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	<title>Parcho, MD &#187; Blog</title>
	<atom:link href="http://parchomd.com/category/blog/feed/" rel="self" type="application/rss+xml" />
	<link>http://parchomd.com</link>
	<description>The musings of a Southern-trained physician and his wife...</description>
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		<title>Back to Work</title>
		<link>http://parchomd.com/2010/08/22/back-to-work/</link>
		<comments>http://parchomd.com/2010/08/22/back-to-work/#comments</comments>
		<pubDate>Sun, 22 Aug 2010 19:17:44 +0000</pubDate>
		<dc:creator>Rebecca</dc:creator>
				<category><![CDATA[Blog]]></category>

		<guid isPermaLink="false">http://parchomd.com/?p=253</guid>
		<description><![CDATA[After 59 days without a full time job, I start tomorrow at the same hospital as Jeremy! I&#8217;ll be working in their rehab hospital doing close to the same thing that I was in Charlotte, just in a faster, busier, more demanding environment. I&#8217;m so relieved and yet so concerned that I will not be [...]]]></description>
			<content:encoded><![CDATA[<p><img alt="" src="http://lh3.ggpht.com/_KbbuLIMpCMg/THFqI5eyTiI/AAAAAAAAC38/VpK1xo198uU/s640/DSCF0926.JPG" title="Lounging Around" class="alignleft" width="160" height="120" />After 59 days without a full time job, I start tomorrow at the same hospital as Jeremy!  I&#8217;ll be working in their rehab hospital doing close to the same thing that I was in Charlotte, just in a faster, busier, more demanding environment.  I&#8217;m so relieved and yet so concerned that I will not be able to survive the 8 hour day again&#8230;I&#8217;ve really gotten accustomed to having a relaxing breakfast, doing stuff around the house, and watching a variety of cooking shows and Ellen everyday at 3!  </p>
<p>Luckily for our pocket books, I&#8217;ve been working a few hours a day covering vacations and such at various hospitals, but it appears that the glorious world of part-time work is now a thing of the past for me&#8230;why didn&#8217;t anyone tell me to stop complaining about my lack of job?</p>
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		<title>Life of the Unemployed House Wife, Day 1</title>
		<link>http://parchomd.com/2010/06/30/life-of-the-unemployed-house-wife-day-1/</link>
		<comments>http://parchomd.com/2010/06/30/life-of-the-unemployed-house-wife-day-1/#comments</comments>
		<pubDate>Wed, 30 Jun 2010 13:42:57 +0000</pubDate>
		<dc:creator>Rebecca</dc:creator>
				<category><![CDATA[Blog]]></category>

		<guid isPermaLink="false">http://parchomd.com/?p=239</guid>
		<description><![CDATA[It&#8217;s only 8:30 in the morning and I&#8217;m not quite sure what to do with myself. I have already driven my husband to work, eaten breakfast, and watched the Today show. I suppose it&#8217;s part of the unspoken rules of the unemployed housewife to clean the house&#8230;but there&#8217;s always tomorrow to do that. Don&#8217;t want [...]]]></description>
			<content:encoded><![CDATA[<p><img src="http://parchomd.com/wp-content/uploads/2010/06/martini-glass-150x150.jpg" alt="" title="martini-glass" width="150" height="150" class="alignleft size-thumbnail wp-image-240" />It&#8217;s only 8:30 in the morning and I&#8217;m not quite sure what to do with myself.  I have already driven my husband to work, eaten breakfast, and watched the Today show.  I suppose it&#8217;s part of the unspoken rules of the unemployed housewife to clean the house&#8230;but there&#8217;s always tomorrow to do that.  Don&#8217;t want to accomplish everything on the first day of unemployment!</p>
<p>I suggested to Jeremy that I should go sight-seeing, but apparently that requires money&#8230;of which I am making none.  So what does that mean, no money=no fun?  Maybe I&#8217;ll look for a bar tending job today??</p>
<p>Jeremy&#8217;s only request for the day&#8230;&#8221;please don&#8217;t start drinking before 3:00&#8243;, hmmm all I can say is &#8220;I&#8217;ll try&#8221;.</p>
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		<item>
		<title>Hitting the Road</title>
		<link>http://parchomd.com/2010/06/05/hitting-the-road/</link>
		<comments>http://parchomd.com/2010/06/05/hitting-the-road/#comments</comments>
		<pubDate>Sat, 05 Jun 2010 12:11:49 +0000</pubDate>
		<dc:creator>Parcho</dc:creator>
				<category><![CDATA[Blog]]></category>

		<guid isPermaLink="false">http://parchomd.com/?p=233</guid>
		<description><![CDATA[Heading out on I-77 this morning with a truck full of just about all our belongings. Unfortunately we have to drive the truck and our car separately as their is no way I&#8217;m going to tow a car behind the rental truck. It might make for some lonely driving. We decided to procure some walkie-talkies [...]]]></description>
			<content:encoded><![CDATA[<p><img src="http://parchomd.com/wp-content/uploads/2010/06/i77big.gif" alt="" title="i77big" width="250" height="250" class="alignleft size-full wp-image-234" />Heading out on I-77 this morning with a truck full of just about all our belongings.  Unfortunately we have to drive the truck and our car separately as their is no way I&#8217;m going to tow a car behind the rental truck.  It might make for some lonely driving.  We decided to procure some walkie-talkies just for kicks.  Maybe we can listen in on the truckers!</p>
<p>If not for our mothers and the help of a co-worker this packing madness would have devolved into insanity.  Instead it went off without much of a hitch.  And yesterday&#8217;s rain held off!</p>
<p>Now on to Chicago! (via Indy)</p>
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		<title>Option 3 it is!</title>
		<link>http://parchomd.com/2010/05/09/option-3-it-is/</link>
		<comments>http://parchomd.com/2010/05/09/option-3-it-is/#comments</comments>
		<pubDate>Sun, 09 May 2010 19:57:14 +0000</pubDate>
		<dc:creator>Rebecca</dc:creator>
				<category><![CDATA[Blog]]></category>

		<guid isPermaLink="false">http://parchomd.com/?p=212</guid>
		<description><![CDATA[Well, option 2 also fell through when the owner took it off the market after a week of waiting to get back to us! Luckily, we were able to find a place in the same neighborhood, just across the street from option 2. The pictures of it look decent; it has most of the qualities [...]]]></description>
			<content:encoded><![CDATA[<p><img src="http://parchomd.com/wp-content/uploads/2010/05/fulton-pic-150x150.jpg" alt="" title="fulton pic" width="140" height="140" class="alignleft size-thumbnail wp-image-213" />Well, option 2 also fell through when the owner took it off the market after a week of waiting to get back to us!  Luckily, we were able to find a place in the same neighborhood, just across the street from option 2.  The pictures of it look decent; it has most of the qualities we were looking for; and we&#8217;ll be its official renters before ever having stepped foot in the door!  Comforting huh?  </p>
<p>We are very excited, though, to finally know where we will be unloading our stuff in 4 weeks&#8230;we were beginning to get extremely worried.  </p>
<p>Now on to worry about getting a job&#8230;first phone interview tomorrow, we&#8217;ll see how it goes!</p>
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		<title>Waiting Sucks</title>
		<link>http://parchomd.com/2010/04/26/waiting-sucks/</link>
		<comments>http://parchomd.com/2010/04/26/waiting-sucks/#comments</comments>
		<pubDate>Mon, 26 Apr 2010 22:37:51 +0000</pubDate>
		<dc:creator>Rebecca</dc:creator>
				<category><![CDATA[Blog]]></category>

		<guid isPermaLink="false">http://parchomd.com/?p=207</guid>
		<description><![CDATA[We are beginning to wonder if Chicago really wants us to move there. After a seriously stressful week of looking for a place to live, being ditched by the realtor, looking at some crap-hole apartments, then waiting to the last minute to hear back on a rental offer&#8230;option one has gone to the crapper. Apparently, [...]]]></description>
			<content:encoded><![CDATA[<p><a href="http://parchomd.com/wp-content/uploads/2010/04/DSCF0610.jpg"><img src="http://parchomd.com/wp-content/uploads/2010/04/DSCF0610-300x225.jpg" alt="" title="DSCF0610" width="300" height="225" class="alignleft size-medium wp-image-210" /></a>We are beginning to wonder if Chicago really wants us to move there.  After a seriously stressful week of looking for a place to live, being ditched by the realtor, looking at some crap-hole apartments, then <em>waiting</em> to the last minute to hear back on a rental offer&#8230;option one has gone to the crapper. Apparently, the landlord decided we were too much of a financial risk&#8230;.what the heck???  A doctor and a therapist, really??  Are we really not going to pay our rent??  Really?  </p>
<p>So, now we are <em>waiting</em>&#8230; again&#8230; waiting on option 2, much smaller, just as fantastic, but taking just as freaking long to find out if we can simply RENT it!  Since when did it become so hard to RENT a place?  Maybe we should go ahead and line up option 3&#8230;</p>
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		<title>Chicago in November</title>
		<link>http://parchomd.com/2009/12/31/200/</link>
		<comments>http://parchomd.com/2009/12/31/200/#comments</comments>
		<pubDate>Fri, 01 Jan 2010 02:52:28 +0000</pubDate>
		<dc:creator>Rebecca</dc:creator>
				<category><![CDATA[Blog]]></category>

		<guid isPermaLink="false">http://parchomd.com/?p=200</guid>
		<description><![CDATA[So, we went back in November, despite Jeremy&#8217;s concerns that I would hate it the second time around. While walking 20 miles through the city, we found lots of things that both surprised and excited us&#8230;..they are as follows&#8230;. People actually push babies around in strollers in frigid weather! There are true Southerners in the [...]]]></description>
			<content:encoded><![CDATA[<p><img alt="" src="http://parchomd.com/wp-content/gallery/chicago_nov2009_trip/pb140022.jpg" title="Chicago Sign" class="alignleft" width="200" height="150" />So, we went back in November, despite Jeremy&#8217;s concerns that I would hate it the second time around.  While walking 20 miles through the city, we found lots of things that both surprised and excited us&#8230;..they are as follows&#8230;.</p>
<p>People actually push babies around in strollers in frigid weather!</p>
<p>There are true Southerners in the Clemson alumni group&#8230;and of course we all know someone who knows someone (we are from S.C. after all!).</p>
<p>The &#8220;El&#8221; has &#8220;pretend&#8221; heaters&#8230;who knew?!?  We were very excited about them until we found out they sucked!</p>
<p>We used hand sanitizer more than ever!</p>
<p>It seems every time we visit (which has only been twice) there is abnormally warm weather, which gives us a very misconstrued idea of what life will be like there!<br />
<span id="more-200"></span><br />
Turns out the price of milk and coke are slightly higher.</p>
<p>There is no pizza in West Loop.</p>
<p>Half of Chicagoans must have come from the North Pole, given the fact they wear shorts and skirts in frigid weather!</p>
<p>We left the hotel the second day, walked a block, thought we could handle the cold, and one block later turned around to get more clothes/gloves/scarves, etc&#8230;we&#8217;ve got a lot of adjusting to do.</p>
<p>So&#8230;.it appears it really <em>is</em> a windy city, and boy the wind was cold!</p>
<p>Tri-Taylor is in fact <em>not</em> up and coming.</p>
<p>We have already taken our obligatory wrong way ride on the El headed toward the burbs instead of downtown.</p>
<p>My nose will be eternally red in this city</p>
<p>Also, I still liked it!</p>
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		<title>The First Call</title>
		<link>http://parchomd.com/2007/08/06/the-first-call-2/</link>
		<comments>http://parchomd.com/2007/08/06/the-first-call-2/#comments</comments>
		<pubDate>Tue, 07 Aug 2007 01:31:58 +0000</pubDate>
		<dc:creator>Parcho</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[exploits]]></category>
		<category><![CDATA[Medicine]]></category>
		<category><![CDATA[Residency]]></category>

		<guid isPermaLink="false">http://parchomd.com/2007/08/06/the-first-call-2/</guid>
		<description><![CDATA[We capped with 10 team admissions a little after midnight&#8211;so it was a busy admission afternoon/evening and not so much a busy early morning for admissions. I admitted three patients and a fourth went straight to the ICU which counted towards our cap meaning little to no work on our part. The other intern admitted [...]]]></description>
			<content:encoded><![CDATA[<p><img src="http://parchomd.com/wp-content/uploads/2007/05/800px-pager_teletrim-150x150.jpg" alt="800px-pager_teletrim" title="800px-pager_teletrim" width="150" height="150" class="alignleft size-thumbnail wp-image-97" />We capped with 10 team admissions a little after midnight&#8211;so it was a busy admission afternoon/evening and not so much a busy early morning for admissions.  I admitted three patients and a fourth went straight to the ICU which counted towards our cap meaning little to no work on our part.  The other intern admitted four patients and our fourth year &#8220;acting intern&#8221; admitted two.  The upper level resident supervises all the admissions so we can say he admitted 10.  </p>
<p>There were three code pages throughout the day, but two were canceled quickly because the MICU doesn&#8217;t like to announce codes&#8211;they deal with them internally.  The final code came at about 4:30 AM&#8211;from <em>Radiology</em>.  Oops.  When I got there it was merely a respiratory code. The patient was tubed and shipped back up to the floor.</p>
<p>But the main problem with call is the &#8220;cross cover&#8221;.  I fielded phone calls all day and night on patient&#8217;s I&#8217;d never met.  I ordered some Phenergan. I gave a patient a bit of morphine. I sent off a couple of blood cultures. I even wrote a work excuse for a patient&#8217;s husband.</p>
<p>In all I worked 29 hours and slept a mere 2 of those.</p>
<p>Welcome to residency.</p>
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		<title>Medical Insurance as a Job Benefit</title>
		<link>http://parchomd.com/2007/05/15/medical-insurance-as-a-job-benefit/</link>
		<comments>http://parchomd.com/2007/05/15/medical-insurance-as-a-job-benefit/#comments</comments>
		<pubDate>Tue, 15 May 2007 13:07:10 +0000</pubDate>
		<dc:creator>Parcho</dc:creator>
				<category><![CDATA[Blog]]></category>
		<category><![CDATA[Medicine]]></category>

		<guid isPermaLink="false">http://parchomd.com/2007/05/15/medical-insurance-as-a-job-benefit/</guid>
		<description><![CDATA[So what would happen if all employer&#8217;s stopped contracting with health insurance carriers? Would the system fall apart? What moron decided it would be a good idea to tie health insurance to employment?* Why should those two go together? My car insurance doesn&#8217;t come with my job. Yeah, yeah, I get the &#8220;but healthy employees [...]]]></description>
			<content:encoded><![CDATA[<p><img src="http://parchomd.com/wp-content/uploads/2007/05/800px-ear_surgery_on_a_patient-150x150.jpg" alt="800px-ear_surgery_on_a_patient" title="800px-ear_surgery_on_a_patient" width="150" height="150" class="alignright size-thumbnail wp-image-95" />So what would happen if all employer&#8217;s stopped contracting with health insurance carriers?</p>
<p>Would the system fall apart?</p>
<p>What moron decided it would be a good idea to tie health insurance to employment?*  Why should those two go together?  My car insurance doesn&#8217;t come with my job.  </p>
<p>Yeah, yeah, I get the &#8220;but healthy employees are good for the company bottom line&#8221;&#8230;but are you sure about that?  Does providing health insurance to your employees even help the bottom line?</p>
<p>The point of insurance is to pool risk. I suppose that a business is just as good as any other place to cultivate that risk pool.  But why can&#8217;t the insurance business operate like the car insurance business?  Pool risk from the public at large.</p>
<p>If you unraveled the health care industry from employers, wouldn&#8217;t they be able to spend more on employee wages and salaries thus putting cash back into the working man&#8217;s pocket allowing the working man to purchase his own insurance plan?  That would give the working man&#8230;<i>Gasp</i>&#8230;choice!   Such a dirty word.</p>
<p>Could I ask a few more rhetorical questions?</p>
<p><i>*Those Blue Cross folks at Baylor in the 1920&#8242;s probably get the nod for the prepaid business of health care&#8211;but the &#8220;HMO&#8221; existed for a decade or two prior to that.</i></p>
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		<title>The Office: Med School Style</title>
		<link>http://parchomd.com/2007/05/09/the-office-med-school-style/</link>
		<comments>http://parchomd.com/2007/05/09/the-office-med-school-style/#comments</comments>
		<pubDate>Wed, 09 May 2007 22:14:38 +0000</pubDate>
		<dc:creator>Parcho</dc:creator>
				<category><![CDATA[Blog]]></category>

		<guid isPermaLink="false">http://parchomd.com/2007/05/09/the-office-med-school-style/</guid>
		<description><![CDATA[&#8220;I don&#8217;t need to study. I&#8217;m Asian.&#8221; Heh. I&#8217;m with these guys. The PBL idea is great as an idea. In practice, it&#8217;s miserably boring. (via HalfMd)]]></description>
			<content:encoded><![CDATA[<p><object width="425px" height="350px"><param name="movie" value="http://www.youtube.com/v/un4ULrgVYMY"></param><param name="wmode" value="transparent"></param><embed src="http://www.youtube.com/v/un4ULrgVYMY" type="application/x-shockwave-flash" wmode="transparent" width="425px" height="350px"></embed></object></p>
<p><span class="center"><i>&#8220;I don&#8217;t need to study. I&#8217;m Asian.&#8221;</i></span></p>
<p>Heh.</p>
<p>I&#8217;m with these guys. The PBL idea is great as an idea.  In practice, it&#8217;s miserably boring.</p>
<p>(via <a href="http://halfmd.wordpress.com/2007/05/05/when-do-i-get-tenure/">HalfMd</a>)</p>
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		<item>
		<title>Put Your Hand in a Box</title>
		<link>http://parchomd.com/2007/05/06/put-your-hand-in-a-box/</link>
		<comments>http://parchomd.com/2007/05/06/put-your-hand-in-a-box/#comments</comments>
		<pubDate>Sun, 06 May 2007 04:36:00 +0000</pubDate>
		<dc:creator>Parcho</dc:creator>
				<category><![CDATA[Blog]]></category>

		<guid isPermaLink="false">http://parchomd.com/2007/05/06/put-your-hand-in-a-box/</guid>
		<description><![CDATA[Oh this is just outstanding: Of course, the inspiration is from this SNL skit: (via Kevin, MD)]]></description>
			<content:encoded><![CDATA[<p>Oh this is just outstanding:</p>
<p><object width="425" height="350"><param name="movie" value="http://www.youtube.com/v/SoWpyliUHn4"></param><param name="wmode" value="transparent"></param><embed src="http://www.youtube.com/v/SoWpyliUHn4" type="application/x-shockwave-flash" wmode="transparent" width="425" height="350"></embed></object></p>
<p>Of course, the inspiration is from this SNL skit:</p>
<p><object width="425" height="350"><param name="movie" value="http://www.youtube.com/v/1dmVU08zVpA"></param><param name="wmode" value="transparent"></param><embed src="http://www.youtube.com/v/1dmVU08zVpA" type="application/x-shockwave-flash" wmode="transparent" width="425" height="350"></embed></object></p>
<p>(via <a href="http://www.kevinmd.com/blog/2007/05/hand-in-box.html">Kevin, MD</a>)</p>
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