Monday, July 27, 2015

Peace out, silver mare.

A little butterfly landed on her hock as she died.

Sunday, July 26, 2015

education.

There are a lot of things I want to change about the world but in this particular moment, I wish I could somehow empower girls to pursue their curiosity in science. More, I want adults to recognize that to this day, many girls are raised to think that math is hard and science is boring.  They need our encouragement and guidance. Find them and show them that there are worlds to discover and ideas to fall in love with. It is the least we can do.

Please tell me we are doing better with the kids of today. I am still struggling to find peace with all this. I apologize for venting my frustration...

One of the most amazing books I've ever read. Putting all the pieces together. Just wish I'd found it ten years ago...

Encourage their curiosity! Find what they love! Show them how science is probably why they love it!

Wednesday, July 22, 2015

five miles farther away.

glad to know that i can, if nothing else, run five miles with little ado. lovely, breezy evening here.

stressful morning. she can't even make a paddling motion on dry land. she wants so badly to go.

mountains on the mind. loons just began to call.

pretty much my life right now: PJs aka scrub pants, hoodie, headlamp, very old sandals, dish of ice cream, boundary bag, loons, roll of med tape, random bottle of someone's pills, stack of books, phone, keys to med boxes but no clue where car keys or wallet may be, notes scribble everywhere, yoga mat, sore back, gps, guitar, partner who is down in the trip shack helping MT pack for trip but really just there to snack on their gorp. :)

someone made her cry last night.  they are dead to me!

malignant hyperthermia.

"She has an anesthesia risk," said the parent.
"You mean an anaphylaxis risk?" I ventured, coaxing my computer to bring up her paperwork. Said paperwork has a special section devoted to such things.
"She can't get certain kinds of anesthesia," the mother went on, "not that it's likely to be a problem in the backcountry." And sure enough, there was a note in the anaphylaxsis section -- where else would you put this kind of thing, I guess? -- that she is at risk of malignant hyperthermia. Not really a thing in wilderness medicine but a thing indeed, elsewhere.

The strange thing was that I'd been reading about malignant hyperthermia just the day before. It's a rare genetic disorder that basically means your circulatory system will collapse if you are exposed to stuff like succinylcholine, a drug commonly used prior to intubation. Intubation, as I (vaguely) understand it, is something that might be done in emergencies, as in, quickly, as in, sometimes before you've even looked at a patient's history because the person's airway is losing ground for whatever reason. Then again, there are a bunch of contraindications, so maybe rocuronium (sorry but that name is still really funny to say) is the preferred choice even in those cases. Fewer contraindications, still a pretty fast onset, and although the duration is longer, its actions are reversible. Not so with sux.

Will talk more about malignant hyperthermia at some point, self-indulging my own need to better understand how it works... Lots and lots to learn in this foreign realm. The leaps are fun. Maybe useless and silly, but fun.