Monday, April 19, 2010

Joyce says...














And I finally got this picture from my co-resident. It's my favorite picture from the trip. There's also a plethora of pictures of me sleeping here and there like a narcoleptic. Being able to drop dead and sleep anywhere is a gift I inherited from my dad, what can I say.

Monday, April 12, 2010

Joyce says...

From the pictures, I'll be it's a girl!

Friday, April 09, 2010

Stephen says...

Joyce, that's awesome. I want to go to Nicaragua so badly!

I can only imagine trying to pull things out of children's mouths. I give them needles here and there and that's bad enough. Also, they scream every time I try to look in their ears. Before I even have the otoscope in the ear, just in anticipation. I'm happy with a brief glance inside a child's mouth, never mind keeping it open long enough to pull a tooth out.

Your pictures are awesome, I like the one where you're pointing out the camera to the toddler. How behind you is a procedure being done with a plastic chair being used as an exam bed. Improvisation seems to be the name of the game.

To answer your questions: Star is due July 8th, she does not look pregnant from behind, her skin is very smooth and soft, no pimples.

Here are two photos from the baby shower:


Just practicing

Wednesday, April 07, 2010

Joyce says...

Thanks for the Napie update! I tune in everyday to see if there's anything new. We should definitely get a pool going. Do you guys know the due day yet? There can be a actual birthday and due day pool as well as the sex pool. (teehehehe, sex pool.)
To place my bet, steve you need answer the following questions.
1) Does Star have a glow or she's having pimples.
2) From the back, does she look rounded like a mama penguin or she barely looks like she's barely pregnant.

Here's some update from my side. and No, I'm not pregnant.

I went on an outreach trip to Nicaragua to treat kids in this town 1/2 hr outside of Managua, the capitol. It was an aaammazing trip, to be in such a different culture, unable to communicate and to just witness a very different way of being. We didn't really have a chance to tour the city. We got bused between the clinic site and hotel. No one was allowed to go out at night on their own. I wouldn't want to anyway. An asian girl wondering the street alone and not speaking any complete sentence of Spanish is asking for trouble.

We screened about 300 kids in the Catholic school where the clinic was set up, and there also walk-in patients not belong to the screening. I have never pulled out so many teeth and sweat so much on a single day. Believe me, it was hard, especially the only verbal communication my patients and I have were "how's going?" "open your mouth," "the mosquito tiny pain," "be quiet," "very good!" and "it will be ok."
3 out of the 6 days, I got kids throwing up, but thankfully not on me.

Kids are funny. Some left the clinic crying. And the ones coming in saw the ones leaving in tears. It was contagious and sometimes everyone came in crying already.
When we were doing screening in the school, there was this gorgeous twin in a pre-K class. oh joy, bad behavior kids in twin form! First one started cry, and the second one cried even worse, refusing to open. Then the one I was screening went to grab the other one and wanted to run away together. That was probably the cutest moment of the trip. She had to grab her twin sister!! I would've totally ditched my twin and made a run for it. :p

Ever since I started my residency, I always wonder when I will lose it to a child and just scream at the poor little bugger. Well, it finally happened on this trip.
I had to pull out a badly decayed tooth from this little girl. Oh, did I mention I had to pull the same tooth with the same condition from another kid just 5 min before and broke the root. Paint yourself a picture, 2 people trying to hold down a kid while a sweating doctor trying to dig out roots from a screaming 5 yo. NOT pretty.

This girl was all cute and fun before I pull out the needle. The assisting dental student, a 6'4 line backer looking guy, straddled her and pushed her down, essentially restraint her entire body. Another person went behind me to hold her head still. hmm, did I forget to mention her head was right in my lap. I was able to crank her mouth open (literally) and do the injection and elevate the tooth.

Now this is when things got worse, 5 seconds away from being done.

She spat out the mouth prop, and started to spray blood-mixed saliva at people. All hands were off her and scrambled to wipe her and ourselves clean. The little bitch, catching a break, started to protest in Spanish. And this little butt booger got smart, whenever we held her down, she would start to spit out whatever's in her mouth, blood, saliva and tears. This is probably the most chaotic extraction I've ever done and the most barbaric one, cuz I want it to be done in seconds. When it was done, she still wouldn't shut her pipe, letting out more blood and saliva.

And that was when I lost it.

"SHUT UUUUPPP!" I've never screamed at a human being like that, let along a child. People across the courtyard could hear me. Well, you know what, I still don't feel guilty yelling at her even until today.

So that was the highlights of my trip. We were awarded one day at an all-inclusive resort (but a not too fancy one). I soaked myself in vodka pineapple all day long and went to take a dip in the pacific ocean waves. My stomach went a bit funny after the buffet, but it worth it, considering what we usually had for lunch and dinner - chicken or beef with a side of 1) rice and beans 2) rice mixed with beans 3) mushed bean on top of rice OR 4)mushed beans alone.

From Nicaragua 2009


From Nicaragua 2009


This is the above mentioned line backer dude.
From Nicaragua 2009


From Nicaragua 2009

Sunday, April 04, 2010

Stephen says...

Reading over my last post, the baby is now active many times during the day. Though, it still favours 11pm to keep us awake.

The difference now is that we can SEE the baby kicking. Star's belly actually bounces outwards with each kick so we can tell where the kicks are coming from (we can't determine hands from feet, but I think that takes X-ray vision).

The belly is progressing nicely and Star has been wearing my pyjamas for a number of months because her own are too tight.

We had a baby shower on March 14th, courtesy of Haneen who was in town on an elective, and received TONS of baby clothing and cloth diapers (so cute!).

That's all for now, more updates in the future.