I just got back from fantasy football draft. My 2nd year in a row playing. I didn't really try to play but they decided they needed me so I went. I think I just like shocking people about how fast I spend my draft money. But I got Adrian Peterson who is #1 draft pick for pretty cheap. No we shall see how the season goes. I am ready....
Church was awesome this weekend. I just amazes me how God is so much bigger than my plans. Both Brian and I were exhausted Friday night and didn't have music together and I didn't prepare for Sabbath school until lying in bed sabbath morning. We arrived at 8 AM. No powerpoint ready for music but a bunch of song books. Passed them out to the congregation and took requests. People said it was the music was awesome. wow.. so God. Then sabbath school I sended up with 3 x the teens I thought I would have and we spent sabbath school singing and planning Toby Mac concerts and had a short devotional thought and wow... God blessed because I didn't plan anything. I think the most important thing sometimes is just showing up. will put a little more planning into next week :)
Then we headed to the beach to meet Ricky and Kathy. We had a wonderful relaxing time in Newport looking at the ocean, hanging out by the Bay, and eating yummy breakfast.
Now we are back and ready to start the week!!!!
Sunday, August 23, 2009
Friday, August 21, 2009
oh wow the week is over!
I just want to put life on pause. There were so many great things that happened this week but it flew by so fast! Last night I was so overwhelmed and tired and just kept thinking I have 3 hours of charting left and it's only 9 o'clock. I had wanted to post a blog yesterday regarding interesting patient diagnoses but a las... I forgot half of what I had planned in my head.
Anyways... will spout off now about work. I think I am starting to feel like I have hit a groove of things. I am getting faster at seeing patients and more confident in my diagnosis.
Which is why when I had a 90 something year old with a fever, cough, and urinary symptoms Tuesday I diagnosed a UTI, read her CXR as normal and promptly went on my way... Thursday I get back to work.... hmm... her urine had no growth even though pretty positive on dip. and oh... she went to the ER because I missed a pretty glaring pneumonia on x-ray. I went back and reviewed the films. My supervisor was like- on Tuesday- I walked past the films saw the pneumonia, poked my head in the door and said hi to your patient (he was primary) and told her you would fix her up. Didn't think you would miss something as obvious at that. Bummer. We made the decision that if he see's pneumonia on my films maybe he should double check that I noticed but kick myself... because crap... I screwed up. But oh yeah life goes on.
I learned a ton about anemia from one patient I have been working with. a couple weeks ago they walked in very dizzy. ran tests... hey your blood count is really low... you need a transfusion. Fixed up with a transfusion. Usually when that happens it's because of GI bleeding. so I worked up for that.. but nothing turned up. Ran other tests... wow... hmm. low retic count. Macrocytic anemia with normal B12 level... Bone marrow biopsy. Acute myelogenous leukemia. Very sad. but a very good lesson on how to work it up and diagnose it. I was like what is going on? this is weird something is wrong..
anyways. I had another dizzy patient today.. I was like you have benign paroxysmal positional vertigo. Then I dipped her urine... oh wait you have a urinary tract infection. ahh the ever learning life of a PA.
Anyways I noticed I kind of stopped blogging when our church plant started so I should update everyone on that.
Riversedge Seventh Day Adventist church has been up and running since May 1st!
I have been blessed by many amazing messages. and am grateful for our fearless leader Jim John. Brian and I have been doing music like crazy people most weeks. We need more musicians!! We have pulled many people in to help. But we enjoy doing music and worship and it has been awesome to see people learning songs and singing along. And just singing praises to God.
I am leading the youth. Mostly I have around age 12-13. They are an awesome group. this week I have convinced myself that we need to go see David Crowder Band in October. The girls to the revolve tour in November and Toby Mac in December. So need to start fundraising!
We have 40-70 people come every week which we think is awesome for summer time. Oh so many great things. God is blessing and I think what is happening is so out of our control.
I have settled into a regular pattern. This fall I think we may shake things up a bit. But wow I can't believe everything that has happened. I am not too worn out yet :) mostly just loving life and trying to keep my head above water. Praying every day!
anyways about to fall asleep and it is only 9 AM on a Friday night! Off to slumber and then church plant time.
Anyways... will spout off now about work. I think I am starting to feel like I have hit a groove of things. I am getting faster at seeing patients and more confident in my diagnosis.
Which is why when I had a 90 something year old with a fever, cough, and urinary symptoms Tuesday I diagnosed a UTI, read her CXR as normal and promptly went on my way... Thursday I get back to work.... hmm... her urine had no growth even though pretty positive on dip. and oh... she went to the ER because I missed a pretty glaring pneumonia on x-ray. I went back and reviewed the films. My supervisor was like- on Tuesday- I walked past the films saw the pneumonia, poked my head in the door and said hi to your patient (he was primary) and told her you would fix her up. Didn't think you would miss something as obvious at that. Bummer. We made the decision that if he see's pneumonia on my films maybe he should double check that I noticed but kick myself... because crap... I screwed up. But oh yeah life goes on.
I learned a ton about anemia from one patient I have been working with. a couple weeks ago they walked in very dizzy. ran tests... hey your blood count is really low... you need a transfusion. Fixed up with a transfusion. Usually when that happens it's because of GI bleeding. so I worked up for that.. but nothing turned up. Ran other tests... wow... hmm. low retic count. Macrocytic anemia with normal B12 level... Bone marrow biopsy. Acute myelogenous leukemia. Very sad. but a very good lesson on how to work it up and diagnose it. I was like what is going on? this is weird something is wrong..
anyways. I had another dizzy patient today.. I was like you have benign paroxysmal positional vertigo. Then I dipped her urine... oh wait you have a urinary tract infection. ahh the ever learning life of a PA.
Anyways I noticed I kind of stopped blogging when our church plant started so I should update everyone on that.
Riversedge Seventh Day Adventist church has been up and running since May 1st!
I have been blessed by many amazing messages. and am grateful for our fearless leader Jim John. Brian and I have been doing music like crazy people most weeks. We need more musicians!! We have pulled many people in to help. But we enjoy doing music and worship and it has been awesome to see people learning songs and singing along. And just singing praises to God.
I am leading the youth. Mostly I have around age 12-13. They are an awesome group. this week I have convinced myself that we need to go see David Crowder Band in October. The girls to the revolve tour in November and Toby Mac in December. So need to start fundraising!
We have 40-70 people come every week which we think is awesome for summer time. Oh so many great things. God is blessing and I think what is happening is so out of our control.
I have settled into a regular pattern. This fall I think we may shake things up a bit. But wow I can't believe everything that has happened. I am not too worn out yet :) mostly just loving life and trying to keep my head above water. Praying every day!
anyways about to fall asleep and it is only 9 AM on a Friday night! Off to slumber and then church plant time.
Sunday, August 16, 2009
Good friends
Brian and I have some good friends.
Friday night Joe showed up on our doorstep with 3 dozen cookies!!!!! They were still warm. so yummy and just what we needed.
My mom came Friday-Sunday to spend some time with us.
Matt and Judy came over for lunch after church. Brian made gourmet Baked Ziti, my mom made a delicious salad, and I made some garlic bread. They ended up staying until 11 PM!!! Oh I am so glad we have friends that feel comfortable hanging out at our house all day. We were determined to finish a puzzle (which we did after 8 hours of intense labor), played some ladder golf, and each took small cat naps throughout the day.
We also, with the help of Nikki, Matt, and Quentin went again to look at the house we are planning on buying. we probably spent an hour just walking around dreaming. What a nice way to spent sabbath.
Today is Nikki's birthday so we got to go out to Crescent cafe and celebrate!!! Whoo hoo. Worth the wait- the food was delicious.
So thank you my friends. And for all my friends that live far away or I haven't seen in a while. I miss you and treasure you as well.
Friday night Joe showed up on our doorstep with 3 dozen cookies!!!!! They were still warm. so yummy and just what we needed.
My mom came Friday-Sunday to spend some time with us.
Matt and Judy came over for lunch after church. Brian made gourmet Baked Ziti, my mom made a delicious salad, and I made some garlic bread. They ended up staying until 11 PM!!! Oh I am so glad we have friends that feel comfortable hanging out at our house all day. We were determined to finish a puzzle (which we did after 8 hours of intense labor), played some ladder golf, and each took small cat naps throughout the day.
We also, with the help of Nikki, Matt, and Quentin went again to look at the house we are planning on buying. we probably spent an hour just walking around dreaming. What a nice way to spent sabbath.
Today is Nikki's birthday so we got to go out to Crescent cafe and celebrate!!! Whoo hoo. Worth the wait- the food was delicious.
So thank you my friends. And for all my friends that live far away or I haven't seen in a while. I miss you and treasure you as well.
Thursday, August 13, 2009
Exciting Happenings!!!
So Brian and I have wanted to sell our house for a few years. We were waiting till I finished school- paid down a little debt. but really we have lived in our lovely cute little house for 5 years and we are ready for a change. Now that I have finally lived at home for an entire year without traveling to a crazy rotation we need something new to spice up life!
Tuesday- after our 9th month total on the market we got an acceptable offer on our house!!!! The inspection was today so as long as that is acceptable and no financing bumps (they are pre-approved) we should be able to move at least by the end of September. Sooner if we have our way!
It is such a buyers market right now. We had to lower the price of our house by about $30,000 and even then the offers we finally started getting were $20,000 below what we were asking for. I don't fault them for trying but it's a little frustrating to get 3 offers in one week- each one lower than the previous unacceptable offer. But exciting at the same time to know that people want your house. So we got one of the offers to come up significantly to something reasonable and it is looking good!
We already have a house we have put an offer on. It is beautiful! In a neighborhood we didn't think we could afford.
Here are a few pics:
This is front. I think the Orange door is a sign that it should be ours!
This is the best part of the house- the amazing Kitchen. The pic actually doesn't do it justice.
This is the backyard porch. There is also a huge side yard.
Tuesday- after our 9th month total on the market we got an acceptable offer on our house!!!! The inspection was today so as long as that is acceptable and no financing bumps (they are pre-approved) we should be able to move at least by the end of September. Sooner if we have our way!
It is such a buyers market right now. We had to lower the price of our house by about $30,000 and even then the offers we finally started getting were $20,000 below what we were asking for. I don't fault them for trying but it's a little frustrating to get 3 offers in one week- each one lower than the previous unacceptable offer. But exciting at the same time to know that people want your house. So we got one of the offers to come up significantly to something reasonable and it is looking good!
We already have a house we have put an offer on. It is beautiful! In a neighborhood we didn't think we could afford.
Here are a few pics:
This is front. I think the Orange door is a sign that it should be ours!
This is the best part of the house- the amazing Kitchen. The pic actually doesn't do it justice.
This is the backyard porch. There is also a huge side yard.
3 bedrooms and 3.5 bathrooms. I think the perfect house for us. It is actually like 2 blocks from Brian's grandparents. Only a mile away from the house we are living now.
So we are praying and hoping and getting excited. Pray with us that things will go smoothly. With this crazy economy you never know.
So we are praying and hoping and getting excited. Pray with us that things will go smoothly. With this crazy economy you never know.
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