Inflatable Kayaks

A couple weeks back I went on a kayak day-trip on the Skykomish River.  I got to use my new inflatable kayak for the first time, and it was SO much Fun!! I have the AdvancedFrame kayak, anf it’s great – easy to inflate/deflate, and has enough of a frame to give good stability for cutting through the water.  It’s comfortable and has a lot of room to store packs/etc.

This is where we went:

I am really excited to pump it up again and get back out on a river – but I think the season is winding down, so I may have to placate myself with indoor (and bundled outdoor) activities until next year.

I’m Still Here

Alive and kicking!

And I still love my job! 🙂

And I also love running through sprinklers, setting up tents in the yard, playing Killer Bunnies, riding the bus to work, going to movies ("Little Miss Sunshine", anyone?), playing soccer, eating on patios, and kayaking. And lots of other things too.

And I promise to write more about some of them soon.

Love, Jill

P.S. My Intern Retreat for work is this coming week and should be tons o’ fun.  We get to spend the whole week in discussions about how to make life/work better and team-building activites (aka scavenger hunts, the circular sit-down activity, and kum-by-yah’s around a campfire).  Should be fun!

Blackberries!

It is SO blackberry season!  I have been picking lots and lots… and washing them and freezing them – I will have blackberry pies all winter long!!

A.J. and I went out picking this morning and filled our bowls before we were even halfway down the line of bushes out front.  You know what that means… we’ll be picking more tomorrow and we’ll bring a vat of fresh berries to you mom – It’s pie time!  🙂

Mission Theatre and Sausages

A.J. and I discovered a few fun new places while we vacationed in Portland, OR this past weekend.

The first was a unique movie theatre, the Mission Theatre and Pub – an old church that has now been converted into a movie theatre with tables set up on the main floor and installed in the balcony to help manage the array of pub fare offered at the concession stand.  I highly recommend the nachoes – fantastic!  Take a look at the photo gallery (at the link above).  They show all sorts of films – mainstream, arthouse, cult classics, area independent films… and Buffy episodes!!  But those are only on Monday nights so we didn’t get to attend. 🙁

We also ate at Good Dog/Bad Dog, a sausage and bratwurst establishment in downtown Portland on Alder St.  It was a yummy discovery and we had 2 different meals there. 🙂  I liked the "Bratwurst" the best, I found the "Oregon Smokey" to be good as well, but a bit too spicy for me.

Overall, the trip was great with perfect weather and fun times.  We also stopped off at Powells Books, Nordstrom Rack, Thai Peacock, the Portland Saturday Market, Peet’s Coffee and Tea and The Daily Grill in our walks around the city and by the riverfront.

My First Splint

I had my second ever ER shift this evening, and I got to put on my first ever splint.  It was for a little girl who had taken a fall onto her elbow and had a possible fracture (by X-ray).  So I put a splint on it and sent her home to follow-up with her pediatrician at the end of the week.

I like my ER shifts – for whatever reason I feel much less pressure than I did on the wards… I don’t have a huge "to do" list always hanging over me and I can fully concentrate on one patient at a time.  I know it will probably be busier and get harder – especially in the wintertime with all the lovely viruses – but so far I’m having fun and enjoying myself.

I’ve also just started on my Development rotation, which has been good so far.  The hours are nice and the information is so interesting. I’ve only really had 1 day so far, but I am eager to see what I’ll be learning in the next few weeks.

Another fun and exciting thing is that the Stanley Stamm Summer Camp is next week – it’s a camp for kids with medical needs that prevent them from attending "regular" summer camps (things like IVs, ventilators, complex medication regimens, etc.).  Residents are invited to come and help out, and since I’m on a more relaxed rotation I am actually getting 2 days off to go down and help out.  I am really looking forward to that – especially since I haven’t been able to do Camp Casey at all recently. 🙁  Which reminds me, Camp Casey is going on right now – I hope everything is going well.  I know the planning stages can get a bit hairy sometimes, but the week of camp was always just the best part – I hope that’s still true for Heather and Carrie this year.  I wonder if I’ll get to help with the newspaper again? 🙂

And finally – on a completely different note – A.J. and I have been going to a Sunday evening church service called "in Access" that meets at a coffee shop in, hmm, Bothell (I think).  The coffee shop is closed and the church rents the space – it’s nice and comfy and there is always iced tea and some snacks.  Anyway, the great thing about this service is that it’s very interactive and discussion-oriented and the purpose is to really seek out "truth" and not just re-emphasize "doctrine".  It has been very stimulating to discuss things like original sin, the age of accountability, and heaven/hell.  The group is quite small (so far never more than 15 people at a service), which makes it nice for the discussion part.  I really feel like my input is important and that I can ask my questions and provide my opinions.  There’s good discussion, some prayer time, and then we end with worship.  We meet at 6pm on Sundays for a couple hours and so far I am really enjoying it.

Purple Scrubs

I am on call right now and, thankfully, it’s a much less busy night than my past couple of call nights have been.  I am sitting in my call room in my purple scrubs (adorned on the pocket with a koala – Thanks Grandma!) and taking a moment to relax, complete some online surveys, and get my papers organized.

I know I haven’t written much lately, but just for the very quick update – I still love my job!  There have been some more stressful moments, and I get pretty tired after I’ve been on call, but I love what I’m doing while I’m here at the hospital.  I am looking forward to next month when I’ll have a bit shorter of hours and will get to sleep at home every night… 🙂

So, not much else here.  This pitiful little entry makes my life seem rather dull, but it really isn’t!  I just can’t think of anything else to say right now….

The Truck who Cried “Check Engine”

When the light first came on (way back when) it was after a quick road trip with 5+ hours of driving on each of 2 weekend days – a lot of stress for any vehicle.  So I didn’t get too worried and – lo and behold – it went off again within a couple of weeks.

It came on again after a different road trip and this time I had it checked out, since we were so near the drive back to Seattle.  "New spark plug wires" was the necessary fix, and the light went dark once again.

That brings us to Vantage, WA (nearly home) when the light comes on again.  "It just does that on long trips – it’ll turn back off after we’re home for a little bit."  And after a couple of weeks, off it went once again.

In the past week it has lit up and turned off at least 3 different times.  I try to tell my truck that it has to decide – if something is wrong, then come on and stay on, or maybe don’t start or run weird or something… give me a clue.  But if all is well then no lighting up – or else it will be known as the truck who cried "Check Engine!"

I love my job!

I love my job!  Today was my first day of work and, boy, was I nervous.  I didn’t really know where to go or what to do…. I mean, in a general sense I did: go see the patients and be ready to present them.  But where were the patients located?  Where could I find the charts?  What information was I supposed to gather?  All the things I’ll know by heart next week were brand new this morning and a little intimidating.

But I got through pre-rounds.  And I got through attending rounds.  And I got my notes done, and answered pages, and wrote orders, and introduced myself as "Dr. Cook" – and smiled the whole day through. 🙂

I love the people I work with… the other new interns are great, our senior residents are so helpful and generous with their time, the nurses are friendly, and the families are really nice and seem genuinely happy to meet me and have me take over day-to-day care of their children.  What a responsibility, what trust.  I’m so glad I have my seniors to back me up!

Tomorrow I’m on call, and I’m actually kind of excited about it.  I wonder what the day/night will bring…

I love my job.

P.S. Check out http://childrens.jillcook.com for pictures from our climb up Pinnacle Peak that wrapped up our orientation week.  Great fun!

Floating Ribs

A question arose at dinner tonight about floating ribs… what are they, who has them, how many, do women have more than men…. and here’s what I found out:

The ribs are thin, flat, curved bones that form a protective cage around the organs in the upper body.  They are comprised 24 bones arranged in 12 pairs.  These bones are divided into three categories:

The first seven bones are called the true ribs.  These bones are connected to the spine in back.  In the front, these true ribs are connected directly to the breastbone (or sternum) by strips of cartilage called the costal cartilage.

The next three pairs of bones are called false ribs. These bones are slightly shorter than the true ribs and are connected to the spine in back.  However, instead of being attached directly to the sternum in front, the false ribs are attached to the lowest true rib by cartilage.

The last two sets of rib bones are called floating ribs.  Floating ribs are smaller than both the true ribs and the false ribs.  They are attached to the spine at the back, but are not connected to anything in the front.

Floating ribs, front view:

Floating ribs, back view:

So, men and women have the same number of ribs.  The idea that women have an extra one is a myth, one that most likely originated with the biblical story of God taking a rib from Adam to create Eve.  I am not disputing that this could have actually, physically happened.  But I do contend that if it did, it would not have created a genetic "missing rib" condition that would be passed on to all mankind – it would have affected only Adam.

Also, just for completeness… Some people have with a pair of "extra" ribs just above the uppermost rib (so called "cervical ribs").  This can result in a condition known as thoracic outlet syndrome.  Along with arm and shoulder pain, it may cause pins-and-needles sensations in the fingers and weakness in your hand grip.  This syndrome can also be cause by other things blocking the nerves/blood supply in the area – such as big muscles, improperly healed trauma, or swelling.

Oh, and another weird thing I read about while looking into this was about floating rib removal.  Apparently, this is a plastic surgery procedure offered by some where most of ribs 11 and 12 (and occasionally rib 10) are removed to give patients a more feminine hourglass figure.  This is a risky surgery with NO indication (so please don’t do it!!).  Besides, the floating ribs are fairly flexible and will gradually yield to the constant pressure of a corset – so go that route if you really want to look that much thinner!

Master Heather

Congratulations go out to my little sister for graduating today with a Masters Degree in Early Childhood Special Education from the University of Washington!

After discussing it with Grandma Cook, we’ve come to the conclusion that from now on she will refer to me as "Doctor" and to Heather as "Master"

🙂