Three deliveries today.
I 'caught' one.
There was one other regular birth and also a Caesarian section.
But what really gets me is that 9:45 PM, driving home, I needed sunglasses...
Showing posts with label WWAMI. Show all posts
Showing posts with label WWAMI. Show all posts
Tuesday, May 20, 2008
Sunday, May 18, 2008
City Moose/Country Moose
If you've been paying attention, you'll know that I'm in the process of moving all over kingdom come for the sake of my medical education. As part of the third year of medical school at the University of Washington, I've lived in Anacortes, Spokane and Fairbanks (in addition to Seattle). There are pros and cons to this lifestyle, some of which I've broken down for you at The Differential this week.
Need more reason to head over there? There's a sweet picture of a moose.
Need more reason to head over there? There's a sweet picture of a moose.
Wednesday, November 21, 2007
Giving Thanks in Anacortes
On call in the emergency room this evening, I encountered my first homeless person in the city of Anacortes, WA.
This coastal town of 15,000 didn't strike me as a likely destination for homeless folks. A good number of people work at the local Shell Oil refinery. The health care industry employs many to care for the aging population. There are also a number of suburban-looking communities springing up in the gateway to the San Juan Islands. I figured that this hamlet would have its share of low income families given the depressed state of the shipbuilding and fishing industries here, but homelessness? Where are the services? In my ten days here, I just haven't encountered any signs. And it's not like I don't know how to look... I don't imagine that there are civic resources like might be found in the larger urban centers. The staff in the Island Hospital ER helped me understand my misjudgment. Tonight, I was the a civic resource.
Adult homelessness is often confounded with mental illness, substance use and malnutrition. This is very apparent in America's urban ER's. Tonight's case featured mental illness, but not a particularly severe type. I learned that the homeless here either live in cars or are "walkers." Walkers follow routes to keep them awake when personal safety is involved or the elements are an issue. In Seattle, this could include frequenting 24 hour grocery stores, night owl bus lines and busy streets like the Ave. or Broadway. In Anacortes, it's the Safeway and the hospital. My first brush with homelessness here happened to coincide with one of the first nights the temperature dipped to 25 degrees F. (That's frigid for the Pacific Northwest!) Our walker arrived after the frost had already tinged the windshields in the parking lot.
It actually doesn't matter why this individual presented to the ER, just that it is our job to provide care. The attending physician said something that really resonated with me. "About the most humane thing we can do for these folks is to provide a meal and a safe place to eat it." We may not have been able to provide a medical solution for this patient tonight, but I could heat some food and sit to chat with our guest. Was that chicken parmesan Thanksgiving dinner?
I'll soon be returning to my wife in Seattle knowing that today and every day, I have much to be thankful for.
This coastal town of 15,000 didn't strike me as a likely destination for homeless folks. A good number of people work at the local Shell Oil refinery. The health care industry employs many to care for the aging population. There are also a number of suburban-looking communities springing up in the gateway to the San Juan Islands. I figured that this hamlet would have its share of low income families given the depressed state of the shipbuilding and fishing industries here, but homelessness? Where are the services? In my ten days here, I just haven't encountered any signs. And it's not like I don't know how to look... I don't imagine that there are civic resources like might be found in the larger urban centers. The staff in the Island Hospital ER helped me understand my misjudgment. Tonight, I was the a civic resource.
Adult homelessness is often confounded with mental illness, substance use and malnutrition. This is very apparent in America's urban ER's. Tonight's case featured mental illness, but not a particularly severe type. I learned that the homeless here either live in cars or are "walkers." Walkers follow routes to keep them awake when personal safety is involved or the elements are an issue. In Seattle, this could include frequenting 24 hour grocery stores, night owl bus lines and busy streets like the Ave. or Broadway. In Anacortes, it's the Safeway and the hospital. My first brush with homelessness here happened to coincide with one of the first nights the temperature dipped to 25 degrees F. (That's frigid for the Pacific Northwest!) Our walker arrived after the frost had already tinged the windshields in the parking lot.
It actually doesn't matter why this individual presented to the ER, just that it is our job to provide care. The attending physician said something that really resonated with me. "About the most humane thing we can do for these folks is to provide a meal and a safe place to eat it." We may not have been able to provide a medical solution for this patient tonight, but I could heat some food and sit to chat with our guest. Was that chicken parmesan Thanksgiving dinner?
I'll soon be returning to my wife in Seattle knowing that today and every day, I have much to be thankful for.
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