Bring it on, Bitch!


I just looked at my Nike+ app to see how many kilometers I’ve logged this month.

55.5 km.

It’s a little bit less than the previous few months which have averaged between 60-70 km.   I did manage two 10k runs this month which I’m pretty happy about, and I’ve even shaved off about 4 minutes  since my first effort back in July. My current PB for 10km is 1:11:16.

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I briefly flirted with the idea of increasing my distance to 15k but wisely reconsidered after some discussion with my Facebook running group.  The 10k distance is still pretty new and I think I should focus on making it easier to run before increasing the distance.

I’d also like to break into the 6 min/km range.  Back in August, I started incorporating hill repeats into my runs. I’ve read that hill repeats and can help make your pace faster. I probably did too many too soon without enough rest periods in between because my shins started bothering me.  So much so that I ended up convincing myself that I needed a new pair of shoes.  I had logged about 300km on my Asics, so this seemed like a reasonable thought.  But interestingly enough, the shin problem settled down when I stopped running the hills.  Or maybe it was the new shoes?  Hmm …

The thing is –  I like the hills.  They are a royal bitch but I like the workout I get.  I like the sense of accomplishment when I concur the repeat; I like feeling that burn in my quads and the pounding of my heart like it’s about to leap out of my chest.  It’s the best kind of workout after a rough day at the office.  It’s punishing. It’s invigorating. It’s hard. It cleanses the soul.

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As for my pacing, I think the month of hills actually did help.  My average pace in August was 7:39 min/km; in September it was 7:35 and now in October it’s 7:20.  Slowly but surely, I am making progress.

So the next time I take on a hill, I say, “bring it on, bitch!”

Open Letter(s) Wednesday

Dear Cast Technician,

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Thank you for the wonderful job you did yesterday changing my daughter’s cast but we, her parents, didn’t really appreciate being completely ignored.  In the future, both my husband and I would appreciate you also explaining cast care to us because although the patient, our daughter, may appear to be listening to you and nodding her head, you have to realize that a 5-year-old has the attention span of a newt and she isn’t going to remember anything you said.

Sincerely,

Dr. Mom

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Dear Resident in the ER,

Thank you for seeing my patient, however, how you managed to confuse a brain tumor with a skin condition is beyond me.  Your consult note says my patient had a brain tumor removed a few years ago.  Really? Are you sure it wasn’t a basal cell carcinoma?  Suddenly my patient’s weakness and dizziness takes on a whole other thing when you write that she had a brain tumor.  She did not have a brain tumor removed. When she pointed to her forehead and said she had a cancer removed, you should have asked her to be more specific.  Getting a patient’s medical history is the first thing we learn in medical school!

Please amend the patient’s history.

Sincerely,

The Family Doctor

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Dear Gilad,

I love your workouts.  I did the Abs workout last night and oh.my.dear.god.in.heaven, 18 hours later I can barely move my stomach.  Yes!  Thank you so much for kicking my ass last night.

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Sincerely,

The SixPackIsComingBack!

From the mouths of babes…

When do kids learn to be sarcastic little shits?

No seriously, I’m really asking.

I feel absolutely ridiculous posting this but my almost 6-year-old hurt my feelings.

She’s in a cast and her fingers on the casted hand are filthy and the nails were long and she needed to have them washed and clipped.

Cue the drama.

My nails are long, so of course hers have to be as well. She refused to let me cut the nail on her pinky finger and finally with some struggle I got the nail cut, albeit maybe a little too short.

She was mad. I cut too much off and hurt her little finger. (It was short, yes, but she wasn’t bleeding or anything!)

Then she muttered under her breath in a sarcastic tone, “Some doctor!”

Yeah.

Thanks kid.

F is for Cancer…. as in .. FUUUUUK, it’s cancer.

I saw my colleague’s patient the other day as I was covering her practice for a few days. It’s haunted me ever since. She was diagnosed with a bladder infection last week and I got the culture report back just before the weekend. I had to change her antibiotics. I spoke to the patient on the phone and told her if she still wasn’t better after the weekend to come to see me.

Well she did. While the bladder symptoms appeared to be improving she also mentioned how light-headed and dizzy she was and “oh yeah, by the way, I’ve lost about 10 lbs in the past month.”

Fuck.

I looked through her chart at her recent blood tests. Hemoglobin was normal but compared to 2 years ago, there’s been a 20+ point drop.

Fuuck.

Upon further review of her chart, I noted a family history of colon cancer in her mother and stomach cancer in her father. Both deceased.

Fuuuck.

Oh and she repeatedly refused to be screened with colonoscopy or fecal occult blood testing.

Fu—-

You get the drift.

She’s got cancer and it could have been caught early with a simple screening test.

Thursday Thirty.

Thirty things I love.

1. Myself.
2. My husband
3. My children
4. My parents and brother
5. My friends
6. My cat
7. Running
8. Chocolate
9. Cross stitching
10. Coffee
11. Wine
12. Bailey’s
13. Martinis – preferably chocolate-y and sweet
14. Steak
15. Being a doctor
16. Being respected
17. Being someone to count on
18. Being my own boss
19. My bed.
20. Chips and dip
21. Ice cold water
22. The sun
23. Baklava
24. The smell of my kids right out of the bath
25. The scale ;)
26. My Guess jeans
27. My boots
28. My nails (they are the longest now they have ever been … ever!)
29. My house
30. My life

Perils of the Playground.

I suppose it was bound to happen the way she swings around on those monkey bars.  Last Friday after school I got a call from my husband that she fell off the monkey bars and probably broke her wrist.

You know that sudden feeling in the pit of your stomach you get when you know something is wrong? That’s the feeling I got when I heard my husband’s voice. He is not one to panic or think the worst so for him to say he thought it was broken I knew it was serious and I knew he was probably right.

I’ve never broken a bone so I have no idea how painful it is but I know it hurts. I’ve seen both adults and children with broken bones.  When I got home and saw my daughter’s tear-stricken face and the tell-tale swelling of her little wrist my fears were realized. She was cradling her arm so carefully and refused to allow us to touch it or put it in a sling. My heart broke for her. I never wanted her to experience that kind of pain. What parent does?

The six-hour wait in the ER was long. She wasn’t allowed to eat in case she needed conscious sedation to set the fracture. It took two hours after the x-ray to see the doctor who ushered us into the orthopedic room where the casting supplies were. The ER doctor was a lovely young female resident in her second year of training and she was very calm and comforting to my daughter.  I asked her how many casts she’d done that day and she smiled when she answered. She’d done five including my daughter and all were children who’d suffered injuries on the playground.   My little girl was so brave and admittedly scared when the cast was being applied. She didn’t want anyone touching her arm because it hurt.  Thankfully the doctor ordered some Advil and Tylenol to take the edge off a bit and it seemed to work.

She suffered what appeared to be a greenstick fracture of her distal radius. From www.kidshealth.orga greenstick fracture is a partial fracture in which one side of the bone is broken and the other side bends (this fracture resembles what would happen if you tried to break a green stick). It is a common fracture in kids and is considered an incomplete fracture as their bones are softer than adult bones. Children’s bones are more likely to bend than break completely.

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She was put into a thumb radial gutter cast because she had a bit of tenderness in one of the wrist bones as well so the ER doctor wanted to make sure to immobilize the thumb in case there was a second fracture that wasn’t visible on the x-ray.  It is a temporary cast and is open on the ulnar aspect of her arm in order to allow for swelling.  In a week or two we will go to the fracture clinic where she’ll have another x-ray and likely be put into a fiberglass cast for a few more weeks.

I’m thankful that she landed on her left arm as she is right-hand dominant and loves to draw. Within 12 hours of the cast being put on she had already started decorating it.

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My little girl is one tough little cookie.  While I never want her to experience physical pain ever again, my husband reminded me that this was an important lesson for her to learn.  She is vulnerable and can get hurt.  I hope she is a little more careful the next time she climbs those monkey bars again but I realize that every time she falls off, she will be determined to get back up again, even if I want don’t want her to.  If I had my way, she’d never climb those monkey bars again!  ;)