here we are on the other side of the world! 

it always feels like you won't survive a 14 hr flight, but somehow you do -

i must say the individual monitors were cool; M and B watched different movies and then played each other on tetris and yahtzee...  didn't end up reading the books we intended to read! 

what is it with patients today???

1. afternoon starts with lady haven't seen for 6 months.  i gave her 2 meds to take simultaneously in march which should have only lasted for 3 months.  so i'm asking her if she's taking one pill a day or two, and patients sometimes just want to agree with whatever you ask, so she says, yes two!...  but then she still has a few pills left!  this is only possible if she's taking it every other day or she took ONE TAB at a time, finishing one med before starting the next.  which we finally do figure out. 

2. thin older lady who is SOOO hyper-paranoid - refuses to take medication when it looks different.  granted, this is good to pay attention to, but when the DOCTOR gives you the med and it has the SAME NAME, it is OK to take.  i have to review instructions with her over and over and then i just have to walk out of the room.

3. older lady who is also paranoid, but literally believes agencies are bad and her apartment management is always snooping around her stuff...  her diabetes got worse, I'm trying to restart a medication she had been on previously and she's telling me I'm WRONG.  now by this point, I can see that this patient is really not trying to be mean to me, but just so delusional.  it would be a lot easier to let uncontrolled diabetics just live the way they want to, but it's just waiting for something catastrophic to happen later!  do you think i want to struggle with you to have your medical conditions improve?!?!  let me just go home now!

4.  started another patient on insulin because his sugars are "high" according to the glucose meter.  was waiting for him to get some bloodwork done, but heck it's been high enough - gave him insulin today.  in the latino culture, some people think insulin kills you and other things, and who'd blame them if people are waiting til the last moment to get treated for diabetes, get on insulin because it probably is a bit too late and then they die.   it's not the insulin killing you, it's the HIGH SUGARS!!!!!

so why today of all days?  I had such a pleasant day yesterday.  but I guess that's how it is...  some days are just better than others.  i'm ready for my vacation now. 

(the mountain!)
(the cake!!)

so hard to keep xanga going.....................................

M and B will be traveling to Seoul and Yanji this September!!  will get to introduce each other to our extended families over there... 

M just got back from Seattle from her youngest cousin's wedding...  at the Point Defiance Zoo!  walked by the Asian elephant to get to the buffet in the monkey house; bride and groom's table by the tiger cage...  was certainly a different style wedding!    but I must say the Seattle-Tacoma area is beautiful with the evergreens, mountains and the water.