloween 2011
Mazie: Pippi Longstocking
Vivian: Mary Ingalls (from "Little House")
Costumes: Of their own formulation. I was only permitted to help with the hair. I tried to suggest elements or small changes, but they were completely set on their own ideas. Easiest Halloween Ever.
These pictures are: cleaning out pumpkins at kitchen counter, Creating Pippi hair, posing with autumn fairy neighbor (AKA Katie), Trick-or-treating, and displaying the spoils of the evening's exploits. Goodnight, little girls, thank the Lord you are well, "And now GO TO SLEEP" said Miss Clavel!
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