SO D*MN LAZY!

There are so many things that I need to do but I just don't feel like it...

1) Clean my office. If you saw the photo I posted of my desk on facebook, that's only part of it. This place is a mess... but I just don't feel like cleaning

2) Clean the kitchen/living room/dining room. It is also a mess... as always. I just can't do it

3) Make an appointment with the podiatrist. This one I should really do, since my foot still seems to be messed up and it's been almost a week. Maybe give it a few more days... I still have a lot of 800 mg Ibuprofen left in that bottle...

4) Oil change. This should have been done almost 1000 miles ago, also something I REALLY need to get done... maybe Tuesday?

4.5) Spend more time with my family. I don't see anyone as much as I'd like to...

5) Start volunteering at the hospital. This is something I've wanted to start doing for a while... then I figured I should wait until I have a more solid work schedule because they ask when you're available. HELLO I'm VOLUNTEERING, why are you so picky?! I know, I know, I shouldn't be so rude. Now, I have a set schedule at work (for the most part) so I should be able to tell them when I'm available.

6) Take the ASSET test. Yeah I know, I've been in college for about 4 years now... and I have no degree... really I have nothing to show for it... Except that I know I want to be a doctor, I just have to get my butt in gear and start working on it. In order to do that, I need to take a plethora of science and math classes. Did I mention I need to take the ASSET test?

7) Get some MCAT prep stuff... It's never to early to prepare...

8) Plant a money tree. Eric's school is expensive. Med school is expensive. I don't want to be up to my ears in student loans making 20k for the first few years as an intern/resident/fellow....

9) Plan WOLF meeting. This is work related, and I shouldn't think about it outside of work... but there's only 40 hours I can work in a week... and I don't have time when I'm there...

10) Sleep??? I need more sleep... or less sleep so I can get more done.

11) Figure out a way to add hours to the day in case I decide I want more sleep rather than less (I'm really leaning that way)

Lalalala I'm going to play with my nephew aka Mr Adorable Pants

Leaving on a jet plane

Blogging at you live from Sky Harbor today. What an exciting journey our vacation has been thus far, and we aren't even on the plane yet! We left the house a little late this morning, but still got to Brent's on time. I think this airport needs to come up with e better system for security checks with people in wheelchairs. Perhaps they should have their own line. We had the great fortune of being in the combined line of wheelers and walkers. We weren't really sure if we were cutting anyone or what was going on... It took us about 20 minutes to get through that portion of the line, after showing our boarding passes and IDs to the guy at the podium. Good times. I felt really uncomfortable taking my flippers off and walking on the nasty carpet barefoot where other people have had their disgustingly sweaty socks. Tinea pedis anyone?! No thanks! They also made me put my half ounce of hand sanitizer in a plastic ziplock bag. Seriously, you can't inspect my little bottle of hand sanitizer unless its in a plastic bag? Whatever I have to do I guess...

Now we're just sitting at the gate, waiting. Our flight isn't until 9:40, so we have quite a bit of time. Eric is in line as I write this, buying me some Cinnabon and himself a Nathan's hot dog. I personally do not think a hot dog is proper breakfast, but to each his own. I'm just glad I was able to feed my habit and get on the internet at the airport. Thank you, modern technology!

At the Clinic

"James, a 36-year-old engineer, appeared at the clinic in an extremely debilitated condition. He had purple-brown lesions on his skin and a persistent cough. A physical examination revealed swollen lymph nodes. Laboratory tests revealed a low lymphocyte count. Information taken during the personal history revealed that James is a homosexual. The skin lesions proved to be evidence of Kaposi's sarcoma. What is James's problem?"

If you thought his problem was that he's an engineer you would be wrong. He is suffering from acquired immune deficiency syndrome, or AIDS. Poor guy, he's going to die. But, I guess we all have to go someday.

"About six months after an automobile accident in which her neck was severely lacerated, a young woman comes to the clinic for a routine checkup. Visual examination shows a slight swelling just inferior to her larynx; her skin is dry and her face is puffy. When questioned, the woman reports that she fatigues easily, has been gaining weight, and her hair is falling out. What do you think is wrong?"

A woman was driving a car, she got in an accident. Menstruation is causing her other "symptoms." She's tired because of it, and she has been eating lots of chocolate which is causing her weight gain. Plus, she is going crazy from the hormones and has been pulling out her hair. The dry skin is from lack of lotion, and her face is puffy from excessive crying.

The real issue, unfortunately, is hypothyroidism from the trauma which is causing her to exhibit an autoimmune reaction to formerly "hidden antigens" in the thyroid gland colloid.

"Use of birth control pills decreases the acidity of the vaginal tract. Why might this increase the incidence of vaginal infection (vaginitis)?"

Well, because she's on the pill, Jane feels that she can have sex with whomever she wants as often as she wants. Thus, the probability of getting an infection increases.

The real answer: The acidity of the vaginal tract inhibits bacterial growth. Hence, anything that decreases vaginal acidity provides an opportunity for bacterial proliferation and vaginal inflammation.

"Patty Hourihan is a strict environmentalist and a new mother. Although she is very much against using disposable diapers, she is frustrated by the fact that her infant breaks out in a diaper rash when she uses cloth diapers. Considering that new cloth diapers do not cause the rash, but washed ones do, what do you think the problem is?"

Patty is a hippie and thinks that her child should run wild naked through the house. She is more concerned about the earth than her child's rear end. Patty should switch to disposable diapers immediately.

The real issue is that her child gets contact dermatitis likely caused by a reaction to the chemicals in the detergent used to launder the diapers. Time to switch to the organic stuff I suppose... Way to go Patty.

"A young man is rushed to the emergency room after fainting. HIs blood pressure is alarmingly low, and his companion reports the man collapsed shortly after being stung by a wasp. What has caused his hypotension? What treatment will be given immediately?"

The "young man" was smoking weed. He was high and thought it would be cool to play with a wasp... He passed out from eating too many "special" brownies.

Actually, anaphylactic shock caused his hypotension. They should inject him with epinephrine STAT