Good Times

Amidst the stress and amazing frustration of the final weeks at WSU, there were definitely also some good times.

MeChel looking up with a smile from the Class III that needed every medicament imaginable to be comfortable.

Emily scaling away on this curly haired lady.

My pod-mates charting together.

Me, giving Kristie one last good under-the-table-in-school-scaling before we start our adventures in real life.

Picking up our cords, water bottles, and MeChel's license plate cover for GRADUATION!

Light purple lab coat, I miss you already.

S-T-R-E-S-S!

There were times of HIGH STRESS during the school year.  Particularly the weeks before boards and then the weeks before clinic ended as we realized a bunch of random requirements that we hadn't thought about.  I captured a few of these stressful moments, and only wish I could have actually recorded the conversations that went on during these pictures, but I think I remember pretty well what went on.

"If ONE MORE PERSON even BRINGS UP another requirement, I will freak out."

Sam - Karlie - MeChel

"I am so ticked right now.  My Class III just cancelled . . . for the third time."

Karlie

"Wait.  We have to have 4 quads of a Class IV AT WEBER?!?!?  2 of mine are from the VA?!?!?!"

Sarah - Brooke

Instructors

In Fall 2011 I had clinic on Tuesdays.  My instructors were Prof. Susan Alexander, DOCTOR Hansen, Inst. Jenn Wold and Dr. Carol Naylor (kind of).

In Spring 2012 I had clinic on Thursdays.  My instructors were Prof. Susan Alexander (morning?), DOCTOR Hansen (afternoon) Inst. Jenn Wold, and Prof. Shane Perry.  When Dr. Hansen took a job with American Express (not teaching people how to use credit cards) we had the pleasure of having Marilyn Sadler, who had graduated just a year before us, fill in as our other clinical instructor.

So . . . a little summary of each to remember.  (Dr. Hanson has her own post so she will not be listed here.)

Prof. Susan Alexander-
Easy going.  Closed her eyes to really "feel".  Loved taking off amalgam overhangs with files.  Trusting.  Asked what my perio statement was.

Prof. Shane Perry-
High expectations.  Technical with clinical knowledge.  Always drilling with questions.  Didn't care if he made you look like an idiot in front of patients.  Realistic about outcomes of oral health.  Fun.  (An interesting side note about Perry is that after Dr. Hansen left, he became WAY more laid back and fun.  Go figure.)  Cognizant of needs, like if I needed to do a PE or was in a hurry to dismiss a patient at a certain time he would hang around.  He definitely grew on me as the semester went on.  Kept pod wraps to a minimum.

Inst. Jenn Wold-
Trusting of students judgement.  Let me do 4 PE's in one afternoon.  :)  Towards the end of the year her water bottle was always filled with what looked like the yummiest pink punch, don't know what it actually was.

Inst. Marilyn Sadler-
Amazing knowledge of correct charting system and health history.  Made sure everything was perfectly accurate without being rude about it.  Knew the difference between TalEval, Eaglesoft, and real life.  Like if quads needed to be recorded in TalEval differently than what may be billed in a real life situation.  Always around and available.  OFTEN taking on more instructor responsibilities than her own, like when certain instructors would randomly be gone for 45 minutes with no explanation, she would fill in to keep clinic running.  Helps with radiographs, and is dang good at it.       
 

Inst Wold's usual place and position.

Preterm Nostalgia

This is it friends.  The last time I will wipe down my unit.  The last time I will bag my instrument cassette.  The last time I will get an HHx/OD/Scale check (not so sad about that one).  The last time I will treat patients based off requirements.  The last time I will be in this unit with Karen and Leigh.  I could go on, obviously.

Today was a super fun day for me.  It didn't work out for anybody to come in this morning (and I really did put forth some effort) so I got organized, got ready for the afternoon, got my patient list ready for Chelsea, tallied up all my requirements, got my Black Bean Dip ready for our luncheon, took Alexander's test :), and soaked it all in.

There was WAY too much yummy food at our Potluck lunch today.  Yummy.  Thanks everyone.

My Dad came in this afternoon.  I was somewhat resistant to the idea of doing a new HH, and full charting just for one cleaning, but I'm glad we did it.  It was fun.  It got SUPER hot here in the afternoon though.  Wow.  To chart restorations my Dad looked in the handheld mirror and the #5 mirror and told me what each tooth had.  Julie saw it, it was awesome.

Sunburn

Apparently it is obvious that I was out in the glorious sun yesterday.  I asked my morning patient if she had been enjoying the nice weather and she told me she is allergic to the sun.  Oh, ok.

The semester is winding down, OBVIOUSLY.  I saw a Class V of Kristie's this morning.  I did have a guy scheduled for the afternoon, I texted and called him yesterday to confirm.  When I called it rang like once then went to his answering machine.  Read - he "rejected" my call.  SO, I called him today on MeChel's phone (HA) he answered.  I said, "Hey are you going to come to the dental hygiene clinic today at 12:30?"  "Oh crap, I forgot!  Uh . . . I don't know, I don't think so."  I said, "Ok thanks" and hung up.  Not worth my breath.  I thought he may be a Class III that I would need earlier in the semester, and when I was trying to schedule him in like February he said he could come in on April 5th.  I said, that is a pretty long ways away.  His response?  "I know, I'm pretty busy."  Busy at putting things off!  Whatev.  His loss.

I need to figure out AmeriCorps hours and money.  So help me.  Instead of being bored out of my mind this afternoon I am going to see a Midtown patient who will need XRAYS!!!  Hooray.  She just may need a few more PA's than she thought she did.

7 PA's, that is all I need.  I could wait and hope for it at the VA, but if someone else needs them there and they could get them that would be good.  So . . . I'm going to try to step up and do it NOW!

Lunch - who knows?  The possibilities are endless.

P.S. I forgot my phone and my loupes.  Nice.  Why didn't I follow through with the thought to get my loupes out of the office @ 3:00am when I was having some gastrointestinal distress, because I am stupid.  That is why.

The Light

Wow.  What to write about.  Mini Graceys my friends.  Are you like me and you've never used them before?? Ever?  Now is the time to get them out.  Holy smokes they are awesome.

I had 4 Q of a Class III this morning.  Great nice young guy who has never had his teeth cleaned.  It was encouraging to clean him, because it was do-able.  My last Class III was infuriating.  No matter what I did I felt like it wasn't enough.  Also, I scaled all four quads in about an hour and a half.  I felt good about that.

Lunch = NCUR.  It was interesting.  It took me back to doing my research presentations at the U.  It was like the last thing we had to do before graduating.  It was fun to see projects.

We BOOKED it back to Clinic, huffin and puffin up the stairs.  Brought my patient back (referred from Dr. Salmon's office), I was being kind of mopey about treating someone who seemed somewhat different to me, but when he got talking I got back into the practitioner mode and wanted to help him.  Here he was seeking out help and I was the gal.  Really, MeChel ended up being the gal.  It worked out perfectly.  I did his OD while MeChel cleaned 2 quads of a Class V, then she jumped right on over and is currently treated my patient who ended up being a Class IV!  She'll get 3 quads because he is missing a lot of teeth.  She is a trooper, he ended up needing Oraqix, injections and nitrous.  Phew.  You've got to work for those quads!  Clinic is turning into a swap-fest.  People working in other people's units, switching all over the place.  It is kind of fun, in a topsy turvy sort of way.

Thank you to Leigh for charting for both my patients today, Michelle and Karen for cleaning up my room and everyone else who always helps me all the time.  I am becoming somewhat nostalgic for these times.  Today has been the first real day I am feeling that.  I took an AWESOME picture of how my scrub bottoms scooch down and my shirt scooches up when I have my lab coat on leaving me and my G's QUITE exposed.  :)  Thanks for taking it Sarah.  I did get some dang good pictures of fellow classmates being their clinician selves.  It was good.  I'll post them when I get home.

Kristie brought CUPCAKES today!  Holy cow, what an angel.  They are delicious.  And I got some dang cute pictures of Taylor getting her teeth worked on by Mommy.  You can thank me later posterity.

NOTE TO LEIGH:See below and listen to the WHOLE thing.  :)




Sarah and Leigh did the Diagnodent on me, it was quite an EXPERIENCE!  (har har)

Lessons Learned

Today I learned something about the StepWedge process.  The films HAVE ALREADY BEEN EXPOSED!  So all you have to do (if you are the lowly CA) is develop them.  Wow.  Good to know now that I won't be doing it again for the rest of my life.

Also, Heather McKay knows sign language.  How cool is that?

Also, when you open the Pelton & Crane Autoclave (even if it has been venting for some time) STAND BACK or you will get steam burned on your face and chemical up your nose.

Also, the Pita Pit is yummy.

Also, being CA at Weebs is so much better than being CA at the VA, because you stay BUSY!  It is nice to have so much to do, and makes the day go much much faster.

Possibly more to come.

Glory Glory

So many of my blog titles have to do with "Glory Glory" or "Hallelujah", because I just feel so jubilant when clinic day is over.  It is overwhelming.  Once I'm here I like it, but when I'm in my bed in the morning it's a little much.  So, today was good.  Well . . . this afternoon was good.  The morning I saw a Class III lady.  Three quads.  She was freaking hard.  That or I am getting worse, maybe both.  I HATE HATE HATE the communication barrier so I can't fully explain things to her.  Her bottom teeth may/will/probably fall out now that her lingual calculus bar is gone.  And subgingival anterior radiographic calculus!  Freak, the anatomy up there is impossible.  So I may/will/probably not get an A in clinic this semester.  meh.

lunch - Institute Arby's fast because MeChel, Karlie and I were working into the wee hours of lunch.

afternoon - 2 1A's.  Thanks to MeChel Berrett for helping me TREMENDOUSLY, by doing sealants on the 6 year old and getting me any willy nilly thing I forgot for the 10 year old.  What a peach, an angel, a savior, a friend, a confidant, etc.  

Speaking of that peach, a patient that my Dad referred to me, to the clinic, to MeChel qualifies as a board for Mechie.  Hooray! 

Bull Ride

Friends.  It was a good day.  LA Mockboard went good and great.  I love getting Chris' blood pressure because I can hear it like a balloon popping.  So easy.  Same with his pulse.  Love this healthy man.

Studied a bit during morning down time.

Chinese for lunch.  Thank you Institute.

Afternoon.  Class IV.  I get apprehensive right before a big appointment like todays.  I think . . . this is going to be hard, maybe I shouldn't do this, and I ALMOST chicken out and then I think . . . here goes nothing.  Thankfully I pressed on, finished his last 3 quads, did 2 PE's, and feel good about him.  Eaglesoft patient donsies?  I think so.

One more epiphany.  On this patient with loads of tenacious calculus, I can see the distal of his most distal molars.  So I can SEE the brown stained calculus that I still need to get.  If I could not see it, I would NEVER know to come back and try again.  I would NEVER get the scaler in the right place.  Even when I can see it, it is dang hard to scrape it off.  I am sure that bits like that get left all over the place because I can't see.  That is one thing that would make perio surgery so interesting and so depressing.  You could see where you have missed.  The game of a class IV like today is to endure to the end.  It is hard to keep going over spots that you feel, it would be EASY to just say you're done even when you know you haven't checked every spot.  But I persevered today, tb polished, flossed and re-explored.  It was good.  3 spots missed, can't complain to much.

Shaney Laney

I can't NOT start my post with Professor Perry.  He just throws you for a loop.  I think it is his goal.  In fact, I know it is his goal.  And doggonnit, he got me today.  I can usually keep my cool under pressure, but my poor morning patient assuredly thought he had the idiot of the world working on him, because that is what I sounded like.

"Blood?  Inflammation?  Cytokines? Neutrophils? Water? Inflammation? Edema? Heat? Redness? Swelling?  Swelling?  Biofilm? Water flushing?  Elliptical?  Metal Rods?" and on and on for 20 minutes.  Yeah, that instilled confidence in my morning patient man.

I mostly can't wait for our Mini Perry Pod-Wrap to hear what secrets he tells ONLY his three week disciples. 

On a funnier note, my afternoon Class IV patient cancelled.  "I want to get this done, but I just can't come in."  Ok, fine.  When I asked how is quad I cleaned 3 weeks ago is, he shared the following VERY SLOWLY, "I'm actually quite comfortable with what you've done.  However, something interesting has been happening.  I keep trying to talk with my mouth closed."  Me - "Oh really?  That does sound interesting." "Yes, it is quite hard to explain.  It's like . . . my lips are closed . . . and my back teeth aren't touching . . . and . . . it's hard to explain."  We were having a good laugh about that at lunch.  This is also the patient who asked, "Are you going to CUT my GUMS?"

So since he cancelled I tried calling a family that Mr. S-sauce had given me.  The conversation went a little something like this . . .

Them: "Beuno!"
 Me: "Beuno!"  Is this Carlos?
Them: "No, wrong number."
Me: "What about Lizeth?"
Them: "Oh yes, she is here.  She is driving."
Me: "This is Marianne from the Weber State Hygiene Clinic wondering if anyone could come in this afternoon at 12:30?"
Them: "yes"
Me: "You could?  Sweet!"
Them: "Do you speak Spanish?"
Me: "No."

Anyway, we went on to have MeChel tell him in Spanish to come today at 12:30, then he said "Bye!" and we thought everything was good.

Well, when we get back to clinic I had Mr. S-Sauce call him.  Don't worry, he lives in ARIZONA.  Hmmm, yeah maybe he could have made it in the next 30 minutes.  Oh man.  So Chris came in at 1:15 and had to be gone by 2:15.  I'm glad Chris came in, and he did need a cleaning, but it's just so sad to be in such a big hurry and have to pay $32 when I could do it at home.  sigh.  Oh well.

Yo Yo

Yes, this is the second post about the same day.  I wrote my first post at like 8:00am, feeling apprehensive and unsure about what was to follow.  As it turns out, what followed was AWESOME!  Holy smokes.

Since I was sitting around I;

1. Took BWX, 2 PA's and a PANO on a Midtown Patient.
2. Did an OD, BWX and PANO on my patient that came at 9.
3. Whitnee filled out the green sheet for me and DANG IT ALL he didn't qualify for a mockboard/board.  :( Sorry Whit.
4. Pano requirements donsies. 
5. Passed off Oraqix PE and Infection Control Spring PE.
6. Ate lunch (always a bonus)
7. Saw my Class IV pt who ended up being super nice and pretty easy to work with.
8. Took BWX and 2 PA's him.
9. Karlie filled out the ENTIRE green sheet for me so that went significantly faster than it would have.  12's people.  multiple 12's during probing.
10. Took intraoral pictures for my project.  (Thank you Leigh for making it known unto me that I needed to do this.)
11. Did 4 injections (left IA, R/L mentals, infiltration (supraperiosteal)
12. Finished 1 quad with only one error.  :)
13. He's coming back on the 26th. 
14. And holy cow the HELP!  Whitnee, Karlie, Karen, Leigh . . . WOW.  Thanks friends.

Change

Breath in, breath out, breath in, breath out.  Hear the tides of the ocean being pulled to and from by the gravitational pull of the sun, moon and sky. 

I am now in Unit 18.  It is in the forgotten pod.  It is the most forgotten unit in the most forgotten pod.  I'd like to document a few pros and cons.

Pros:

• Quick access to the pencil sharpner
• Quick access to the Instructor scuttlebutt
• Quick access to the EXIT in case of an emergency or Stat Situation
• In a pod with the amazing Leigh and Karen!
• Right across the hall from Michelle and Brooke!

Cons:

• For the first time in my dental hygiene career I am away from the supply unit.  Maybe I'll lose some weight getting exercise walking back and forth to set-up/break-down/get gloves.
• I'm just a little disoriented here.  
• For the first time in my dental hygiene career I am not in the same unit as Kristie.  I have missed her negative attitude in the morning, and her grumpiness.  I really have.  How will I ever pass off a PE without her constant motivation?
• My patient slept in, so he'll be late.  Is this a bad omen connected to Unit 18?  We'll see.

Christmas

Thank you Karlie for such a great Christmas party!  It was so fun to spend some time together in the service of others.  Thanks to everyone who hung around or came back for the party.  It was a success.

Team K (missing Karlie and Heather)

Team R

El Presidente getting those pizza's ordered.  Don't mess.

Beautiful Whitnee.

Our crazy driver and friend, Meesh

A face only a mother could love.

Rockin it at ROSS.

Leigh is a professional wrapper by night.

Seriously friends, thanks!  Have a fabulous holiday.

"Tubule Occlusion"

What emotional response does this picture evoke in you?

I think we all agree that today's presentation was leaps and bounds better than last years.  She has an amazing lip-movement capacity and pronunciation.  Extra credit: What muscle of facial expression would make that possible?

It was better on the following fronts.  Length.  Topic. # and detail of clinical studies.  # of times we heard the word "patent". # of head shake/wiggles.

ONE MORE DAY OF SKULL THIS WEEK!  wow. mom. that's cool.

A Pink Lowercase Letter Day

Don't get me wrong, it was a good day.  It just wasn't the Red Letter Day I was unrealistically hoping for.  Last week I really sat down and planned today's schedule though and it turned out quite well.

Mr. "You're going places Gal" who has been "so impressed" got all done in the early morning.  2Q Class II.

Mr. Espanol (again no translator, boom baby) was walking out by 11:00am.  2Q Class III.

lunch, BK with MeCh and Karlie.  I thought I left my lunch at home, but MeChel found it in the car on our way to BK.  So that turned into my after clinic meal.

Here is where it all went pink.  My high-high-unrealistic hopes were to see a 12 year old, take bwx and pano, prophylaxis, Diagnodent and PE, and sealant and PE BEFORE my next patient came at 2.  :)  Don't laugh at me, I was shooting for the stars.  Well, it didn't go as planned.  I did do bwx, prophylaxis and Diagnodent PE.  The sealants would have been great except that she had 30+ readings from the Diagnodent on ALL her 2nd molars.  Let's just say she sucks at home care and I don't even feel bad using that verbage for her because she completely sucks at it, her mom is a hygienist, and she KNOWS why she should take better care of her teeth she just doesn't because she is a mental 12 year old who wouldn't hold still during radiographs because she just likes to be irritating and eeew, I could go on!  Yucky.  Anyway, she had all permanent dentition so that took awhile, plaque everywhere and I didn't ultrasonic her BECAUSE I AM AN IDIOT!!  Also, when I told her mom that I couldn't do sealants because of the Diagnodent readings she was not happy.  I talked to Alexander who talked to Dr. Anderton who did not want to talk to the Mom, so Alexander talked with the Mom.  Anyway, it wasn't good and took TOO LONG!

So, I brought my next 11 year old patient back way too late.  30 minutes after I told them to be there.  :(  But, she was a really CUTE and NICE 11 year old.  She doesn't have great home care, and grows plaque/calculus like CRAZY, but your attitude determines your altitude you know?  Anyhoo, couldn't do sealants on her either because of carious lesions.  Sad.  I DID use the ultrasonic on her and that was practically it.  Going through each surface and scaling is what took me 100 years on my first afternoon pt.  It was interesting though on my second patient to see the eruption process in REAL LIFE!

She still had one primary tooth hanging on for dear life, and I really tried to "accidentally" get it out, but I couldn't.  We encouraged her to wiggle it A LOT and hope it comes out in the next week or two.  She had some interesting erythmatic lesions on her gums though and Alexander said it just comes from the tooth erupting.  BTW, love Alexander.  She is just so laid back and nice.

So all in all, a productive day.  If only I could have done a pano and some sealants.  Ah well.

Thank you to Heather M for charting for me, Leigh, Kristie, Whitnee for helping me clean up my unit.  MeChel for doing my Treatment Plan for my fourth patient, Karen for bagging my instruments, and whoever else did all the rest of the crud I didn't do!  Wow, thanks friends.

Esta Bien?

Wowzers, you can just call me Mariá.  I spoke to my Spanish speaking patient this afternoon for 45 minutes without a translator.  Boom baby.  Tienes preguntas?  Class III, 2 quads done.  Freaking Brooke got a class III done start to finish this morning.  Raising the bar.  I used to feel so good about getting 2 quads done, but now it is sub-par.  :(  Ah, there go my guilt free days.


On a better note, if you need motivation to do PE's I know the gal for you.  Her name is Kristie Muhlstein and she resides at Unit 9 on Tuesday between 7:30am - 4:30pm.  She is the best.  4 PE's today, in the afternoon.  Calculus Removal, Root Rebridement, Local Anesthesia, and Ultrasonic.  BUT Jenn specifically told me she did not want to be hounded thinking she was going to do 4 PE's for everyone all the time so . . . tread lightly.


I am kind of doing a flip flop post.  My morning man was a class II.  Nice guy.  Only did half his mouth (You don't have to tell me I suck, because I am WELL aware), but he was so nice.  He told me that I was on my way.  As in, "Wow Gal.  I have just never had someone work so hard and be so thorough.  You were so great.  Wow, you are on your way Gal."  :)  It was pretty cute and funny.  Onward and upward.  

Trousers

Hello.  Today I made a revolutionary decision.  I wore Trouser Socks that my mother gave me for Easter some years ago.  They were awesome.  My feet were un-anesthetized.  They hurt a bit by the end of the day, but it was certainly a step up from last week.

Photo Credit: MeChel

Photo Credit: MeChel

I am VERY sorrowful to tell you that I was flexing in that second pic.  Wow, Chris is right I need to exercise more often.  And if that bulge above the sock don't prove it then you are in denial.

Today turned out to be fine.  Class V in the morning, who has worked his way up from Class II/III last year.  Very positive sign for him and his systemic health.  BOTCHED some vertical radiographs on this patient, retook some good horizontal ones which got lost in the computer system based on my idiosity not to open a new template. Dumbies.

Lunch - no dessert, but I did go get a flu shot with Sarah and Kristie, thanks for the prompt Sarah!

Then I saw a 1B.  That's right a 1B.  I thought for sure she would have had more perio than that!  When we walked in from lunch I knew she was my patient.  She was very overweight and I assumed that she was on lots of medications (I was right).  When I called to make and confirm the appt I spoke with her mother, which I thought was odd for a 25 year old.  This is my first clue that something was a little off.  I was a tich worried that she wouldn't be comfortable or able to be accommodated in clinic, but it turned out good and great.  She was very easy and fun to get along with, and as you know she ended up being a 1B and even though I took my dear sweet time during HH and radiographs, I did finish her.  My largest mistake of today was that I did NOT do a blood glucose on her even though she A) She has diabetes B) Had not taken her blood glucose that day C) Was ok with me doing it.  I just couldn't get up the mental energy to go get the stuff.  Lame, I know.

    

Bernie

If you can't find your patients chart Mr. Soloman and Heather may spend the next hour looking for it.  You all may look in every possible place at least 3 times.  You may have to have your patient RE-fill out a health history.  You may waste at least 15 minutes of your precious time to look for it and figure out what the protocol is for a lost chart.  And you know what the problem may be?  It may have been filed under his OTHER name.  Bernie.  Oh duh, why didn't I think of that?  Lesson learned. (I have used this If You Give a Mouse a Cookie before.  I am always repeating myself.)

Um . . . 4 quads of a class III today.  Done and done.  My first patients family is wanting to come to me.  For the possibility that they are mockboard/board material YES I WILL!

I wore my Dansko's for the first time today.  For the morning they were great.  For the afternoon my feet have been numb for the last 2 hours.

The best surprise of clinic is when I walk out to the front desk to put something back and CAMDEN and MOM are sitting in the waiting room!  Elation!

Brooke, Kristie, Whitney, MeChel, Sammie, Leigh Leigh, Heather MaCKay are sitting here watching me blog.  :)

Brooke found these ROCKIN gloves over in Sterilization.  We had to model.

Done?

I have a false sense of freedom after Tuesday's mockboard.  Here is what I learned from that experience;

1) Alexander is awesome for getting us ice cream after that day.  Indescribable happiness came from that TLC.

2) If you failed, better luck next time.  If you passed, it doesn't mean you're going to pass your real boards so . . . don't get complacent.

3) Some people like to freak out, a lot, for no real reason.

4) Helping Mr. Soloman out of the goodness of your heart will pay off sooner or later.

5) Passing mockboards and "doing well" are not necessarily the same thing.

6) I cleaned the HECK out of my patient's root surfaces and missed 4 spots of calculus right underneath the contact.  Nice.  Lesson learned.

7) I love myself for saving an entire set of instruments for boards that will brand spanking new.  :)  Eradicate that worry.

8) I need to find an EASY Class II to clean for mockboards.  No deep pockets and severe disease for me.  It is all about patient selection.

This false sense of freedom needs to stop soon because I have LA tomorrow, an LA test this weekend and the Patient Education paper/project.  What will it take for me to get this WAKE UP CALL.

Mockingboards

I just finished The Hunger Games.  It has pervaded my life.  Hence Mockingboards = Mockingjay + Mockboards.  I told MeChel today that I couldn't come to Burger King without a coupon because I am just a girl from the Seam.

Wonderful H-dawg came in today.  He is so punctual and such a nice guy.  We took 4 PA's for mockboards (his lower right DID qualify!) and then cleaned his left side.  Freaking hard calculus, as well as a very tough guy.  No numbing.  After my 6 or so errors, I made a resolution.  TO OVERTHROW THE CAPITAL!  (jk) My real resolution was to sharpen all my instruments after each patient, which I did today.  Almost as important as breaking all of Panem free of oppression. 

Now a lab.  Dullsville.  Maybe I could get some Morphling to get me through it. 

In Collaboration with MeChel Berrett.
Disclaimer:  If you have not read The Hunger Games, this may not make sense to you.  Get on it.