commit d16f9fbd522e7ecba1dd7ac8925ae044c3a60d79
parent a81b236dd90e51947006bd2566ef1129949f7630
Author: Beau <cbeauhilton@gmail.com>
Date: Wed, 20 Sep 2023 00:30:28 -0500
update
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| M | site/now.md | | | 99 | +++++++++++++++++++++++++++++++++++++++++++++++++++++++++---------------------- |
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diff --git a/site/now.md b/site/now.md
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## family
-Two "adults."
-Four children - oldest is 9, youngest is 2.
-Two dogs, one of whom has a cast on his right hind leg,
-where he had a tib-fib fracture repaired
-(that adorable lug squoze through a hole the other dog dug under the fence,
-and acquainted his hind end with a passing car).
-Thirteen or so chickens
-(hens all - the roosters found new homes)
-round out the menagerie.
+boy howdy how time do fly
-Other than the canine's healing leg, everyone remains well,
-and all are, as always, cantankerous.
+me: hi there!
+
+love of my life: building, always building - but she's also the one who is teaching me true rest
+
+oldest: 10, youngest: 3. I don't usually put kid stuff online; they'll write their own stories when they're ready.
+
+one dog died (the Welsh Terrier - Forrest - intestinal torsion, fairly quick and very bloody)
+
+the other, Goldendoodle Archie, is now recovered from multiple surgeries and doing great - hobbles a bit but can sprint when he feels like it
+
+such chicken, many clucks
+
+plants, plants, everywhere -
+come have dinner some time,
+smoked pork belly with groundcherry + pepper medley is on the menu
## work
-I'm a first-year oncology fellow at Vanderbilt University Medical Center.
-It's a good gig.
+I'm a second-year oncology fellow at Vanderbilt University Medical Center.
+It's the best gig I've had so far.
-I never really had that whole "med student syndrome" thing,
-where you think you have all the diseases you're learning about.
-Now I have a serious case of "oncology fellow syndrome,"
-where every symptom is probably the first herald of cancer.
+The past four years were intense
+(see this classic [1-minute Glauckomflecken video](https://www.youtube.com/watch?v=IopdA7ZccmQ)
+on the truly insane and unhealthy mental model of time that residency imparts),
+but I learned how to be a doctor (ongoing task, but the foundation is there, and I'm grateful for it).
-Despite that, this is the most humane I've felt while practicing medicine,
-and the most rewarding experience I've had at work
-since starting the transition to physician.
+Now I see patients in VA oncology clinic for a half-day a week,
+have roughly one weekend a month of hospital rounding and home call,
+plus one week every 1-2 months of "jeopardy"
+(true call, i.e. work coverage for any fellow who needs it),
+and do research with the rest of my work time.
-Cancer sucks, but oncology is awesome.
+The past four years also paid modestly.
+Trainee salaries are public - here's the [VUMC trainee salary page](https://www.vumc.org/gme/stipends).
+I'm a PGY4 now,
+and this year, per plan,
+we started receiving extra Harrison Society salary support on top of the PGY4 pay.
+This adds up to about 30% more pay, for less work.
+This combination is good for the family, and for my sanity.
+God bless the Harrison Society (this is, in every way, a sincere statement).
+The research is data science stuff.
+Bibliometrics got me all jazzed.
+I'll put links here as they become available.
+
+In another three years I'll finish fellowship,
+ideally with a faculty job and research funding (or the makings of it) well in place.
## other
-Ted Hawkins' song "[Sorry You're Sick](https://youtu.be/jTO-zb6XTzg)"
-reminds me of the book
-[*One Day in the Life of Ivan Denisovich*](https://en.wikipedia.org/wiki/One_Day_in_the_Life_of_Ivan_Denisovich)
-by Aleksandr Solzhenitsyn,
-and the uncomfortable and sublime truth that all medicine is palliative medicine.
+The JGL movie [50-50](https://www.imdb.com/title/tt1306980/)
+came up when I was chatting with one of my young patients who has cancer.
+
+I love this movie, and wanted to know what he thought -
+he's about halfway through a very intense regimen,
+and similar in age to the protagonist.
+
+It earned a rave review. I worried it would be too raw,
+but the patient told me it was cathartic.
+
+Check it out, if you're in the mood.
+
+Or, if you'd like to read something instead,
+try on [Deep River](https://en.wikipedia.org/wiki/Deep_River_(novel)) by Shūsaku Endō.
+
+Possibly my favorite book.
+Written near the end of Endō's life.
+Ensemble cast.
+A Japanese tourist group goes to India,
+each member carrying a complex backstory.
+
+Pain, humor, sex, celibacy, violence, ultraviolence, kindness, ultrakindness - it's all here.
+
+Endō, as he aged, did not mellow,
+but rather became more fiercely open,
+yet condemned none save the pretentious
+(there was a fellow born in the Near East
+a little over two thousand years ago
+who had a similar viewpoint).
+
- - -
-This [now page](https://nownownow.com/about) was last updated 2022-12-19.
+This [now page](https://nownownow.com/about) was last updated 2023-09-19.
