Monday, July 23, 2007

Name dropping, animal droppings, but no ball dropping


The past week rounded out pretty well. Competence at work was up 50% with 4th-week expected-performance indicators signaling a significant shift toward independent signing-out of run-of-the-mill smears. Hand surgery fellow admitted to "textbook" placement of scaphoid screw, made jokes at orthopedic resident's expense, and assured the injured that there was no other fracture--just a ligament tear that would heal over time.

I got a new thumb splint and a prescription for physical therapy--first appointment Tuesday at 8AM. I can take off the splint to shower, giving me the opportunity to remove the 1/4 inch of dead skin that has accumulated on my right hand. Ick.

I spent most of Saturday running errands and found that wherever I go, I can find an accident. Riding, seated, on the 38 Geary bus to downtown, I suddenly found myself bruised, thrown into a neighboring seat against a pole. The bus driver had slammed on the brakes to avoid smashing an over-zealous convertible in search of a parallel-parking space. A little old lady got smashed against a wall and filed a complaint, so the rest of the passengers hopped the bus and chased down the next one. Still, it doesn't come close the time I saw an octogenarian stab a septuagenarian on a SEPTA bus in South Philly.

Saturday night, George and headed south to Santa Cruz. Before we left, he gave me a tour of the 18th green, bunkers, and fairway that he's building, and we pushed around a pile of dirt with a bulldozer. He has the job little boys dream of having. Apparently there's an art behind the diesel powered machinery and laser levels--and I believe it--but it's probably most appreciated once the drainage layers, sod, and turf are laid in precision above the sculpted dirt piles.

The drive to Santa Cruz, 20 miles outside of South San Francisco, starts as curving highway that is like Schuylkill Expressway wrapped the around a mountain. We checked into what may be the foulest-smelling hotel room I have ever stayed in. I won't even discuss the pricetag, but it was some event weekend there, and we refused to pay $400 for a nice room. We had dinner at a mexican restaurant in downtown Santa Cruz, a strange little place that mixes California crazies, young and trashy clubbers, and yuppy restaurant-goers. We followed dinner with drinks at a cool bar that lacked the omnipresent neck tattoos George promised me but which possessed cool retro-red lighting and super comfy swivel club chairs in red leather. Hipster quotient was high, but not unpleasant.

The next morning we watched Padraig Harrington blow his 2 stroke lead at the British Open but headed south for Monterey instead of watching the playoff. We drove along the coast through miles of agricultural land with ocean views--avocados and strawberries and lettuce. We checked out the adorable town of Pacific Grove and drove along to Pebble Beach to scope out the course and associated mansions. I learned a lot about good and bad golf course design, to say the least. George dropped some course superintendent's name so we wouldn't have to pay the $8 toll to drive through Pebble Beach.

We continued on to Big Sur, driving along the Pacific Ocean with incredible views of sheer cliff faces, deep blue water, rocks, and kelp. Fog swirled inland and then back out to sea, and we found the luckiest cows on earth. George explained to me at length his preferred use of their pasture--an incredible links course. Words don't really do justice to the precariousness of the depression-era highway and the ridiculous views it affords--pictures are a must.

In the camping region of Big Sur, we stopped for a drink at a bar-restaurant and drank our beverages on the back porch amidst the lovely and fragrant Redwoods. We were surprised there were no other aromas, considering there was a 5 person reggae band getting ready to perform. These white guys must have had over 50 years of serious dreadlock dedication between them. The irony that we were in the whitest place (outside of Iowa) imaginable that is farthest away from Africa was not lost upon us.

We headed back to Monterey and sneaked onto the municipal course at Pacific Grove for George to take some photographs. Apparently the course has remarkable natural sand dunes for hazards, and he is convinced that a "eco-restoration" project will result in their eventual destruction. He wanted this on the photographic record. I concentrated on not stepping in deer, goose, or rabbit shit and kept my eyes out for lost golf balls (recovered 6).

George made a valiant attempt at getting the guard to let us tool around the Naval Postgraduate School: "her brother's on a submarine." Guard: "Do you have military ID?" George: "No." Guard: "You'll have to turn around and leave."

Our dinner at the Fish House was highlighted by a fat man in a Playboy t-shirt interpreting "first-come, first-served" as "I'll sit my fat gut where I want and reserve a seat for someone who's not here yet." But we got a table. My dish had two of the grossest mussels I've ever eaten--they must not have been too rotten since I didn't get sick. We decided to boogie when one of the servers almost flambed half the restaurant when preparing bananas Foster. We said farewell to the Thomas Kincaid National Archive (picture tear-filled sobbing), and headed back north.

Monday, July 16, 2007

Two weeks later

Sorry, sports fans, that I've been AWOL for a bit. My right hand has improved enough to hunt and peck the keyboard effectively, so I have no more excuses. I had surgery on the 9th, which went smoothly and left me with a forearm splint secured by two ACE bandages. I love Versed, but since you can't get that to go and it lacks analgesic properties, I relied on Vicodin for a few days to ease the pain. Elle was kind enough to escort my loopy self back home and do some dishes I'd forgotten. I was back to work on Thursday and struggled to manipulate the scope, write legibly, and type, all without pain. My attendings and co-resident really helped me out, and today was MUCH better, efficiency-wise. I'm reading blood smears and approving and interpreting coagulation testing. I have my first follow-up appointment on Thursday--I hope it looks good, but I'm worried I might have an occult dislocation on the ulnar side of my wrist that was masked by the fracture-related pain. We'll see.

Fun-wise, the past two weeks have been great. The 4th of July was awesome. George and I took a mini-hike along the coast at Lincoln Park. Someone created a cool labyrinth out of stone that I took the time to walk (George lost patience). Afterwards, we procured the equipment and fixings for a small barbecue and got the Smokey Joe started on my back patio. George had his own little brush with disaster while stoking the charcoal without venting it--flames leaped out and singed his hair. And the top blew off the grill! Once that was under control, he served up a great meal (my wrist was pretty bad then to be of much use). My landlord came outside and suggested that we walk up to the Presidio to Inspiration Point to get a panoramic view of the city's fireworks launched from Fisherman's Wharf. We gladly took his advice and watched the fireworks in no warmer than 60F weather with a large number of inquisitive children whose parents indulged them in answering all manner of questions throughout the show: "I know why they're called Fire, but why are they called Works?" Ahhhhhh!

The following weekend, I went bowling with Otis and Elle, Dan and Lisa, and George and two of his co-workers from the golf course project where he works. My left-handed bowling skills weren't completely pathetic, especially when you consider I was using a 6-lb ball with kid-sized finger holes. I was using my fingertips to toss a wiffleball down the alley. And one of the guys only beat me by a few pins! The bowling alley had a karaoke bar, and I am thankful that my selection didn't come up before everyone got bored.

My left-handed frolf game is improving, as evidenced by several bogeys on Sunday morning.

Monday, July 2, 2007

Disaster strikes

Okay, so it's not quite disaster, but I think June 30th is the worst day for me--I tore my ACL on that date in 1996. Saturday, June 30, 2007, some doofus clipped my front wheel, sending me to the pavement and fracturing my right scaphoid bone. So. It was on a great, relatively flat ride north out of SF, and I biked 35 miles home with a bad wrist (it hurt, but I didn't know it was broken). I showed Otis my wrist, and it didn't look or feel terrible, so I waited a day to see how it developed. I spent Sunday testing out my left-handed frolf game--apparently it's only 1-2 strokes per hole worse than my right-handed game! By Sunday night, after leisurely drinks and light dinner at the Beach Chalet with Otis & Elle, George, and Dan & Lisa, I knew something was up, so Otis called ahead to the ED at UCSF and they had me in and out in 2 hours.

Today, the chair of the path department arranged an appointment for me with a hand surgeon for tomorrow afternoon, but the whole insurance debacle is becoming a nuisance. The first day of residency was painless, in the job/academic sense. If only it had been in the physical/bureaucratic sense.

Anyway, last week I spent three lovely days in the Russian River valley with Allison, Karen, and A
dam. We hiked, fished, dined, and generally enjoyed each other's company. I wish I had the patience to write more details--maybe when my left-handed typing skills improve.