Monthly Archives: December 2013

Frame of Mind

I read a study recently that examined grad student exam performance and alcohol consumption. The authors found that students who consumed more than 30 alcoholic beverages per week significantly outperformed their light-drinking and abstaining peers. The study didn’t offer many ideas as to why this was the case. I’m sure that was a fun research proposal to write. “So let’s take a semester, get drunk most nights, and then compare test scores.” Sounds reasonable.

Welcome to the official unofficial study on how alcohol consumption affects writing. In the interest of full disclosure of research methods, I am slightly drunk. It’s currently 2:21 in the morning and the dog and I are comfortably plopped on the couch. I just returned home from an “Ugly Sweater” open bar event sponsored by my lovely grad school classmates. We just completed our first Anatomy exam a few hours earlier and everyone was in the mood to blow off steam. Best $12 I’ve spent in a while.

A few minutes ago I realized that with all of the exam prep, I forgot to write a blog post for this week. And thus, here we are. So if this auto-publishes tomorrow as some stream-of-consciousness piece of shit, let’s blame it on cheap vodka. Seriously, I don’t think the label was even in English.

As a kid, I couldn’t wait to grow up. My grandmother, in her infinite wisdom equally matched with her age, always responded, “Michael, don’t wish your life away. Some day you will be old and wonder where time went.” I quickly dismissed her. “You just say that because you’re old, Mommom.” I had all the answers.

At seven-years-old, a single year seems like an eternity. The summer felt as though it would never end, and when the weather finally turned colder, the stretch from Halloween until Christmas moved at a handicapped snail’s pace. Now the pages of the calendar turn like a book in the breeze. My grandmother has been gone for nearly a decade, and yet, many of these memories truly feel like yesterday.

Now as many of my friends and colleagues are whining about the toll of aging on their bodies and minds alike, I don’t feel all that much different. Aside from the newly experienced phenomenon of the two-day hangover, I physically feel the same at 30 as I did when I was in high school. (Ironically, sixteen years later I’m still in school living on a student budget.) Perhaps I’m just lucky or perhaps achy joints, (additional) weight gain, and hair loss are lurking around the corner. For now, I hope to continue to dodge the Age Fairy. I hear she’s a bitch.

Maybe it’s the warmth of the season, or the warmth of the vodka, but as our Christmas tree lights cast a glow on various pictures in the living room, I have to admit that as I’ve gotten older, I am a bit more conscious of the importance of a few core values. I try to spend more time with family and friends and expend less effort worrying about problems, financial stress, and those annoyances outside of my control.

When I was in college, my aunt Gerri was suffering through a battle with ovarian cancer. Most of our extended family had come to visit and after a meal together, she said a few words. She told us to look around the room and remember the faces of those present, and to cherish the time we spent together because as time goes on, new faces will appear and familiar faces will begin to disappear. Her face disappeared the following year. Her advice did not.

It is easy to be consumed by and get lost in the bullshit of everyday life. Complaints run rampant, stresses mount, and even the simplest problems can seem insurmountable at times. I’m guilty of these gripes on a daily basis. But every once in a while it is good to sit back and take stock in what you really have in life. You might be surprised how quickly what is important comes into clear focus.

Wishing you a very Merry Christmas, happy holidays, or whatever occasion it is you celebrate. I hope you get a chance to relax, spend time with family and friends, and find happiness in your day-to-day. And if you get in to the eggnog or holiday cheer, plan accordingly. I hear hangovers when you’re old are awful. In fact, I’ll let you know tomorrow.

Built for Comfort

“The trouble with jogging is that by the time you realize you’re not in shape for it, it’s too far to walk back.”  – Franklin Jones

Do you remember making turkeys in kindergarten out of apples, toothpicks, and gumdrops? You would take an apple, stab a few skinny toothpicks in it for legs, and decorate its face and fan with colorful sugar gumdrops. For whatever cruel reason, my genetic code decided to copy this top-heavy turkey template. All of my weight is in my torso, supported by long and relatively thin legs. As the Howlin’ Wolf blues song whines, “I’m built for comfort, I ain’t built for speed.” True story.

gumdrop

Running has always been a punishment for me. My first exposure to consistent jogging came when I joined the baseball team my freshman year of high school. “White tree, Deldeo!” often barked my coaches. A majestic, white birch tree grew proudly at the edge of campus, about 100-yards from the baseball field. Every time I made an error in the field (which was often), wasn’t putting in full effort, or let profanity fly, I had the distinct pleasure of running a “White Tree.” Not a single practice concluded without frequent visits to the White Tree. Over the course of that season, I lost around 25-pounds as a result of daily running.

Fast forward a decade and some, and I’ve found those missing 25-pounds. And they invited 50 of their closest friends to the adipose gala. An aging metabolism is a bitch. Suddenly, excuses not to exercise rose directly with my cholesterol.

“I’m too tired after work.”

“I’ve got stuff to do for school.”

“This beer isn’t gonna drink itself.”

“But there’s nothing chasing me…”

I could write a blog post full of excuses. But there’s really only one truth: I am lazy.

Carrying a large toolbox up the stairs last summer left me winded and at that moment, I realized that it was time for a change. Knowing that jogging (I can’t call what I do running, yet) was the most efficient way to lose weight, I began a popular mobile-based app called “Couch-to- 5K.” The “couch” part was mildly misleading.

The program guides you through a hybrid of walking and jogging three days per week and gradually builds up your distance, speed, and endurance. After nine weeks, the regimen culminates with running 3.1 miles, the equivalent of the famous 5K runs.

My first few runs were awful; my heart rate was through the roof and I was sucking wind like an asthmatic in a cigar shop. But gradually, with each run, I started to feel a little better. And by the fifth week, I admitted quite sheepishly that I actually enjoyed running. Holy shit! Hallelujah! Even I was shocked.

Sadly, the day after my stunning admission, my ankle decided to shut me down. Nothing was found to be structurally wrong, but my mystery injury led to nearly two months of limping around the hospital, ice baths, elevation, and anti-inflammatories. And Couch-to-5K was put to death.

I quit my job.  Liz and I moved to Philadelphia. We started exploring new bars and restaurants (read: ate and drank our faces off for a month). School started. Fat people melt in the heat. The excuse mill was turning out product at full capacity.

I’m now entering Week 3 of my second attempt at Couch-to-5k. This time around, the rewards surfaced within the first week. My resting and recovery heart rates have already improved quite drastically, I’ve lost some weight, and my ankle is holding up. I am now running every other day, I consistently feel better, less fatigued, and it keeps my anxiety from school and life at bay. I find myself now looking forward to working out, as each session reinforces positive results. I am also less inclined to order that extra drink or annihilate a plate of cookies, as I know I will suffer the next day on my run.

If you want to be active or you want to be sedentary, that is totally up to you. I’m certainly not one to judge, as I’ve been at both ends of the spectrum. But I will say that if I can do this program, anyone with two legs (maybe even one) can do it with just as much success. Don’t be afraid to get out there – the rewards are huge. The most difficult part for me was simply getting started. But I quickly realized that once I ran out of excuses, it was time to just run.

fat people

Coming Up for Air

I’m generally not a fan of fast food, but in an effort to bond with my new coworkers at my first medical job, we went to KFC for lunch. A few tables away, an extremely elderly woman started coughing and crying.

The Colonel’s secret blend of herbs and spices hadn’t gone down so well.

“OH MY GAWD! She’s choking! Someone call 9-1-1!” some lady screeched, while everyone else just stood around.

“NO! Don’t call 9-1-1!” the lady’s son retorted. “We can’t afford it! She doesn’t have insurance and I can’t pay for it. Do not call 9-1-1! Please!”

“Motherfucka, call 9-1-1!” bellowed a very large Black man who had come running out of the kitchen donning an apron and a kitchen knife. “Bitch, call 9-1-1 before I fuckin’ kill you!”

“Fine, call 9-1-1, call 9-1-1!” whimpered her death-wishing son. “Call 9-1-1!”

As this comic scene was unfolding, everyone began to stare in our direction, as my coworkers and I were wearing scrubs. And despite all of us working in non-clinical roles at the time, scrubs equate to “They must know what to do” in the minds of plain-clothed onlookers.

I knew she wasn’t choking as she was coughing and moving air, but I went over to the table and did a quick finger sweep of her mouth and throat to clear out all of the mushed chicken and a piece of bone that was in there.

Shortly after, the paramedics arrived, gave her some oxygen, and she began to settle down a bit while we went back to eating our lunches. Her son didn’t get his inheritance that day, anyway.

 

“Um…excuse me, sir? Hello? Sir?” squeaked a mousey voice coupled with a tap on my shoulder.

As I turned my head, I was met by a concerned 11-year-old girl.

“I think my friend is choking. Do you know what to do?”

Looking across a few tables at the Whole Foods food court, I spotted an even younger girl clutching her throat, face beet red, eyes panicky wide.

Afraid I would crush her tiny frame if I tried the Heimlich, I gave her a number of hard back blows before a solid chunk of hamburger and bun finally flew out of her mouth.

A crowd of on-lookers had formed during the mini emergency, standing around watching. The only suggestion made was from a woman who kept saying, “Give her some water! She needs water!”

Nice try, but throat clenching is not the universal sign for thirst.

The girl’s mother and aunt thanked me profusely, the Whole Foods manager gave me a free beer, and the now-breathing girl calmed her tears. I later found her hamburger dried to my boot.

 

On my way back to Virginia from the Delaware beaches, two people on a crotch rocket (with more CCs than brain cells) flew by at nearly 100-mph, weaving between cars. They were both wearing helmets, but the driver was wearing shorts and a t-shirt, and the female passenger was wearing white sandals, jeans, and a t-shirt.

A few miles ahead, my friend and I came up on brake lights, debris in the road, and stopped traffic. As we were forced to the shoulder, there was a group of people circled around something on the ground. It was the female passenger, unconscious on her back, next to the motorcycle that was in multiple pieces. It had slammed into the back of a minivan that had stopped abruptly. Her sandal was melted to the exhaust, and her feet and hands contained more gravel than skin, bone exposed. So this is what road rash looks like.

Her boyfriend, who had been driving, was clearly in shock, as bones from one wrist protruded through the palm of his hand. He hadn’t even noticed. He was trying to light a cigarette, but couldn’t stop shaking to manage the lighter. He was pacing and kept yelling, “I should have never bought a bike. I should have never bought a bike!”

The motorcycle was only a few feet away and I could smell the gas and see it dripping on the hot exhaust. I yelled for a few of the onlookers to move it, and they picked it up and threw it into the grass on the side of the road.

Her cracked helmet was already off of her head. None of the bystanders would touch her because she was bloody. The woman regained consciousness briefly while my friend and I tried to stabilize her. She quickly became combative and tried to get up but her legs weren’t moving. With her bloodied hands, she grabbed my neck as I was kneeling over her head and wouldn’t let go. She kept begging not to let her die and talked about a child. She then lost consciousness, began to seize, and started to vomit. She never regained consciousness while we were there.

After what seemed like hours, the advanced life support unit arrived, boarded her, and arranged for a helicopter to meet them farther down the highway. The rescue squad asked us a few questions and helped clean her blood off of us. I never found out what happened to her.

 

I’ve had a few other experiences similar to these over the years and one theme remains common throughout: When there is an emergency of any sort, most people do nothing. That is the worst possible option. Even if you have no first-response training, at the very least, pick up a phone and call for help. In the situation with the motorcycle crash, no one had thought to call 9-1-1 until we asked. Hard to believe, but it happens. Keep a set of latex gloves in your aptly named glove box so you’re not afraid to get your hands dirty if the need arises. If you do have training, direct others in the situation. People are generally willing to help if told what to do.

The situation can be scary, for sure. But don’t hesitate to help. It could be you or a loved one on the ground some day.

And don’t feed bone-in chicken to the very elderly…

firstaid