I had to choose shim as my Ragtag Daily Prompt today because I am relearning the Shim Sham!
I learned it years ago, but forgot it. Now the dance group that I hang out with on Fridays does the Shim Sham as the end of their dance evening. This is a line dance but it’s a line dance from Harlem in the 1920s and 30s. It started from tap dance. “At the end of many performances, all of the musicians, singers, and dancers would get together on stage and do one last routine: the Shim Sham Shimmy.” Here.
I am learning it from this teaching tape. The individual moves are not that hard, but it is fast and it’s the transitions that I really have to work on. It is fast enough that it has to be memorized and automatic, I can’t think about the next step.
Frankie Manning was an American dancer, instructor, and choreographer. Manning is considered one of the founders of Lindy Hop, an energetic form of the jazz dance style known as swing. I got to take lindy hop classes with him in the 1980s in the Washington, DC area, when swing and lindy hop were having a revival. It is still going on, and what better exercise is there than dance?
And the photograph is Jonathan Doyle and friends playing in late March 2023. I love dancing to live music!
The first photograph is Sol Duc. She is lying on my jacket to object to and obstruct me going to work. She has learned the new schedule, but things are a little different. In the three weeks we were gone, the night time temperatures have dropped into the 20s, so it is frozen outside. Yesterday it warmed to a high of 53 but not for long. It is dark in the morning and dark at night when I get home and we have not been walking with the harness and leash as much. Brrr, cold. We had a long walk yesterday at 10 am because it was my administrative day and I was caught up.
Sol Duc can’t find her pet toad any more. I think the toads have dug in for the winter and there are fewer and fewer insects. I think she is a bit bored. I’ve been building cardboard box puzzles for her, with the cat food ball inside. She has to roll the ball around to get the dry food to fall out. Maybe now she misses Elwha a bit, too. My work days are a bit long, leaving at 7:00 am and sometimes not home until 6:00 pm. Right now I have to drive to the other end of the valley.
The second picture is this morning’s sunrise. Gorgeous, yes? But that is the field across the street from us and that changed while we were gone too. They are building roads, all of the wild plants are gone, and it is staked all over and has large machines. And kitty corner, to the southwest, no more cows! The cows are gone! Are they inside for the winter or really gone? I think that they are really gone, because I see cows in other fields. The hay barn is still in use, but the cows have been moved. The city of Grand Junction is building and encroaching on the farms. We are right on the western edge of Grand Junction. No more early morning roosters, either.
I am not sure how to tie this to the Ragtag Daily Prompt, circular. Sol Duc is pretty circular when she curls up. The earth and the sky are circular. Emotions circle, happy to sad to surprised to worried and back. I am a little sad about the loss of the field and the cows, sigh, but happy Saturday to you.
I was out of clinic for two years and then very part time for a year and now not quite full time as a temp. I bargained to not quite be full time.
The electronic medical record is having a consequence, along with the pressure to see more people faster. The primary care doctors, at least the younger ones, do not seem to call their peer specialists any more. (Family Medicine is a specialty, just as Internal Medicine and Obstetrics/Gynecology are.) I called a gastroenterologist and left a message last week about a difficult and complex patient. The patient had cried three times during our visit. The gastroenterologist was very pleased I had called, was helpful, agreed with my plan of using the side effects of an antidepressant to try to help our patient, and thanked me three times for calling her. Wow. I am used to calling because during my first decade in Washington State, our rural hospital had Family Practice, General Surgery, a Urologist, Orthopedics and a Neurologist. For anything else, we called. I knew specialists on the phone for a one hundred mile radius and some knew me well enough that they’d say a cheery hi.
Now communication is by electronic medical record and email on the medical record and by (HORRORS) TEXT. Ugh. I think that there is quite a lot of handing the patient off by referring them to the Rheumatologist or Cardiologist or whatever, but the local Rheumatologist is booked out until February for new patients. That leaves the patient in a sort of despair if we don’t keep checking in on the problem. If I am worried, I call the Rheumatologist and say, “What can I do now?” I’ve had two people dropping into kidney failure and both times a call to the Nephrologist was very very helpful. I ordered the next tests that they wanted and got things rolling. One patient just got the renal ultrasound about three months after it was ordered. Sigh.
I have one patient who is booked in February for a specialist. I called that specialist too, they did not want any further tests. I told the patient, “You aren’t that sick so you won’t be seen for a while. It isn’t first come first serve: it is sickest first. We all have to save room for the emergencies and sometimes those are overwhelming.” The specialist agreed and the patient is fine with that and I think pleased to know that we do not think she’s that sick. She feels better. If things get worse, she is to come see me and might get moved up. Neither I nor the specialist think that will happen.
Is this conservation of energy, to communicate by email and text? I don’t think so. I think sometimes a phone call is much more helpful, because the other physician knows exactly what I am worrying about and they can tell me their thoughts swiftly. Sometimes they want me to start or change a medicine. Things can get lost in the overwhelming piles of data and the emails and labs and xrays and specialist notes all flowing in.
My Uncle Jim (known as AHU for Ancient Honorable Uncle Jim) used to sing part of this:
Yeah, that’s just how I call my fellow specialists.
For the Ragtag Daily Prompt: conservation. Don’t cats win at conservation of energy?
I don’t wear livery at work and anyhow that’s a uniform for men or a place to board horses though the horses can be male or female. Once I go to my daughter’s second grade for a bring your parent day and bring part of my uniform, or perhaps it is a tool or instrument, my stethoscope. The children all want to listen to my heart or at least touch this magical tool. Afterwards I receive thank you notes. I think that every one, except my daughter’s thanks me for bringing the stethoscope to their classroom. I did not know how special and magical a tool can be.
I went through my blog this morning, picked a month two years ago, and deleted a bunch of photographs and the accompanying posts. More room! It is not a very fast process.
I am thinking about the Ragtag Daily Prompt today, hamfatter. It makes me think of Miss Piggy first. Don’t we all have a little bit of ham in us if we are in the right situation? Even if it’s just a dream or a daydream. Hamfatter also brings up ham and my inlaws. My son and daughter-in-law and daughter were all home for my birthday earlier this year. We also stopped at my daughter-in-law’s house, to pick my son up. Her parents heard it was my birthday and gave me a ham. How surprising and kind!
Yesterday I ordered prints of photographs to send to them, almost all with their daughter. She told me not to print any of the climbing gym or of the pets that her mother dislikes. Got it! I tried to pick ones that they will enjoy. It is a start of holiday gifts.
I am still having disaster nightmares, last night about my house. My house is far away right now and apparently my brain is worrying. I dreamed that there were clean baby clothes folded and piled all over the place in the upstairs bathroom, even on the commode. I took them off it and discovered that it was backed up. Then the walls dissolved and I realized with horror that there was water flooding through them! Then I woke up. Not a fun dream and no, there are not clean baby clothes in the upstairs bathroom. I think it is a combination of being far away and the coming administrative change. In some states it is illegal for a physician to discuss abortion. Will vaccines be next? And the most abortions are the spontaneous ones, where the pregnancy ends and passes. We call that a miscarriage but it is also called a spontaneous abortion. I wonder if those are illegal too.
I dress a bit more formally for work then at home. Maybe there is a bit of hamfatter there, too, entering the role of doctor.
This is not a brilliant photograph, but it is interesting. This is taken from North Beach in 2022 with my cell phone. It was a very grey day and wet and we heard roaring. I imitate both animals and birds, so I roared back and tried to match the call. This is the response. These are sea lions and they can be enormous. The elders and biggest ones stopped and stuck their heads out, wanting to know who is there? Thankfully they did not come ashore, because the males can be 2.4 meters long (7.8 feet) and 390 kg (859 pounds). We did stop roaring, a bit intimidated. We had roared back at them other times. The sea lions are moving north, more information here.
I am trying to find time and energy to keep removing lots of old blogs and photographs to make room for the new. I could pay for more space, but then I have to keep paying for it, so I don’t want to. I have gone back and read my 2009 posts, no pictures, from the Mad As Hell Doctors trip and from writing elsewhere. I write more often with the Ragtag Daily Prompt, but the longer medical posts are intermittent.
Work has been interesting and I feel a bit off balance, because the plan is in flux and morphing. Right now I am in the same clinic Monday through Thursday, but at two different desks. I won’t be in this clinic for the rest of the assignment unless something changes. I don’t know where I will go next. Primary care has lost two providers in the six months I’ve been here, but I don’t know if that is an ongoing rate nor how many there are total.
My first job out of residency had a terrible turnover. I was fifth senior doctor out of fifteen in two years. That is a really really bad sign. By the end of the second year I was fairly sure that I would not be staying and that I could not change the culture. The three women doctors that I had joined had been trying for two years and one had already left! I was gone by the end of the third year.
And back to roaring with the sea lions. Here is Walt Kelly’s take on roaring, his poem Northern Lights.
Oh, roar a roar for Nora, for Nora in the night,
For she has seen aurora borealis burning bright.
A furore for our Nora! And applaud Aurora seen!
Where, throughout the Summer, has our borealis been?
I came close but no cigar I want a mind that I can love hand holding mine in the car I send a quiet prayer above Love of nature, kind to friends not afraid of their own dark Lust to learn until their end willing to risk to build an ark Curious but not controlling Not addicted to booze or drugs Intense at times and others strolling Opinions, laughter and lots of hugs My heart open yet I don’t faint I think I am waiting for a saint
_____________________________
I wrote the poem yesterday, but I have used up my memory in wordpress and now I need to go through and delete things. Any advice, Martha? I know you did it. It seems that I have to delete the post and the photograph, or is that not true? Advice welcomed.
I search my photographs for gloves and it comes up with two: foxgloves! Well, strictly speaking, that is a form of glove, right?
I made it to Brigham City last night. That was a long driving day, 503 miles. I tried to stop in Snowville, but the motel would not take cats.
The only weather resembling a deluge so far was from Seattle until I crossed Snoqualmie Pass. It rained and rained, sometimes heavily. Once over the pass, the rain disappeared and we lost the ocean smell again. Dry and more trees and desert and wheat. I counted mountain passes, six so far that listed the top altitude. Some had smaller passes between, three more. The first one yesterday had ice patches so I stayed in the right lane with the trucks. Less ice.
Cats don’t graze, right? Well, they do, though not on grass. Sol Duc likes to have at least two small meals during the day. I portion out her dry food in the morning and give it to her at intervals, two or three.
We are getting ready to head out again soon, back to work. Maybe Sol Duc will realize what a long car ride means. She knows something is up today and has been sticking close to me.
Discover and re-discover Mexicoβs cuisine, culture and history through the recipes, backyard stories and other interesting findings of an expatriate in Canada
Engaging in some lyrical athletics whilst painting pictures with words and pounding the pavement. I run; blog; write poetry; chase after my kids & drink coffee.
Refugees welcome - FlΓΌchtlinge willkommen I am teaching German to refugees. Ich unterrichte geflΓΌchtete Menschen in der deutschen Sprache. I am writing this blog in English and German because my friends speak English and German. Ich schreibe auf Deutsch und Englisch, weil meine Freunde Deutsch und Englisch sprechen.
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