I'd like to welcome a new reader today my son Jack has been expressing interest in reading the blog and I told him no rush he's got his whole life and it's quite a lot to read. Today he asked me to send him a link to this one and MiM, so I did, and about twenty minutes later I got an I love them already I just read two of them! text and he doesn't exclamation point in text so my heart melted. Then he texted, "I feel like I am reading a profound author. Your vocab is great!!! Had to look up a word to fully grasp the meaning." Then I got worried and texted, "Some older ones embarrass me but I decided to keep them as is like a record. Also I used to obsess over minor typos and errors but recently I'm using it more as a journal so I don't reread and obsess anymore." He expressed his approval and I smiled with pride as I returned to my cases thinking if that's the only review of my writing I ever get I will die happy.
I had breast conference this morning and there was a new format I hadn't been assigned to cover yet it's called Oncolens it's very confusing and I had to call out the rad onc's secretary a few months ago bc the platform was sending daily email 😀😬😁😂😃😄😅😆😇😉😊🙂🙃☺️😋😌😍😘😗😙😚😜😝😛🤑🤓😎🤗😏😶😐😑😒🙄🤔😳😞😟😠😡😔😕🙁☹️😣😖😫😩😤😮😱😨😰😯😦😧😢😥😪😓😭😵😲🤐😷🤒🤕😴💤💩😈👿👹👺💀👻👽🤖😺😸😹😻😼😽🙀😿😾🙌👏👋👍👎👊✊✌👌✋👐💪🙏☝👆👇👈👉🖕🖐🤘🖖✍💅👄👅👂👃👁👀👤👥🗣👶👦👧👨👩👱👴👵👲👳👮👷💂🕵🎅👼👸👰🚶🏃💃👯👫👬👭🙇💁🙅🙆🙋🙎🙍💇💆💑👩❤️👩👨❤️👨💏👩❤️💋👩👨❤️💋👨👪👨👩👧👨👩👧👦👨👩👦👦👨👩👧👧👩👩👦👩👩👧👩👩👧👦👩👩👦👦👩👩👧👧👨👨👦👨👨👧👨👨👧👦👨👨👦👦👨👨👧👧👚👕👖👔👗👙👘💄💋👣👠👡👢👞👟👒🎩🎓👑⛑🎒👝👛👜💼👓🕶💍🌂GOD that's the third time it's done that and I'm too tired to erase it again cannot figure out how to prevent it sorry. Anyway Melody already warned me not to try to upload the pics into Onclens like they want you to bc it's way too hard and it doesn't look good in the Zoom-ish meeting (no one uses their camera). She makes a Power Point and shares her screen I tried to do that this morning at 6:30 a.m. but couldn't find Power Point so decided just to put the pics on my desktop and share my screen how hard could that be. Everyone was very welcoming and indulgent and helpful when I tried seven or eight times to share my screen when I presented the first patient's pathology and I finally said, "Look guys I'm just going to describe it we need to move on I'll work on it for next time. Lobular carcinoma is like Medusa. It has tendrils like snakes and it goes everywhere it is a bad actor." Jerri Fant wondered how it could be so metastatic when it was low grade and I chimed in. "I don't believe the Bloom-Richardson Nottingham grade system should be applied to lobular. It doesn't fit. You never see low grade ductal go all over the place, hell even high grade ductal, I've seen low grade lobular in the small bowel, in the ovaries, in the uterus, it's so sneaky." Rad onc agreed, "It doesn't quite fit the paradigm."
About halfway through the meeting at a break in patients I said, "Guys, I need to tell you if you don't already know my partner Brian Quinn had semi-emergent bypass surgery yesterday seven heart vessels he is going to be out for a while." Two of the doctors, Fant and Wilder gasped they are quite close to him a lot of clinicians are he lives at work he's a genius he's who I named this blog after. They wondered what happened and long story short he was symptomatic over the weekend before Thanksgiving and had a cath and then yesterday. The breast conference discussion ended with lots of thoughts and prayers and we moved on. I was using my ex as an inside connection to see what was going on why the surgery was taking two hours longer than expected (almost 7 hours) at the behest of Rex and I had this sweaty PTSD reaction and almost fell apart. My dad. That's a story for another blog. But luckily he made it through ok I'm sure the recovery will be slow and as a group we are stressing and worrying and praying and towing the line and it's all a little much but isn't that typical of 2020.
I read a headline at lunch today that made me LOL Covid superspreader event at a freaking swingers conference in New Orleans I had to click. Apparently there's an annual convention "Naughty in N'awlins" that drew 2000 swingers last year but only 250 this year but that was still enough to create a problem. The head of the convention expressed regret in the article and then said "We didn't have a dance floor but I know from Footloose that you cannot prevent dancing" so I questioned his sincereness. That reminds me of an article I read last Friday in the Huffington Post it's a long read but well worth it the author obviously did their research and it took some time. Dr. Opioid just googled found out it was published October 28. Forget the Frye Festival and the Tiger King and that cheerleading one where the plucky boy got famous then turned out to be engaged in pedophile activity or tweenophile activity whatever you call it he fell hard. If this was made into a documentary it would eclipse them all. It was full of doctors and motorcycle gangs and opioid diversion and divorce and strippers. My favorite line was when the doctor got the strippers posing as patients for opioid diversion addicted to Xanax and they would come in asking for more and he said, "A blue for a blow." And they complied. Disgusting but intriguing. That article was bawdier than an entertainment lounge at a brothel.
Ok that's all I've got in me again welcome Jack to my 25 readers (now 26!) and happy Tuesday to you all. Much love, E