4.21.2006

Happy Earth Day!

The Great Law of the Iroquois Confederacy has a quote that states, "In our every deliberation, we must consider the impact of our decisions on the next seven generatons."

Yes, I took that quote off the label of my favorite household product brand. In a society more technologically-advanced than those previous, we often fail to consider the effect that that technology will have on those after. Unfortunately, our advances may have a detrimental effect not only on the future, the environment, but ourselves as well. Have you ever stopped to consider how what you buy, what you eat, or what is in your house is affecting your health, the health of the earth, or the health of someone living in substandard conditions in another country?
I must confess that I hadn't either until about a year ago. It was when I was taking biochemistry that I began to realize exactly how much of an impact what we put into our bodies has on our health and well being. It wasn't until I began conversing with some of my more environmentally and social justice oriented classmates that I began to realize how a few pennies or dollars saved may be promoting a few more pennies or dollars being taken from those who are in far greater need than myself.
In light of this and the fact that it is Earth Day, I leave you with a few easy, med. student budget friendly tips to help make this world a better place:

1. Throw the whole "the lowest price is the best deal" concept out the window. I'm waiting. Did you do it? Good for you. Yes, you may save a few pennies here and there by shopping at certain businesses, but did you realize your meager savings is helping to promote decreased benefits for workers, substandard wages, CAFOs, social injustice, etc...?? A nice return for saving a few pennies, huh?

2. Read the labels. I know you all learned how to read, I hope. You'd be amazed at the amount and variety of chemicals that surround us everyday and even more amazed at what we allow ourselves to ingest. Think all of those chemicals are 100% safe? Think again. Most of them haven't been fully studied to discover the exact effect that prolonged exposure has on human health. And besides, with long names like "monopotassium phosphate, piperonyl butoxide, and dimethly benzyl ammonium saccharinate" it can't be good for you. People have survived for centuries without being surrounded by a plethora of synthetics. Why can't we now?

3.Buy organic. Every summer the Johnson City Downtown Clinic treats numerous migrant workers with severe health problems. The number one contributing factor? Pesticides. A few weeks ago we had a series of Toxicology lectures listing the types of pesticides and their toxic effects. I realize that we aren't exposed to the same levels as the migrant workers but it still makes you wonder if all those small doses aren't accumulating and having an effect.
Pesticide toxicity aside, organic farming is environmentally friendly and promotes sustainable living. It provides quality of life to the workers and the land. Too expensive? Buy bulk and raw ingredients. It's a lot more fun and versatile as well. Example: it's much easier to make quesadillas from tortillas, mushrooms, olives, peppers, cheese, etc..than to take that expensive organic burrito and try to turn it into a quesadilla. Besides, cooking is a great way to express your creativity and impress your friends.

4.Buy range-fed meat and dairy products. I'm sure you were wondering what the aforementioned acronym CAFO represents. Concentrated Animal Farming Operation. Basically its a glorifed slaughter house where an animal, such as a cow or chicken, spends its entire life in a small enclosed space waiting to become your dinner. Not only is it a breeding ground for disease, many of these animals are fed feed mixtures laced with some of our most potent antibiotics (and they tell you that antibiotic resistance comes from physicians prescribing too much amoxicillin for Jimmy's cold) in order to produce healthier, larger animals. Can't afford range-fed? Go soy. I know, you hear the words "tofu" and shudder. It tastes just like chicken...or cheese...or beef or whatever else. I have a great recipe for tofu-spinach lasagne if anyone wants to take that first leap.

5. Try natural household products. I highly recommend the brand "Seventh Generation." Their laundry detergent not only smells great, but it is also petroleum-free. Maybe if we all switched to non-petroleum based laundry detergent, we could drive the oil sheiks out of business. Maybe not.

6.Speaking of oil, has anyone not noticed the extremely high price of gasoline? I have a simple solution to save money: ride your bicycle. Not only is it fun and a great means of exercise, it's good for the environment. Walking is another great option.

7.Spread the word. We cannot act unless we know how to act. Spend a few minutes educating yourself about how you can have a positive impact on your environment, your health, and the lives around you. Check out the following sites to get started:

www.seventhgeneration.com
www.organicconsumers.org
www.appsusdev.org

It may cost a few pennies more, but it could save a few years of life for you or the future generation. Happy Earth Day!!!

4.09.2006

A Wealth of Talents

"He has made us competent as ministers of a new covenant." I Cor. 3:6

One of the biggest blessings of this year has been the opportunity to attend the Tolans' missions chats every other Sunday afternoon. Today was no exception as I was captivated by the words and heart of World Hope's executive director.

When I was younger, I used to think that a minister was that guy who stood up in front of all those people every morning and tried to make them fall asleep in thirty minutes or less. I could never do that. #1 I wasn't a guy and #2 I was terribly shy as a child and the thought of speaking in public was daunting to say the least. As I grew older, I realized that ministers weren't the only ones who were called to share Christ with others, we all were. So what could I do? I could be a missionary. Of course all missionaries have to be trained in the vocations of preaching, teaching, or medicine. Right? So when I decided to go spend 2 months in Honduras a few years ago, I really thought myself to be crazy for having accepted such an offer. I didn't have much training in any of those fields. Fortunately, God in all his omniscience already knew that to be a missionary, one didn't have to ascribe to one of the three former titles.

The title of this blog is part of the title of my Senior Honors Project for undergrad. It was 110 pages. Don't worry. I won't make you read all of it. I already made my professors suffer through it once. I'm not even sure how it became that long. To make a long story short, I went to Honduras not really knowing in what capacity I would or could serve. I was just a pre-med college student with some training in music performance and able to speak a smidgen of Spanish. As the weeks progressed, I found God opening my eyes to those roles he had already prepared for me. You see, God already has given us many talents, and with those talents we are able to serve others and share the love of Christ (check out 1 Peter 4:10). For me my small training in music led me to help some of the students learn new songs in English. My smidgen of Spanish turned into a broken conversation with a lady as I recounted a recent Bible study lesson about Proverbs 31 and how she was worth something to God, even if her husband had just left her for another woman. Those days spent coloring in coloring books as a child and playing games came in handy when living with a 4 and 5 yr old and their exhausted and lonely mother.

And Mrs.Lyons recounted similar stories tonight. Of a girl who had a degree in art who wanted to serve God abroad but didn't fit into one of the three aforementioned categories. What is she doing now? Helping make materials and propaganda to educate women and communities about the rampant sex trafficking that happens all around the world. God's used and continues to use people from all different backgrounds with all types of talents, architects, musicians, seamstresses, hair cutters, businessman, enigineers, electricians, health care workers, etc..., to spread his word around the world to the masses of his suffering and dying precious creations.

So as the verse written above states, we are all ministers and competent to spread the wonderful message of the new covenant. Just imagine: if time, money, and situation weren't an issue, where would you go for God? He'll take you there. Through prayer, faith, and obedience there are no limits as to what God can do through you.

3.31.2006

What We Don't Know...

...can hurt others.

Last night I had the opportunity to view the documentary Invisible Children. If you've never seen if before, you owe it to yourself and others to do so. You can also visit the website www.invisiblechildren.com to find out more information about this atrocity.

I find it somewhat ironic (with no disrespect to those valiant soldiers abroad) that we fight a "War on Terrorism" on the grounds that one country presumably possessed weapons of mass destruction when there is already a war going on using a weapon of mass destruction: fear. A fear that drives children from their families every night to sleep in crowded bus stations miles away. We pursue "terrorists" when there are terrorists out there putting weapons in the hands of precious children and making them fight or die. We know all about insurgents but nothing about the LRA.

Are our priorities right? Is it just that US citizens live in "blissful ignorance" of the desparity of humanity and the incredibly sickening violations of human rights in other parts of the world?

3.28.2006

Where's Your "Go?"

"Therefore go and make disciples of all nations, baptizing them in the name of the Father and of the Son and of the Holy Spirit, and teaching them to obey everything I have commanded you. And surely I am with you always, to the very end of the age." -Matthew 28:19-20

In case you didn't know, it was missions that brought me into medicine instead of into a career stuck in a laboratory pipetting microbial DNA and smelling agar for the rest of my life. It was missions that made me realize how much of a need abroad there is for physical healing and how such a medium can be a powerful adjunct to spiritual healing as well. And if it is God's will, medicine will lead me back to the mission field.

God has a funny way of getting us back on track sometimes. Recently, my Bible study partner was feeling a bit rebellious and not wanting to complete her lessons one morning. She decided instead to turn on the TV for a few minutes. When she flipped on the TV who was on TV but none other than the author of the study we've been doing? Likewise, I was in that same mood, and the other day who was that day's Bible study about? Abraham. The father of all nations. The one who garners the title of "most verses" in the "faith hall of fame" Hebrews 11. I had been balking at the thought of having to one day leave my family behind and move to a strange land. Yet God told Abraham, "Get thee out of thy country" and he went, leaving behind family, friends, his country, and setting off on a journey, destination unknown. He stepped out in faith, and God rewarded him. Yes, God has a funny way of setting us back on the right path.

The Greek word for faith, pisteuo, is a present active participle. In other words, it's ongoing. I think one of the biggest lies Satan sells Christians is the idea that we can be merely "good examples." While living a life that models Christ is important, the last words of Christ were not, "Be good examples unto all your neighbors." He told them to "go unto all the world." When Saul became Paul, he didn't just return to his hometown and chat with his Jewish colleagues about what had just happened. He didn't just merely live a good example. He went unto all the world.
It's a "go" of stepping out of your comfort zone, of practicing that present active participle faith. It's a "go" of not knowing what the world entails but knowing that a world exists in which to "go." It's not a "go" that says "go when there are no creepy crawlies in your room at night" or "go where it's ok to eat, drink, and not suffer the consequences." Nor is it a "go where you'll always feel comfortable with those whom you associate" or a "go where your family/spouse/friend think it would be a good idea." Nevertheless, we all have a "go," a place where we must actively tell others about the incredible message of a someone so compassionate, so loving, so merciful that He would sacrifice his own well-being for the least of humanity.
And with a "go" I've learned that there is also a "wait." A preacher once told me that "though the harvest may be ripe, you can't gather it with a dull sickle." Likewise, a famous Christian women's author once stated, "Time is where He tempers and tests us so that premature births of ministries don't result in lifelong handicaps." One of the hardest things for me upon entering medical school was learning that this is a time of waiting, a time of preparation. Yet even Christ himself had to wait. Thirty years for three years of ministry. We have to trust in God's timing and realize that those times of "waiting" are preparing us to "go."
Maybe my "go" is in Guatemala, South America, or somewhere I have yet to consider. Maybe your "go" is the inner-city of Chicago, a battered women's home, or the Hispanic neighborhood in your community. Wherever it may be, remember that we are called to be more than just "good examples." Our faith is active and our message is one of priceless hope.

3.24.2006

Small World

Apparently the preacher that was recently killed in Selmer, TN once was the youth minister at my grandparents' church and had been to their house to visit from time to time. Crazy. I guess you never know where and when life will take you nor when that road may suddenly end.
Just keep the community, wife, and kids in your prayers. I can't imagine what they must be going through right now.

"So teach us to number our days, that we may gain a heart of wisdom." -Psalm 90:12

3.21.2006

Yay for Antivirals!!

Thanks for your thoughts and concerns!!

(A recurring theme?)


I think I'm finally "flu-free" and ready to catch up on all those "lost" study hours. The one thing about being sick is it gives you time to think....and think and think and think. So one of the things I've been thinking about is something I heard in my Psychiatry class last week: Addiction. It's something so prevalent that chances are, you or someone else in the room with you, has dealt with it or will deal with it at some point in your life. For part of a class last year, we had to attend an AA meeting. I must say it was a powerful experience watching men and women, young and old, openly talk about that which had taken over your lives. Of course, as part of the meeting the 12 Steps were presented which I have listed below for your convenience (emphasis mine):

1. We admitted we were powerless over alcohol-that our lives had become unmanageable.
2. Came to believe that a Power greater than ourselves could restore us to sanity.
3. Made a decision to turn our will and our lives over to the care of God as we understand Him.
4. Made a searching and fearless moral inventory of ourselves.
5. Admitted to God, and to ourselves, and to another human being the exact nature of our wrongs.
6. We're entirely ready to have God remove all these defects of character.
7. Humbly asked Him to remove our shortcomings.
8. Made a list of all persons we had harmed, and became willing to make amends to them all.
9. Made direct amends to such people wherever possible, except when to do so would injure others.
10. Continued to take personal inventory and when we were wrong promptly admitted it.
11. Sought through prayer and meditation to improve our conscious contact with God as we understand Him, praying only for knowledge of His will for us and the power to carry that out.
12. Having had a spiritual awakening as the result of these steps, we tried to carry this message to alcoholics and to practice these principles in all our affairs.

That being said, I began thinking that these twelve steps would apply perfectly to sinners, ie a type of "Sinners Anonymous," especially considering many sins evolve from or into a form of addiction (alcoholism, drugs, food, pride, self-worship/adoration, sex, control, jealousy, internet, TV, sports, work, beauty, shopping, laziness, are you feeling uncomfortable yet?) In fact, many of these steps have Biblical basis, yet many of us have never admitted our sins/addictions to others or apologized or extended forgiveness for the ill effects they may have caused.

Why is it perfectly acceptable to talk about the latest Christian rock band, mission trip, church event, yet talking about someone's sin/addiction brings on a sense of indignant rage? How dare we not praise someone for giving up a week of their life to go serve the poor in Central America, yet how dare we confront that same person about their problem with ____.

Is this Biblical?

Aren't we supposed to build each other up, but at the same time hold each other accountable so that we can continue to draw near to God? And what about that verse in James (5:16) that directly links the confession of sins to healing? Just as addiction to alcohol or other substances can have physical repercussions, so can spiritual addictions/sins.

So why is it that non-Christians can meet faithfully week after week to support each other and help overcome each others' addictions, but oftentimes belittling gossip starts flying whenever Christians try to do the same? Is it really an odd concept to bear the title of "sinner?" Isn't that what we all share in common? Is it really just not in the Christian's "job description" anymore to admit to God that which has taken control of our lives, to confess to others our specific wrongdoings, and to ask for forgiveness and to continually do so?

Just something to think about.

3.17.2006

Waste of Money

If flu vaccines are supposed to prevent the flu, then why did the doctor tell me today that I have it?

Stocking up on Gatorade and soup and preparing to spend the next few days in bed...

3.01.2006

Books and Shoes

I've given up. I've decided that it is mentally impossible to cram 130 drugs, mechanisms, uses, and side effects into my head before 8am Friday morning. I should have started studying earlier, but somehow 5 other tests, ACLS training, and the Olympics (how evil to put such an event during the middle of my exams) kept me from meeting my desired learning objectives.

That being said, does anyone have any reading recommendations? In the very near future, I'm actually going to have free time (does that phrase still exist?) and lots of it. Not wanting to lose such a valued skill, especially when accompanied by palm trees and ocean waves (seriously), I'd like some recommendations. I'm already taking one of Paulo Cuelho's novels and Rigoberta Menchu's autobiography with me.

On another note, if anyone is looking for new Chaco's, REI has a very appealing offer at their online outlet store. I've had mine for three years now and call them my second feet. Hands down the best pair of shoes/sandals I've ever bought and worth the investment, this statement coming from someone for whom it's impossible to find a well-fitting shoe.

Anyways, back to cramming drugs in my head...

2.28.2006

Life Saver?

We found our patient unresponsive, in ventricular tachycardia, and suffering from a massive arterial bleed on the lower right extremity. After calling a code and starting the ABC's, we shocked him, intubated him and gave him a bolus of saline solution. Courageously, we worked for the next several minutes to stabilize our patient. Despite our efforts, we watched the monitor as he slipped into asystole, and we called it fifteen minutes later.

What happened next? We hit the "reset" button and let the next group have their turn.

I love being an almost-doctor. Coolness.

2.08.2006

Here's to the Upcoming Holiday

Aren't they cute?


May your day be spent in quiet appreciation of those you love like these two adorable creatures.
As for me, I'll be spending the day listening to sappy music and learning how not to be such a heartbreaker.
Happy VDay!

1.28.2006

A New Turn in the Road

Promethazine, atropine, meclizine, everywhere a "zine, zine." That's what spending a lovely day inside studying drugs will do to you.

So I've been thinking about this whole blogging thing lately, and what I've come to realize that I've deviated from my original intent for creating this blog. It was originally intended as a means as a replacement to the emails I used to send out to keep in touch while I was away learning to become a doctor. However, those who I used to write aren't really those who now read, and some wonderful meetings with old friends over the past few months made me realize that the lines of communication were never meant to be solely sustained through broadband and blogging.
In a nutshell, this blog is no longer for the purpose of learning what's going on in my life. Don't worry faithful blog readers; I'll still write when I have time about whatever may be on my mind or heart. It's in the best interest of all of us that this occur. I don't have to worry about finding time to keep you updated nor finding time to read your many blogs (that's what phones, emails, personal visits, etc are for). With that having been said, I leave you with some fond memories of the past year:



Speaking of roads...along I-40 right past Amarillo you can find numerous old Caddies buried in the dirt. Don't ask me why. Sain showed Cammie and I this roadside attraction when we stopped to visit him. Apparently there's not much else to do in Texas (just kidding Sain!). On our way out the following morning, we decided to leave our own signature on this Western Town attraction...I wonder if it's still there...


What can I say? It's the Grand Canyon, representative of a memorable 3 day camping trip. If you've never been on a roadtrip you should definitely consider doing so.


I think this is one of my favorite pictures taken while abroad. I can't thank God enough for having the opportunity to experience another culture, to"feel the pulse of the persecuted church," and to be among Christians who truly know what "family" means. Just a few dollars spent on a Pinata, candy, and some string, but it resulted in a priceless look of joy on this little girl's face. I'm constantly amazed at how God can take what little we have to offer and turn it into something great.


An ounce of prevention is worth a pound of cure-teaching the best way of preventing disease-handwashing. While I was in Guatemala, a preacher gave a sermon about how we consider the book of Acts to be completed yet we each have our own chapter to contribute if we believe God and the wonderful message of the "Good News." I'd like to think that this class was only a tiny part of my chapter, and I look forward to see what the following pages contain.


In all my experiences abroad, I seem to find myself on a random roadtrip. This was a stop at Castillo San Felipe near Rio Dulce before the infamous Shigella incident. Don't worry, the cannon wasn't loaded.


The CSC guys (and girls); where would I be without them? No semester is complete without a visit to Knoxville or some stop nearby. An October hike to Hen Wallow Falls led to Brad and Eric and giving their impersonation of "Crouching Tiger Hidden Dragon" while Justin did the "Smiling Hungry Bear." Good times. Good hikes.


One of the blessings of Johnson City: Mrs. Chara Watson. Not only did she make this cool scarf and hat for me for Christmas, she was kind enough to come stay with me at JCMC when they decided that Barium shakes would be a great thing for me to try while I was waiting for my IV to finish. I seriously don't know what I'd do without my Christian family.


Hanlin was this the 4th or 5th Pancake Pantry Reunion? A holdover from our life together at Governor's School way back in the day, Lauren, Hanlin, and I always make time to have breakfast at this famous sweet spot in Nashville. Unfortunately, the closest we got to seeing a country music star was this rather large guitar.


A beautiful wedding for a beautiful couple, Nancy and Manuel. They were the ones that invited me to come spend a memorable three weeks in Guatemala this past summer, and it was an honor to attend their wedding. It's rare to meet people with a passion for seeking and saving the lost and even rarer to meet a couple whose primary purpose in life is spurred by this passion. I know God will be using them in great ways in the coming years.

So there you have it. Michele Gourley 2005 in condensed annotated and illustrated form. Per usual, I leave you with another one of my favorite quotes:


"Health is based on happiness-from hugging and clowning around to finding joy in family and friends, satisfaction in work, and ecstasy in nature and the arts." -Patch Adams

1.17.2006

Reason #57...

...why Quillen is the greatest kept secret in medical schools: all-expense paid trips to conferences in cool places like San Diego. Unfortunately, the trip started off a little rough, though I should have expected that for the following reasons:
1. It was Friday the 13th
2.I was attending a medical missions conference (see example)
3. I was flying Delta (which bears the moniker "Don't Ever Leave the Airport")

Bad weather caused us to miss our flight from Atlanta to San Diego. There was another flight leaving later, but it was overbooked. Our trusted travel guru classmate Ryan tried to use his "Medallion" status to pull some strings and called hotels.com to arrange accomadations for the night, but it was to no avail. There were no more flights out and no available rooms in Atlanta. We were going to just have to spend the night in the Atlanta airport.


Looking way too happy for preparing for a stay in our "comfy" beds

We scavenged the airport for a good place to sleep and found some non-armrest chairs in the international terminal. It actually wouldn't have been too bad except for the wonderful pre-set recording that woke us up every 20 minutes or so to remind us to keep an eye on our luggage at all times and to not accept baggage from strangers. Bleary-eyed and showerless we caught the next flight out at 8:30 and arrived in sunny San Diego around the middle of the morning.

Though we missed the first half of the conference, the rest of the day and Sunday were great. It was my first non-Christian medical missions conference, but it was still worthwhile. I learned, and find it amusingly ironic, that many of these people sacrifice months and years of their lives and money spending time learning the culture and language of the people whom they serve, tirelessly giving of their talents to help better the lives of others. On the other hand, many Christians don't learn the language and culture and throw away thousands of dollars and one week of their time to help better the lives of others and call it "sacrifice." Just something to think about but I'm not tackling such an issue here. Needless to say, it was a very informative weekend and it was nice to see that others share in the vision to provide healthcare to those who need it the most: the impoverished, the oppressed, the ones who don't have the fortune to live in this country.

Of course, no trip to San Diego is complete without a trip to the San Diego Zoo. The super-cool, soon-to-be-famous Matt (not Lee) Brown left his famous movie friends in LA to hang out with me, and we went to the zoo with my classmate Elizabeth. It was a good thing that he did come see me, or else the Zoo might be minus one panda. I really wanted to take the little brother of this guy home with me. Why can't Pandas be as numerous as dogs?


Can I take him home with me?

This is a picture of us sitting on almost an exact replica of myself. How thoughtful of the Zoo people to create such a stunning likeness of yours truly! (just kidding)

Matt and I atop a hungry hippo!


Looks like someone's lawn ornaments got loose!

Elizabeth and I explored some more of San Diego Sunday night and Monday morning before flying back to the South and our "exciting" lives as medical students. In short, the moral of the story is always take advantage of opportunities to travel to places you've never been, take time to visit old friends, don't fly on Friday the 13th, and always be prepared for the unexpected!!!

"As the traveler who has once been from home is wiser than he who has never left his own doorstep, so a knowledge of one other culture should sharpen our ability to scrutinize more steadily, to appreciate more lovingly, our own." -Margaret Mead

1.01.2006

Leave of Absence

The administrator of this blog regrets to inform its readers that there will be no additional postings until further notice due to deviation from the blog's original intent and an upcoming series of tests and hectic travel schedule in the coming months.

Any comments, questions, or concerns may be addressed to the blog administrator via email, phone, or in person. Thank you for your time and attention.

12.28.2005

I've Been Tagged

I've had writer's block the past few days and haven't been online much to update, but Critter just broke me of that by tagging me with the following: I'm supposed to write down 5 weird habits that I have and then tag 5 more people to do the same. Not to ruin the giving nature of the Christmas spirit I suppose I should try to fulfill Critter's wishes :o)

Let's see if this med. school nerd has any weird habits...hmm...

1. When I'm really stressed or in deep thought while studying, I like to play with my hair. I guess I think that toying with what comes out of my scalp might help me insert information into what lies under it.
2. I'm a self-professed car singer (when driving solo). I'm sure this has garnered many odd looks from other drivers, especially if the CD is one of my Spanish pop/rock ones.
3. I can't stand to have silverware touch the table at a restaurant. Spend 3 years of your life studying microbes, watch the busboys, and you'll understand.
4. Sometimes I do random Google searches when I can't sleep. Just pick two random words or phrases and see what comes up. You should try it sometime.
5. I have to eat my pancakes in the condition of syrupy-sogginess . I guess you could say I like pancakes with my syrup :o)

There you have it. 5 random facts about your med. school nerd friend that you probably never wanted to know. After much thought, I'm tagging those on my "Random Reads" list (which should probably be updated since it isn't so random anymore) Chara, Dave, Kent, Justin (since there are no rules about tag-backs), and Dan. Sorry guys!

I hope you are all enjoying the wonderful holiday season, and look for a more relevant update sometime in the near future...

12.21.2005

The Most Wonderful Time of the Year?

It's so nice to be back at home. It's so nice to sleep in and not feel guilty for missing Dr.Brown's pathology class. It's so nice to have an "extra week" of break (thanks to friends' weddings). It's so nice to have a time to relax and enjoy the company of friends and family. It's so nice to be back in a church that's truly understanding and doesn't try to gloss over the realities of life.
The following was presented as part of a lesson last Sunday night, acknowledging that this time of year isn't necessarily wonderful, especially for those who have lost loved ones, gone through divorce, suffered the estrangement of close relative, lost their health or their job, etc.. Let's try and remember those people, and there are more of them out there than you might think, and show some extra kindess and compassion toward them this holiday season.

I hope you are enjoying the break, and if you're in the mid-TN area the next few weeks, stop by and say hello!

Beatitudes for Those who Comfort
by: Jackie Deems

Blessed are those who do not use tears to measure the true feelings of the bereaved.
Blessed are those who do not always have a quick "comforting" answer.
Blessed are those who do not make judgments on the bereaved's closeness to God by their reaction to the loss of their loved one.
Blessed are those who hear with their hearts and not with their minds.
Blessed are those who allow the bereaved enough time to heal.
Blessed are those who admit their uncomfortableness and put it aside to help the bereaved.
Blessed are those who do not give unwanted advice.
Blessed are those who continue to call, visit and reach out when the crowd has dwindled and the wounded are left standing alone.
Blessed are those who know the worth of each person as a unique individual and do not pretend that they can be replaced or forgotten.
Blessed are those who realize the fragility of bereavement and handle it with an understanding shoulder and a loving heart.

12.10.2005

Another Milestone

Me Entiende? The Changing Communication Paradigm in Healthcare



This picture represents the culmination of a year's worth of rural health interdisciplinary research and the collaborative efforts of medical, public health, and nursing students. We didn't save the world, but at least the Tri-Cities area is aware of the need to promote cultural competency in a healthcare setting and provide adequate interpretation services for those with Limited English Proficiency (Title VI of 1964 and Executive Order 13166 of 2000). Who ever would have thought that I would get credit hours for eating Mexican food and speaking Spanish? (ok so it was a little more than that). The "joys" of being in Rural Track!

Anyways, Cow and Coffee's Mochaccino and gourmet brownie are currently taking effect in my system so it's back to studying while I still have the motivation. Chocolate and coffee: what can I say? It's finals week. One week until break!

12.05.2005

Russian Christmas Music

There's nothing like studying neuropathology pictures while listening to Russian Christmas Music. I have to say, it's one of my favorite Christmas selections, perhaps because it stands apart from the conglomeration of naively happy jingles that ceasingly play on the local radio station. Perhaps I like it because of the incredible, substantial chime part (how many musical works have a "substantial" chime part) or the melancholy English horn solo (how many of you readers even know what an English horn is?) which should not be attempted on a standard oboe, speaking from experience.
That’s one of the things I miss most about pursuing a career in medicine: music. It was a hard decision to make my freshman year in college when I chose between a career in music or a career in medicine. The bottom line came down to the fact that a missionary doctor seemed to be in higher demand than a missionary percussionist or oboist (though I did get to use my musical talents once in Chichicastenango, Guatemala—my audience was not impressed). I hope I made the right choice. Some people need their coffee and cigarettes, others their weekly happy hours, and still others their music. It’s no surprise that when I arrived home after my exam, tired and in a very “Grinchy/Bah-humbug” mood, that I pulled off the cover of my marimba. I picked up those four wooden, yarn-covered sticks for the first time in weeks, and soon all the previous days’ stresses floated away in the form of diminished chords, arpeggios, and the strange permutations typical to modern marimba music.
Back to Russian Christmas Music…I suppose the fact that it’s one of my favorite Christmas songs also represents the fact that my favorite things about Christmas don’t align with those of the mass public. Though I enjoy the shopping and the festivities, I don’t await Santa wide-eyed and expectant like I did as a child. Even though some may consider me a “poor medical student,” I currently have more wealth and assets at my disposal than ninety percent of the world will ever have in their lifetime. No, it’s not about the gifts anymore; it’s about the people. One of my favorite things about Christmas is the opportunity to see old friends and family. It’s the one time of year when everyone takes time from their busy schedules to return to that place which they call “home.”
So that’s my post-test ramble. Grab yourself a copy of a holiday CD with Russian Christmas Music. Better yet, support your local musicians by attending an upcoming concert. I hope you’re finding yourself enjoying the “Most Wonderful Time of the Year” and maybe I’ll see you over the break!

11.27.2005

A Re-Post

I can't believe it's been almost a year since I ended the first semester of the beginning of the rest of my life. I can't believe it's been over a year since I began this crazy wonderous journey of exploration of the human body. I still don't understand it. I don't think I ever will. If anything, I've just learned to accept and appreciate that which our Creator has given us. The following is a re-post from last December:

Two Lives (an ode to Frank)

by Andrew J. Lipman

Sometimes we wanted to know your name, but we gave you one.
I guess that means that you almost had two identities, really two lives:
One with your family, the other with your students.
Many will want to speak about your tremendous gift--and it is.
Others will want to extol the virtues of studying the human body.
I want to share with you some of my transgressions.
I would be lying if I said I always came to class...
Lying if I said at all times I kept you covered to protect your dignity...
Remiss if I did not mention that you made me nervous sometimes,
especially at the beginning of our relationship...
Did I sometimes fail to respect you as much as I should have? yes...
Was I ever angry with you? yes... Sometimes you hid things from me.
My teachers call that missing points on tests.
I call it not paying attention to you.
But, despite these transgressions, you won.
You did what you set out to do when you gave me your body.
William Carlos Williams said that
"in surgery, man sees what God never meant him to see."
His point is that very few of us have such a privilege.
I think it's the same with anatomy. Now, I can't go back.
I will always know what a human heart looks like. It's almost reflexive:
someone says an anatomic term and I can close my eyes and see it
--in fact, I see yours.
But I guess I'm most amazed by your total trust in strangers.
There are so few examples of this trust to guide us anymore.
I think it would be presumptuous to think you trusted me, personally, because I could have been anyone.
Instead, you gave completely of yourself to all,
in hopes of teaching us a lesson about trust.
You have set a precedent with me.
I've had my first intense relationship with a patient.
And that was you.


It's been a rough weekend and promises to be an even rougher week. I suppose I shouldn't complain; I have too much for which to be thankful. I hope you all had a great Thanksgiving weekend, and I look forward to reading about your experiences...after my Path exam next Monday. Until then--it's "All You Ever Wanted to Know About What's Wrong with Your Mind and Then Some" for me. Hasta lunes!

11.22.2005

Fun Things to Do With Food

In honor of the annual holiday of gluttony...I mean Thanksgiving...here's some fun easy recipes to impress your friends and family. They all have a common theme. Props go out to girls' night post-exam potlucks and Kraft's seasonal Food and Family magazine for inspiration. Buen provecho and bon apetit!

Stuffing Balls
1lb ground pork
1 6 oz package stuffing mix
3/4 cup cranberry sauce
1 egg
1/4 c melted butter

Preheat oven to 325. Brown meat and drain. Combine with stuffing mix. Sitr in cranberry sauce, egg and 1 c. water. Shape mixture into 16 balls and brush with melted butter Bake 20 minutes.

November Compote
3 small, sweet apples peeled and chopped into small pieces
1 c. cranberries chopped (be careful--they squish!!)
1/2 c. raisins
1 tbsp. flour
1/4 c. brown sugar packed
1/2 c. apple juice

Preheat oven to 375. Grease 1.5 quart baking dish. In a bowl combine cranberries, apples, and raisins. Add flour and sugar and mix well. Place in baking dish and add apple juice. Cover and bake for 35 minutes, stirring once. Serve as a side, over ham, or eat the leftovers with yogurt for a yummy breakfast treat!

"Save a Turkey Eat a Chicken" Recipe
6 chicken breasts
1 8oz can of cranberry sauce
1/4 c. corn syrup
2 tbsps lemon juice
2 tsbps melted butter
1/2 tsp dried rosemary

Either heat grill or preheat oven to 350. Season chicken with salt and pepper to taste. make sauce by combing remaining ingredients. Grill chicken pieces for 25-40 minutes, adding sauce during last 15 minutes of cooking or cook chicken in the oven, basting with sauce during the last 15-20 minutes.

The author takes no responsibility for the quality of possible future cooking attempts by her readers nor for cooking-related accidents. Happy Cooking!

11.19.2005

Feliz Dia del Chompipe!

Or in other words...Happy Turkey Day!! (almost)

I've been thinking alot about the upcoming holiday: of all the memories of Grandma's famous sweet potato casserole, my aunt's "pink salad," making "pilgrim" and "indian" hats, and of drawing turkeys using the outline of your hand in elementary school. All this thinking has caused me to reflect back upon this past year and of all the things for which I have to be thankful. In our rat-race 24/7 society, we often find ourselves complaining of what we don't have and neglect spending time to consider that which we do have. At the risk of sounding sappy and trite, I bestow upon you the honor of reading my "Things for Which I'm Thankful" list (in typical Michele stream-of-consciousness order)

1. For two of the most wonderful parents in the world who didn't always give me what I wanted but gave me what I needed, who taught me what was important in life, and who have always supported me.
2. For the opportunity to study such a masterfully-designed, wonderfully-created being: the human body.
3. For all the opportunities I've had and experienced as a result of #2.
4. For modalities of expression: art, music, literature, photography, dance, laughter, tears, language, nature, and for the ability to appreciate these.
5. For autumn leaves on the VA campus and "10 minute break" walks with classmates
6. For 3 awesome study partners who make Micro fun with their crazy skits and "interpretive dances" of Spirochetes, macrophage responses to my favorite Guatemalan guest Shigella, etc.. (you'd have to be a med school nerd to understand)
7. For girls' nights and "try a new recipe" potlucks
8. For my sisters in Christ who always help me in dessert decisions (order both and split them) and for much more.
9. For my "Lois" (Louise), big brothers and sisters, and all the rest of my church family here
10. For having the opportunity to travel abroad and realize that though we may be from different backgrounds, speak different languages, and come from different cultures, we are all one in Christ.
11. For the people in #10 who have been such a blessing to me through their example, and for opening their hearts, homes, and lives to me.
12. To all those in other countries telling of the wonderful news of Christ
13. For having 66 books and countless verses to read of God's unending love and compassion for us.
14. For being able to meet with my classmates twice a month to pray
15. For the opportunity to reach out to the Hispanic community
16. For email and instant messenger (Someone once told me that God created the internet for missionaries. I don't know if that's true or not but it sure makes communication easier)
17. For quiet moments
18. For holidays free from studying
19. For trials and struggles that bring us to our knees and put things back into perspective
20. For friends and family and the blessed realization that "no man is an island"
21. For fuzzy kitties and snuffly, velvet-nosed horses
22. For "creamy nutmeg" scented candles
23. For waking up to see an unexpected dusting of white on the ground
24. For tulips and spring flowers and for changing seasons
25. For not having to watch my favorite football team lose to Vandy today :^P

That's all for now. Stay tuned for "Quick and Easy Thanksgiving Recipes to Impress Your Friends and Family" aka "some fun things to do with food." Speaking of...if anyone has any great dessert recipes, they would certainly be appreciated. I just found out that the powers-that-be of Thanksgiving dinner have assigned me to making dessert. Slice and bake cookies anyone?