Some days.

KidV and Miss Alice playing at the stream. Miss Alice is a friend of a friend who needed a couple of hours of playtime with a kid to fulfill requirements a psychology class. KidV is a kid, so they played. This is mostly to show the stream in midsummer. A major asset of our neighborhood.

A subset of my intern class. We are 21 in total. From left to right, top to bottom: Rahul, Zach, Jason, Kevin, Harjot, Tatiana (who is usually quite beautiful), Dr. Heron (a dean), Nadia, Claire, and Brandon (he always looks like that). Everyone's kind, talented, down to earth.

My work landing pad so that I don't forget things: chapstick, twisties, safety glasses, penlight, hand lotion, pens, foldy paper, keys, ACLS cards, trauma shears, tongue depressors, badge, pager.

The girls have started producing a family periodical. KidM gave KidV "The Topics," and KidV composed the copy.

A cookout for all of Our Hospital: barbecue sandwiches, corn on the cob, greens, cornbread, beans, and King of Pops. People talking to their people and a DJ in the corner completed the party atmosphere.  One thing is for sure: Atlanta knows how to eat. Hence the rampant Biscuit Poisoning.

Good job

I have a good job. I work with nice people - people I admire, people I enjoy being around. I get to stretch my capacity to work hard to its absolute limit every day. Every day I get tired by the end of my ten hours. Almost every day...sometimes several times a day...someone tells me, "Thank you, thank you. God bless you, baby." That's just for doing my job and helping someone's pain go away for a bit or getting them the answer they need. Once in a while someone dresses me down for doing my job...but when so many folks are nice to me, I know it's just that person's way of relating to the world. It doesn't bother me nearly as much as if it was all abuse all the time.

And I get to see so many different people, and listen to every single one of their hearts. Isn't that amazing? I get to say to everyone: Okay, now I'm going to listen to your heart. Then I place my stethoscope snugly but gently against their skin, moving it to my four listening areas, and I hear their discreet, dutiful heart. No matter how gnarly a living person is on the outside, they have a clean, fascinating heartbeat.

Sometimes a person in pain is crying, with tears just squeezing out of their eyes uncontrollably. Sometimes a person who's pretty much okay will demand and demand an inappropriate intervention: "Give me something to drink right f*&%#ing now or I am taking all this wires and  S^$* off me and walking out of here." (We can't let you eat right now because there's a substantial chance you'll need surgery tonight. How about some ice chips and more IV fluids?) Or: "If my CT scan doesn't show anything bad, will you still give me some percocets?" (We can't send home anyone with narcotic pain medicines if we aren't absolutely sure they need them. It's not in our patients' best interest.) But there are a lot more, "Thank you all so much for what you do," and "Thank you, ma'am," and "I appreciate it, doc," than anything else. It surprises me every time!

Meanwhile, everything is so big. The population we see at our hospital...huge. The ambulances making crooked spokes out from the hub of Our Hospital...huge distances traveled, so many trips. So much goes in the trash, so much gets used, so many pixels sporting so much new information. My brain hurts at the end of the day. That's 3/4 of the tired feeling. One thing is sure - the more I enjoy a thing the better I can learn it. So I am thankful to enjoy this.

June summer

Lately

At Woodliff/Miller rehearsal dinner

Sleeping Bear Sand Dunes

Rock finding

Prissing for all of Leland to see

Handsome Stranger and His Children

Processor is Down

I began with the intention of adding multiple pictures I have of exhausted or stunned-looking fellow med students who have been finishing med school this past month and who will be graduating on Monday. Okay, I'll still add a few.

Surprised, stunned, and mesmerized.

The past month of classes - "Capstone," it's called - has flown by. Capstone did a great job of revealing the some of the great mysteries of residency. We learned how to do a great sign-out, how to teach med students effectively, how to institute some ways to care for ourselves (24 hour gym and autopay were biggest suggestions) during residency. We learned how to declare death, to do a skillful and kind death disclosure, and how to find the lab.

Most lessons of residency cannot be taught ahead of experience...which explains the necessity of residency. I am excited, but also terrified.

A bunch of people I love all in a row

I am thankful that my curriculum includes this practical segment. The simple act of consideration of residency in adequate detail makes it more real. My informal survey of classmates sampled mostly people who are proud to be finished with this phase, but very cognizant of the new challenges inherent in the stage that awaits.

Beautiful in spite of themselves.

Most people are moving very far away. Many, like the two women above, are getting married in the next month - in addition to graduating. Over four years, these people have become my colleagues and my best friends. I will miss them more than I can currently consider (without crying) when they disperse.

These amazing women and men have been friends not just to me but also to my children...and those are the best kinds of friends. My kids have made them their playmates, their jungle gyms, and their role models. My friends have graciously poured out love and affection on my kids. So many hugs, so many games of chase, so many dinners, so many genuine inquiries of, "How are YOU doing?"

Waves of sadness - I will miss this immensely.

I will absolutely be at our med school reunions, hugging and crying. 

Things we all made

Drawn by Richie, painted in oil by Mug...so pleasing (it's Mug and Hannah's house).

KidV on her way out the back door of Hannah and Mug's

KidM jumping the bulb hedge for the zillionth time. She "Had energies."

Five kids and three adults managed to get this many boxes white in 1.5 hours. These will be buildings for KidV's class's Cloudy with a Chance of Meatballs float.

All the airplanes Grandpa made for us on one neat mobile. You can take them off and fly them.

Lately

Cindy applying makeup - so pretty.

Campsite at the Cartoogechaye

Determined sisters meet chilly April snowmelt

Mug, R, Hannah. Discussing lyrics.

Little pictures

Gap tooth gum chewer. This is a new shirt for KidV. The girls got into the summer box one day when I was still on surgery, so I couldn't micromanage the outpouring or use of new-to-us summer clothes. They've integrated the items into their wardrobe fabulously - and with no help from R or me. The girls wear the same size so they divided the clothing according to complementariness with their skin tones. Nice job, girls!

About to chew gum. Gum is a big deal around our house. It's like cigarettes in prison: currency. Our kids get paid in gum and sometimes I get into their gum stash and have to pay them back double.

Best Baby Doll Ever: "Elisia." KidM had another version of Elisia when when she was under two, but she left that Baby Doll at a hotel. Its name was just Baby Doll. She cried so much that we called Grandma and asked her to send another Baby Doll, and that's how we got Elisia. KidM says she loves how Elisia is always looking to the left - so alert.

Fun times with friends...so fun! The five kids in this photo were cracking each other up at the dinner table the moment before I took this. My friend (the other mom) and I just relaxed into a moment of mutual joy to see them have so much giggly fun.

Teacher appreciation week has come and gone. Here are three mixed kid-collected / parent-purchased flower arrangements for our class's three staff members. They turned out pretty!

A Day in March at South Fork

Investigating

Found a giant Y

It's even more impressive in real life.

I fell in.

We ran into old friends.

Happy late-winter

KidM's actually trying to look stunned for the camera - KidV's all CHEESE!

Match day dinner at Stormin' Burrito!!!!

KidM Planning something woodsy

A difficult hike - KidV was actually getting sick and we didn't know it.

Dressed up in lead outfit for Interventional Radiology...very heavy. Also very warm.

A few photos

Dismantling an old Punch Card Time Clock

KidV and a mysterious gypsy

At the South Fork

Happy Night with Lovebirds

Axial abdominal MRI with contrast.

Of note: KidM asked for a shoulder-length haircut. Never thought I'd see that one. R is working from home. KidV is so TALL. I am finishing my last week of surgical oncology sub-internship...think 15 hour days and lots of colon. Our family is staying HERE for my Emergency Medicine Residency (woohooooo!). That's all folks!