Saturday, December 5, 2009

Thanksgiving

It has been about a couple of weeks since the Thanksgiving holiday has come and gone. I had a blast this year planning and executing a meal for 10! It was my first big Thanksgiving to do all on my own, and Drew's family was here to experience the fruits of my labor. I cooked for a couple days before Thursday, and had some help in the kitchen on Thanksgiving morning with all the last minute things. We had a very small window to eat, between the arrival of Jenny and Kyle's flight at 2:00 and the start of Drew's shift at the hospital at 5:00, so everything had to be timed perfectly, and thankfully it all went off without a hitch! The weather was gorgeous for most of the weekend, and so in true Tucson style, we were able to enjoy our feast outside in the sunshine. We set the dining room table up on the back patio, and had a Thanksgiving picnic. We all had a great time all weekend!

The Menu for the Sanders Family Thanksgiving Feast 2009

Turkey (a 20 pounder!) I ended up brining the turkey overnight, and seasoning with various herbs and spices...it turned out very tender and juicy!
Honey Corn Bread Muffins (a new recipe from Real Simple)
Spinach Salad (with Craisins, Feta, and Pecans) I tossed it with this sweet dressing from friend Abby: 2 tbsp sugar, 2 tbsp white vinegar, 1/4 cup vegetable oil, pinch of salt
Mashed Potatoes
Baked Sweet Potatoes (with large marshmallows per Drew's request)
Broccoli Casserole (the Levis-Phy version...very fattening, but also SOOOOOO good)
Scalloped Corn (a Sanders family recipe with a few green chiles added in to give it a little Southwestern flair)
Cranberry Sauce (in the shape of the Ocean Spray can it came in of course...)
Stuffing (well I guess technically it was dressing, since I didn't actually stuff the turkey with it)
Green Beans
Gravy...yum! (my favorite part!)
Pumpkin Pie (we started out the evening with 2 of them, but somehow ALL 10 people were distracted for about 10 minutes, and Annabelle managed to snag half of one of them off the counter...I guess she was feeling left out) with homemade whipped cream (add a couple of shots of Jack Daniel's while whipping for pure goodness...)
Bissinger's Chocolate Mints (a Levis family tradition)

Sunday, November 1, 2009

Swine Flu, All Hallows Eve, and various other updates

Well, it has been way too long since either of us has updated anything. The primary reason for that has been my work schedule, which has improved lately. I've been settling into the role of a 2nd year resident alright. It's a little daunting to see the interns out there and have them expect me to know the right thing to do. While I still feel like I know way too little, I'm finding that I actually have learned a ton. Unfortunately, that knowledge comes out mostly in just knowing what to do, instead of popping up when I'm being "pimped," or quizzed on my knowledge.

Anyway, I worked two weeks of night shifts after we got back from vacation, followed by numerous shifts in the emergency department. Due to the way the schedule worked out, all but two of my shifts ended up being night shifts, so I essentially did 6 weeks of nights. I'm really not a very good sleeper during the day, and add on a new puppy in the house, and you can imagine how tired I was always feeling. Emily took it all in stride, but you could tell it was wearing on us both toward the end. The only times I'd really see her were in the morning while she was getting ready, when I really should have been sleeping. She occasionally came home from dinner, but I suspect the last six weeks were more like being married to a zombie.

Working in the ER was pretty insane too. I'm not sure if any of you noticed, but there's a little bug going around called the H1N1 virus... THE SWINE FLU! It's not that the illness is all that bad, but the media is driving me crazy about it. It seemed like every parent in the entire city loses all common sense and decides to bring their child into the EMERGENCY room for the slightest runny nose. The ER has been overwhelmed with the number of people, and by the time people make it out of the waiting room, they're cranky and probably caught the flu from other kids if they didn't have it already. So what do we doctors do in all of our power? "Your kid probably has the flu, but since he/she doesn't have any underlying illness or has been sick for more than a couple days, there's nothing we can do about it. Go home and get them to drink alot of water." That's not to say we didn't treat the flu, but most of the kids didn't need the medicine, and we had to save it for the REALLY sick kids. Yes, I realize it can be a scary illness, but dealing with the same thing for 80-90% of the patients became tedious and exhausting. I'm really sick of the flu, and I'm very thankful I didn't come down with it myself after being coughed on by every child in Tucson.

That said, let's move on to more enjoyable topics. As I mentioned earlier, we've had a new addition to the family. Albert is fitting in very nicely in our little household. He and Annabelle love playing/wrestling, and they tire each other out nicely at times. That said, he is getting bigger, and he has not improved his coordination at an equal rate. He's extremely wiggly and has no awareness of his surroundings. I don't know how many times he's knocked our lamp over, but I'm not sure it's going to last too much longer. Once he's full size, we're going to have to rubber-coat the floor. He has some of the goofiest facial expressions I've ever seen in a dog. His jowls frequently get caught in his underbite, and he gives us either a mean face or an Elvis sneer. His ears are also very expressive, and they tend to flop around into an uncountable number of hilarious positions. Unfortunately, ever time we try to get this on camera, he reverts to his standard, "I'm ridiculously cute" expression.Anyway, yesterday was Halloween. Ruth and Matt (who just got engaged!) sent me one of the greatest gifts in the world for Christmas last year, a Ghostbusters uniform. It is my all-time favorite movie, and I couldn't wait to wear it this year. Last year, I worked at the Juvenile Detention Center on Oct 31, so it wasn't quite the right place to wear a costume. I wore it to work, including the proton pack and blaster. I got a little nervous when I didn't see any other costumed people walking up to the hospital, but there were a few brave souls throughout the hospital who wore something. Well, it hadn't crossed my mind that I was to help do morning report that day. For those of you who don't know, morning report involves the ward senior presenting an interesting case to the residents and attendings in the hospital, followed by a brief discussion of what could be going on with the patient, and a learning session about the important parts of the case. I'd worn the costume, so I decided I'd go all out. I walked into the conference room decked in full Ghostbusters gear, while blasting the theme song from Emily's iPhone. Another thing that I'd forgotten: that was day one of the new interview season. No matter what people thought of Arizona, I hope they have something memorable to talk about. The rest of the day went as expected... a bunch of laughs and strange glances in my direction. Then some of the child life people decided to have a haunted house in the playroom. I was walking past in, when one of them grabbed me and told me I had to walk through it. I didn't realize it at the time, but after I went through, they took down the haunted house and told the kids that I had "busted" the ghosts. There was a really amusing moment a little later, when a little kiddo came up to me upset that the ghosts were gone, because he didn't get to see it in time. I told him that they were all in my storage facility, and when he asked to see it, I told him he'd need a court order (I hope at least one person gets that reference... the kid didn't). The only thing that could have made the night better is if we could have come up with some costumes for Emily and the dogs. We looked everywhere for a dog Slimer outfit, but were unsuccessful. I still busted Albert though.

Sunday, September 13, 2009

Welcome Albert!

Drew and I recently returned from a vacation back east where we saw the wonderful sites of Disney World, visited our good friend Courtney, and attended the wedding of my best friend Mary. Now, you may be wondering what this adventure has to do with us adding a new friend to our family. Well, it was a combination of factors. Adding a second dog to our home has been on our minds for over a year now. We saw how much Annabelle loved playing with other dogs at the dog park, and we thought it would be great for her to have another companion around the house. Then, while we have been on vacation, she stayed with a couple of different friends who had dogs and seemed to really enjoy being around different playmates all the time. We also spent time with Courtney and her huge family of dogs, and Drew got the bug for a new dog again after meeting a couple of the rescues that she is trying to place right now. It became a part of our everyday discussions.

Drew then began to rationalize and be logical about why this would be the best time for us to get a second dog. He will be working nights for the next 6 weeks, and so he will be home during the day to work with a puppy that needs a lot of training and discipline. Annabelle is in a really good place right now, and it seemed only fair to get her a companion of her own size. It became harder and harder for me to come up with counter-arguments, and I started getting on board. Then, at the end of last week, my mom came into to town. She would certainly be one to voice any concerns that we might not have been seeing ourselves, but instead she seemed just as excited.

On Thursday afternoon, she and Drew went to the Humane shelter just to see what was available, and to start getting an idea of what we might like. We knew we wanted a puppy, and we were looking for something with equal or less energy than Annabelle (who certainly has plenty on her own to keep us busy). We were also thinking that someone about the same size as Annabelle would be a good fit to our house. We also knew we wanted a rescue. Because it is hard to find puppies in rescue a lot of the time, we thought it might be a while before we found someone just right... boy, were we wrong.


At the Humane shelter, they were packed. They had quite a few dogs of all shapes and sizes, including a number of puppies. Albert (then known as Cecil) was one of the first dogs Drew and my mom laid eyes on. His kennel companions were all over the place, but he just came calmly to the front and sat down and looked at them. Drew noticed he was a boxer mix, and made a note to come back to him. They continued to meet and greet a number of different dogs and puppies at the shelter but kept coming back to Cecil the boxer mix (though many of the shelter employees think he is a pure bred). (A little side note: Drew's family has a history of owning boxers, so he is definitely partial to the breed.) I received a text, cell phone call, work phone call, and e-mail message that I would have to come and meet this little guy after work that afternoon. Since he was so young, he would be quick to adopt, and Drew didn't want to lose our chance. From the second I heard Drew talk about him, I knew he was going to be ours. I went back to the shelter Thursday evening to meet him myself. He was very playful, but also very sweet and curious. He was friendly to all of us, and after about 20 minutes of playing with him outside, I too was convinced that he would be a good addition.

We knew boxers were a lot of energy, but also that they are very sweet-natured and loyal dogs. We learned about Cecil's story. He had been picked up 4 days earlier by himself, covered in ticks and very malnourished. He responded quickly to treatments and seemed to be in good shape other than being very skinny. He had "played well with others" since he had been at the shelter, and all the staff were sad and excited to see him go. He was a very popular little guy. They thought he would be a great companion for our Annabelle. So, he joined our family.

We brought him home on Friday afternoon, and he and Annabelle have been feeling each other out the past couple of days. He is not quite housetrained, but we are working on it, and Annabelle is also letting him know who's boss. They really want to play with each other, but Annabelle is being gentle with him right now because he is so much smaller. She has really stepped up to the plate and seems a bit older and wiser than she did a few days before.

Drew and I know we are in for a challenge, and that having a new puppy around is going to be life-changing. But, so far so good, and we are very in love with little Albert. So, without further adieu, meet the newest member of the Phy-Sanders family!

Albert, cooling offAnnabelle, watching over her baby brother...see that tail wagging?! :-D

Albert, aka "little guy" totally pooped

Bert, the squirt

Monday, August 24, 2009

Who's Who?



When I walked into the bedroom the other day, I couldn't help but notice that the bedside tables looked very different from each other. I had to giggle to myself and thought I would share.

Sunday, July 5, 2009

Goodbye Intern year

I'll just do a quick update today as it's 2:00am, and I'm tired but too awake to fall asleep just yet. Anyway, I've now started my second year of residency. Looking back on my intern year, there were alot of highs and lows. The lows were basically working as slave labor and being the peon of the medical team. I didn't get to see Emily as much as either of us would have liked, and the time we had together usually involved me in some sort of barely conscious daze or falling asleep watching a movie/tv. I will say, I won't miss the P.O.D. at all, that's pager of death. The intern pager at one of the hospitals goes off on average every 15 minutes, usually when you're just about to finish with a task or falling asleep.

So, on to the good. I absolutely love being a pediatrician. Kids are awesome to work with, and most parents are pretty enjoyable too. There are a few kids that are almost a year old now who I've known since they were 2-3 days old. I've seen their parents go through the adventure of their first child for a year now, and I can't wait to see how they turn out by the time I'm finished here. I also really enjoy my coworkers. They're a diverse group, and we all seem to get along very well. We've had some difficulties due to resident shortages a few months, but we were able to come together as a group to make it through. Finally, while it's not work-related, the best part of the year has been being married to Emily. Marriage has been everything I dreamed it would be and more. Em and I are a team, and I feel like if she's by my side, nothing is too difficult.

So, now that leads me to 2nd year. As I said before, no more P.O.D., However, if the new interns don't know what to do, then they call me. If I don't know, then my prepared statement will be said: "That's a very good question, why don't you look it up and we can discuss the answer together." I should have alot more time to sit down and learn this year, and I rarely have 30 hour shifts anymore, although 24 hours will be common. The biggest thing is the responsibility of being a senior. Right now, I'm in the pediatric intensive care unit (PICU). It's where all the kids that were too sick for me to take care of last year went. The way our program works, there's an attending that covers both hospitals. The other hospital has sicker and more kids, so the attending is usually over there. That leaves... me, a fresh out of intern year resident who's never taken care of kids this sick before. Now parents, don't get scared yet, as my attending is always a phone call away and is very good about racing across the city in an emergency. I also have nurses who have been doing this for years, and when they say, "Are you sure that's what you want to do?" that usually means you shouldn't. It's just scary. I've spent this entire day managing this one really sick kid, and every time I start to get comfortable, he throws me a new curve ball. I guess this is how you learn, but it does help reaffirm my thoughts on wanting to be a clinic doctor and not a hospitalist or intensivist.

Ah well, this ended up being longer than I anticipated. Good night... err... morning to you all.