Saturday, October 31, 2009
Panera Bread, how I love you!
Sunday, October 25, 2009
No Sabbath = Sickness
In my life, the times that I get sick are when I don't allot enough time for my body to rest (i.e. right now). I've been running around like crazy trying to complete all of my school assignments, working at the research lab at school, and interning at Parkland. I understand that this is only a season, but it's been an exhausting season that defies my nature- my need for Sabbath. So, here I am now, sick as a dog, getting little work or schoolwork done. When I don't give my body the Sabbath it desires and requires, my body rebels and demands that rest through illness.
Sunday, October 18, 2009
Self-Evaluation
Objective: Pt c 7/8 on delayed recall. Pt c 10/10 on moderately complex information processing c 3 visual cues. Pt c 9/10 on complex information processing c 5 visual cues. Pt c 3/3 on complex problem solving. Pt c 3/3 on story recall task. Pt writing at complex P level c 95% accuracy utilizing complex sentences. Pt c decreased initiation and motivation to prepare for classes. Pt c decreased attention to reading tasks. Pt requiring min verbal cueing to A in completion of assignments. Pt c + insight into deficits. Pt reports increased lethargy secondary to decreased amount of sleep.
Assessment: Pt p/w moderate senioritis complicated by mild-moderate sleep deprivation.
Plan:
1. Pt will sleep min of 8 hours/night for 7 days/week with 100% accuracy to improve cognitive performance and emotional lability and to decrease lethargy and fatigue.
2. Pt will verbally produce thanksgiving for 10 blessings/day regarding current situation (including school) with 80% accuracy to improve motivation and initiation.
3. Pt will attend to reading/writing tasks for 2 hours/day to ensure completion of assignments and increased accuracy on examinations.
4. Pt will complete blog post in <2 minutes to improve productivity for the rest of the evening.
(From Wikipedia: The main symptoms of senioritis include chronic procrastination, lack of motivation, a drop in academic performance, and "coasting," which is the act of going through classes with very little concentration or application of intent. This usually happens in the last year of middle school, high school, college or graduate school.)
Friday, October 16, 2009
A Lesson
What's a girl to do? Restart it, I suppose. Its running...4...3...2...1...it dies. So, I restart it a couple of times until I'm as off to the side as one can be on a no-shoulder, high-traffic, under-construction intersection. Then, of course! Call Dad! What's the problem? Out of gas. (I know- that's a dumb problem that shouldn't have ever happened.) He advises me start my car again, coast for as long as possible, start my car again, coast as long as possible, make people angry on the road, and try to crawl to the gas station about .2 miles away. After a few honks, angry expressions, and a very slow crawl, I make it to the entry of the gas station. Problem: it's a pretty steep entry. By now my car is crawling for about 2 seconds with every key twist in the ignition. Hmm... but I try. Nope. Try again... YES????
All of a sudden two men ran towards my car in the steady rain and started pushing against my bumper. We made it about half way up and then the dear Blumina started rolling backwards. Then, two more men ran towards us and got behind the Blumina and pushed. After a couple of attempts we finally made it to the beautiful gas pump!
So, who were these gallant men to rescue this damsel in distress in the tempest? Their faces I knew well. I pass them almost everyday in that same intersection. They are the men who walk along the streets lined with cars asking for food, beverages, and money. They are the men who find shelter from the rain under that overpass.
Many times I have seen them, shared a smile, but hoped that they wouldn't come greet me at my car window. Many times I have driven past, thinking to myself "I'm working hard, really hard, in grad school trying to feed myself and keep a roof over my head. Surely they could improve their living situations with a little bit more effort." These were the faces of men I judged without knowing their life story... without knowing their name. The men who are poor, unclean, hungry, and thirsty, the men who have been rejected by me (and countless others) are the men who were willing to get their clothes wet and willing to help someone in need. How grateful I am to these men who are slower to pass judgment and quicker to lend a hand. And how humbled I am by their grace and generosity.
Monday, October 12, 2009
Parkland Peeps
Every morning I am in for a surprise! Who knows?! I may be asked to work with an individual with a gunshot wound, a prisoner, a minister, a homeless person, an alcoholic, a drug dealer, a drug addict, or just a regular person... except I've only worked with one "regular" person. There have been occasions where I have been shown hostility and aggression (mostly, though, the agitation is secondary to the brain injury), but for the most part, the patients have been respectful and appreciative.
Hospitals can be a depressing setting, surrounded by illness, injury, and death, but there is so much opportunity to give hope and love to these hopeless and lonely people.
Friday, October 2, 2009
Ataxic Aphasia
Today, after completing an initial evaluation on a new patient, I was filling out the paperwork to write down how the patient performed during the assessment and to give an official diagnosis on this patient.
"Patient presents with mild/moderate ataxic aphasia complicated by...".
For those of you who don't know, "ataxic aphasia" doesn't exist. There is ataxic dysarthria and there is aphasia, but there is definitely not an ataxic aphasia. An equivalent misdiagnosis would be for a psychologist to diagnose an individual with "mental regurgitation" instead of mental retardation. This could also be compared to a a minister asking the congregation to turn to Hezekiah 3:12, a car salesperson trying to sell you a Honda Lumina, or a baker confusing the flour with salt.
So, just in case I was beginning to feel slightly competent and confident in my skills as speech therapist in the hospital setting, I was given yet another dose of humility... and good grief! These humility shots smart!
Tuesday, September 29, 2009
One of those mornings...
So, I got ready early this morning and left for Parkland. Traffic. Bad traffic. Actually, when I finally creeped my way to my exit, the road I was intending to take was closed. Too bad I didn't know that one mile/20 minutes ago! Needless to say... I was late. Drat.
Eventually, one-detour-after-another, I did make it to Parkland. But, I still didn't feel well. I managed to endure the throbbing pain and nausea throughout my first 3 hour-long therapy sessions with only a few temple rubs. However, during the last session the pain was growing more intense. I calmly excused myself from the therapy room in search of my supervisor to ask her to take over for me, but she had left the office to meet another patient, so I returned to my patient. After glancing at the clock and seeing that I only had 15 minutes left, I decided that surely I could finish this hour with my patient. Well, that wasn't the case. I continued teaching a word-finding strategy when I felt the urgent need to excuse myself from the room so I could vomit. And that is when my supervisor walked in...seeing me leaning over a trashcan. Oh bother.
It was just one of those mornings.
(I'm hoping for a better one tomorrow!)
Sunday, September 20, 2009
two new little sisters!
Two precious girls have been "adopted" into our church family, and I have thoroughly enjoyed playing the part of "big sister" again. These girls are not blessed with a wonderful Christian family with high standards and strong morals. They do not have an older sister who makes wise decisions worth emulating, so the home church ladies, including me, have adopted these lovely girls into our family! It has been eye-opening, and disheartening, to hear the everyday issues they deal with that are so foreign to me... at school they are bullied, threatened, sexually harassed, isolated, and mocked... at home they have few guidelines, low standards, harsh discipline, and a new phone number every 3 months. I cannot steal these girls and give them a new home with different and pleasurable experiences, but I can be a big sister to them and listen to them, serve them, love them, and speak truth over them. Pouring into these girls has been such a blessing to all of us! They are so easy to love!
Monday, September 14, 2009
slumber party!!
Monday, September 7, 2009
My dear sister
Thursday, September 3, 2009
This semester may be the busiest yet...
- If I sleep 8 hours a night for 7 days a week (56 hours)
- If I drive on average 1 hour and 45 minutes a day for 7 days a week (12.25 hours)
- If I spend 1 hour each morning to get ready every day of the week (7 hours)
- If I attend class each week (8 hours)
- If I intern at Parkland 4 hours a day for 5 days a week (20 hours)
- If I allot about 1 and 1/2 hours to eat every day of the week (10.5 hours)
- If I read the assigned readings for my classes each week (13 hours)
- If I work in the research lab each week (10-20 hours)
- If I attend church events each week (6 hours)
- If I have 45 minutes of "Caryn Time" each day for 7 days a week (5.25 hours)
- If I visit my sister, niece, and brother-in-law each week (5 hours)
...then I have an average of 158 hours of my week accounted for, which means... I have 10 hours each week to buy groceries, run to the bank, visit the library, play Settlers of Catan with my friends, sleep, blog, read, play the piano, clean, or go on a very short road-trip. Hmm.... it is a good thing I don't do all of the assigned readings and that my professor cancels class- I just gained 6 hours this week!
Saturday, August 29, 2009
Ahh! Saturday mornings!
- Drinking coffee with cream in my favorite mug.
- Listening to Adventures in Odyssey.
- Eating Lucky Charms- carefully eating the cheerios and saving all of the marshmallows to be consumed last.
- Preparing for a fun day at a leisurely pace.
- Reading for pleasure.
- Slouching on the couch with my laptop- and enjoying an unknown neighbor's wireless Internet.
- Enjoying no pressing to-do list for these few hours of the day.
Ahh! I love it! (Although, I do thoroughly miss Saturday morning coffee at Happy and Papa's house in Abilene. That was always the highlight of the week!)
Monday, August 24, 2009
I am feeling whoozy!
Well... that is not the SLP I am going to be this semester in the hospital. As I will be walking around in cute blue scrubs and providing exceptional therapy to patients, I will not be dealing solely with speech, language, and cognitive deficits. Nope. I have been assigned to the head/neck cancer rotation, which includes some pretty disturbing sites and several laryngectomies.
My first day at Parkland, I was given the opportunity to clean and replace a tracheoesophageal prosthesis (TEP). A TEP is inserted into the trachea and esophagus to allow an individual with no larynx to eat and breathe safely. This patient's TEP was leaking due to fungal colonization around and within this prosthesis allowing saliva, foods, and liquids to enter the lungs which puts the individual at risk for aspiration pneumonia. The SLP's role is to remove the TEP covered in yeast from the patient's neck, and place a new four-inch long tube into the man's neck. No blood, just secretions, yeast, and a patient's life at your finger tips.
So... I thought that I felt queezy from my professor's secretions flying out of his neck, but that was before I actually delved into a man's neck that had fungus growing inside. I was very proud of myself for the professional manner in which I observed and participated in this procedure... for the first 15 minutes. But then, I began to sweat and get dizzy, and a black shadow began creeping into my line of vision. Not wanting to faint on my first day and with my first patient, I sat down (that's what Dr. and nurse Brantly advised me to do if I found myself feeling this way). Eventually, I quietly left the room leaving my patient supervisor to complete the task alone. I recovered after a few minutes and resumed my place in improving the lives of my patients one tracheoesophageal prosthesis-at-a-time! This should be an interesting semester!
Sunday, August 23, 2009
a new semester
The first meeting of the craniofacial class was canceled (due to illness of the professor). The reputation of this professor leads me to believe that this is only the first of many "walks" for this semester (which has its pros and cons).
For the class discussing autism spectrum disorders there are two professors. The primary professor was unable to attend the first class (due to a family emergency, I think), so we were taught by her colleague who had a laryngectomy. A laryngectomy is a removal of the larynx; a hole is surgically created to provide a "safe" air passageway for respiration... and speaking. Laryngectomies, tracheotomies, and the-like have been frequently alluded to in my coursework; however, I had not yet witnessed a quarter-size, unveiled, stoma in a man's neck. Nor had I yet observed the unintentional projection of body fluids via a quarter-size, unveiled stoma in a man's neck... until my class on Friday. Despite my tremendous effort to not allow the projected booger-like substance to bother me, I did indeed get a little queezy. I just hope that this uneasiness in my stomach does not return tomorrow morning during my first shift in the hospital setting when more gruesome body fluids come flying my direction.
Sunday, August 16, 2009
Summer Sunday
- church
- lunch with church friends
- nap
- swimming
- reading
- playing Catan
- figuring out how to get everything done that has to be done in the final three days of summer. Hmm... perhaps I should have had a more productive day today. My to-do list is slightly overwhelming.
Tuesday, August 4, 2009
Internet Binge
Thursday, July 23, 2009
The Planner
My planner... I live by it. Without it, I wouldn't know when anything is due, when I am meeting people, where my appointments will be located, who I am actually meeting, the birthdays of my friends and family, or if I'm going to be too busy to go swing dancing that week. This planner of mine is July 2008-July 2009 and contains both the weeks and the months for that year plus my entire life composed on each page. Well, as I mention before, it goes through July 2009... but that means that it ends in July 2009. I have already been scheduling events for August, but I've had no place to write these commitments down! (I've even over-committed an August day already- evidence that I need a planner.)
Tuesday evening I visited Target to finally find a replacement planner to ensure that my life, as we know it, will indeed continue. After this shopping spree (and spending 30 minutes to pick out the right planner for me), I returned to my apartment and immediately plopped on the couch to begin the transition from my old planner to my new one (July 2009-July 2010). Then, as I unfolded the new pages of my new planner and new life in this new year, I started hyperventilating. It didn't have the months.... the months! The two pages solely dedicated to presenting the whole month in one glance! They weren't there! How can anyone live without seeing how their month looks in one simple viewing!? I can't live like this! I MUST have the month, too!
Needless to say, I revisited Target first thing the next morning to find a more suitable planner to accommodate my needs. It contained weeks AND months. Yes. Because that is how a planner is intended to be used. With a small perspective AND a larger perspective.
Unfortunately, my entire Wednesday was jammed full of obligations which means that I didn't have a sufficient amount of time to dedicate to that special moment of opening this new planner/beginning my new year. I barely had the self-control to complete my day's tasks BEFORE opening and writing in my new planner. When I finally got home around 10pm, I, once again, plopped on the couch and began my new journey with my new planner. Ahh. Life feels good again!
(And, as a bonus, my new planner has lovely photographs of significant locations all over the world! One for each week!)
Saturday, July 11, 2009
Ruby Grace- practically perfect in every way!
Monday, July 6, 2009
Beware of the refrigerator!!
Monday, June 29, 2009
How are you?
"Exhausted."
"Fine... but sleepy."
"Tired... but otherwise just fine."
"Stressed."
I'm looking forward to the day when I can honestly respond to this simple greeting with a "Great!" or "Well rested and completely stress free!". Will that day ever come?
(Two and a half weeks until my summer classes are over!!)
Tuesday, June 16, 2009
Storms
The rains kept coming all through Wednesday night and Thursday morning, enough to make the speed of the vehicles on the highway less than 10 mph. Alas, I was late to an orientation meeting for practicum. The clouds continued to pour out heavy water droplets which completely drenched me from head to toe on the 10 meter stretch from my parked car to the school building.
The storms seemed to have passed, and Friday morning, after dropping Mom and Dad off at the airport, I left for Mason to attend my dear friend's wedding. That night, the evening before the wedding, we watched with awe the lightning strike from afar. However, the sky above us swiftly changed from a lovely pink/purple glow to a dreadful grey shade. Sprinkles started to sputter on the windows. The rain quickly turned from light pitter-patters to clashes, clungs, and thwacks against the glass windows of the house... and the cars. The pleasant thrill of the storm began to dwindle when we heard the windows busting in the house with loud crashes. After that, each clang and skush caused us to flinch as we considered our cars which were enduring this calamity with no protection.
When the storm ceased, we picked up golf ball and lemon size hail from the ground and from the back seats of our cars. Five vehicles did not quite make it through the storm without having their windows give in to the pressure of the falling hail. Fortunately, my windows (or rather, Mom and Dad's since I drove their car) stood firm; however, a golfball-like-car with countless dents will be awaiting Mom and Dad's return to the States.
Friday, June 5, 2009
A Chronic Case of Hiccups
In my one year of living in Dallas, I have experienced many hiccups. Last semester went rather smoothly, so I was beginning to think that my diaphragm was contracting and relaxing at a normal pace with no unusual twitches. However, this summer semester, the speed of my respiratory cycle has been rapidly increasing with my excessive school/work load. In addition to my irregular breathing pattern, I had an unfortunate hiccup this week.
Upon finishing my class discussing cognitive rehab, I walked out to my car to see that the passenger window had been busted and the inside of my car was ransacked. My nifty GPS, CD player, CD's, digital camera, and purse had all been taken.
After crying from the initial shock and disappointment of this unfortunate event, I can now laugh at the absurdity of the situation. This poor thief is probably disappointed that the purse did not contain my wallet or anything valuable. The Bible on CDs, Ray van der Laan, and Chronicles of Narnia CDs will probably not be of any interest of his/hers nor will these bring in any significant profit. And the camera, which was dropped at Warwick castle in England four years ago, is held together by a hair rubber-band and is only considered valuable by me. It's a lose-lose situation and a very big bummer.
Monday, May 4, 2009
DONE!!!
Friday, May 1, 2009
Wrapping Up Another Semester!
Swine flu seems to be quite the epidemic, but presently, I'm more concerned with the Spring Fever I've caught! My semester is not yet over, but my summer has already started!
This weekend's agenda includes:
1. Finishing my last project
2. Playing Settlers of Catan
3. Going to an arts festival
4. Going to a musical
5. Packing for a trip to a lake house
Saturday, April 25, 2009
Girls Night Out!
Friday, April 24, 2009
She Dreamed a Dream
This is a video from Britain's Got Talent (the British version of American Idol). Susan Boyle is a middle-aged woman who has had a dream to be a professional singer. Despite people mocking her right-and-left, she's maintained the courage to pursue her dream. I love it! I love when dreams come true against all odds!
Sunday, April 12, 2009
Proposals and the like...
Wednesday, March 25, 2009
I think I've figured it out!
So, why is graduate school so difficult?
It’s not just because the standards are higher, or that I’m learning 20X as much information as I learned before. Nor is it just because I’ve left all of my dear friends and family to come to a huge city where I know so few people.
Every single day I’m confronted with my ignorance and my incompetence. Seven days a week I don’t have a clue how to do what is expected of me (which is why everything takes twice as long to complete). At the beginning of the semester, each student is placed in a clinical practicum where he/she has had absolutely no experience. We are forced to provide services to real human beings, but we are merely shooting in the dark. By the end of the semester we have gained enough confidence in our therapy that we don’t feel quite as inept, but then the semester is over and we begin a new experience where we are as ignorant and useless as before. It’s a wretched cycle. Being reminded of how incompetent you are is like a blow to the gut. And so why am I exhausted and weary all of the time? Because I’ve been punched everyday for two semesters! I asked God for humility… and boy howdy! He gave it!
Saturday, March 21, 2009
Spring Break!
Midterms were a doozy this semester, but they are over! To celebrate spring break, I went to visit Amber and Kent in Indianapolis! Whoop!
Two very great things happened while I was there...
1. Ruby Grace Brantly was born! My sister became a mother (I'm still trying to wrap my mind around that fact), and I became an aunt!
2. Kent found out where he, Amber, and Ruby will live the next four years for his residency program... Fort Worth!!!!
Life seems to have changed drastically in one year. Amber was single and living in California last spring break. Now she has a husband and a daughter. One year ago I was still in undergrad living in Abilene. It feels like such a distant memory.
Sunday, March 1, 2009
What I like about Mom...
So... What I like about Mom is that she is my personal cheerleader! I love that I can call her when I'm in tears from the stresses of my studies or life, and she encourages me to trudge forward and excel. She is a huge support who encouraged her children's personal growth through kind words, deep insight, creative ideas, genuine love, and homemade goodies.
In my academic panics, I don't necessarily need to know exactly how to give a feeding evaluation, or perform a modified barium swallow, or diagnose a patient with severe Broca's aphasia with profound verbal apraxia and moderate Flaccid Dysarthria, (etc.) , I just need Mom to talk me through the practical steps of breathing deeply and making a glass of Rooibos Chai tea, and reassuring me that I CAN do this. Thanks, Mom, for being my cheerleader and encourager throughout my life! Love you bunches!
Sunday, February 8, 2009
25 Random Things About Me
- I want to be a ballerina. …but really.
- I kill houseplants. I want so desperately to nourish them and help them reach their full potential… but they just die.
- I want to be able to play the piano. I was given a beautiful piano last Christmas and have attempted to make music with it, but I eagerly await the day when the tune produced by my fingers is actually tolerable for the human ear.
- I’m a grandma at heart. I love to sew, quilt, crochet, knit, cross-stitch, scrapbook, and play scrabble.
- I’m obsessed with Settlers of Catan. It is the most ingenious game ever created- it’s brilliant!
- I love racquetball and would play it everyday if time permitted.
- Excel spreadsheets give me a thrill! I smile out of delight any time I get to open one! (Yes… I am a nerd)
- A constant longing in my heart is to dance! I’ve started swing dancing this year and have enjoyed it a great deal, but my heart always leaps for joy anytime a waltz starts to play!
- Another constant longing in my heart is for pizza! I could eat it every day! Mmm!
- I pole vaulted in high school. I learned via the internet…I wasn’t too good- but I loved every minute of it!
- I prefer listening to radio theaters or books on CDs over listening to music. This makes me feel more productive.
- Baking is therapeutic to me.
- I love simplicity.
- Languages fascinate me, and I fully intend to be bilingual by age 25.
- One of my favorite things that I did in undergrad was play Assassins! It was ever-so-much fun! But… I died.
- I loved traveling in Europe, and I look forward to returning to that enchanting continent soon.
- I am Anne of Green Gables.
- My 10th birthday party is one of my fondest memories! My friends and I dressed up in fancy dresses and wore antique hats as we drank tea (or chocolate milk) out of my mom’s china. The average age of my invited guests was about 60 years.
- I like grammar. (But I never try to be grammatically correct when I journal or blog)
- I don’t prefer to share information about myself unless someone asks a specific question. I enjoy answering questions.
- I love water! I think it is so very delicious!
- Iced tea came out my nose when I was in elementary school- I haven’t cared for it since.
- I eat soup every day- I like it a lot!
- Most chick-flicks annoy me, but I do have exceptions.
- I love the outdoors! I love climbing trees, taking walks, hiking, biking, camping, canoing, and kayaking.
Monday, February 2, 2009
A Catch-Breath
In the midst of my exhaustion, I had a great weekend with my mom, sister, grandma, aunts (and uncle), cousins, and friends! We played "Paper" all weekend, which means that we went to specialty paper stores and made artsy-crafty things while drinking coffee, laughing excessively, and enjoying the company of the people we love so dearly. This weekend was a "catch-breath", and I'm so thankful for it! Perhaps I can endure the rest of graduate school with "catch-breaths" like this one!
In case you're interested- A catch-breath is a tiny breath in the middle of a phrase or sentence which provides you with enough air to complete the thought without taking a full breath of air. This is a compensatory strategy speech-language pathologists teach to aid their clients who are unable to use their air more efficiently when they speak (often because of neurological or physical damage).
Friday, January 9, 2009
Independence
Many life lessons were learned this past semester. The biggest lesson was that independence is not a reflection of the lifestyle that God desires for His people. God created the Church because He knows we need the Church- we need relationship to survive this messy world in which we live. While reading Young's novel The Shack a few quotes regarding independence stuck out to me. "The world is broken because in Eden we abandoned a relationship with God to assert our own independence." That makes me wonder how much better the world would be if we decided to live in a community of relationship (with people and with our Creator) rather than in isolation. Later in the book, Jesus explains that "Being his follower is not trying to 'be like Jesus', it means for your independence to be killed."
Through the many trials I have faced while living "on my own", God has really forced me to become dependent on Him and on the Church. There is such beauty in living in relationship with God and with His followers. I am so very, very blessed to have a wonderful community of Christ followers to be dependent upon! They offer love and life in a world that desperately needs it, and they also offer a roof for me to live under for as long as I need it. Dependence is humbling, and thus difficult, but perhaps living in humility will lead to transformation.