Category Archives: Joceline

When Grown-Ass Women Act Like Delicate Flowers

by Joceline

So I’ve noticed something lately that annoys me more than it should.  Maybe it’s because young women my age are just at that grey area between being youthful college kids and responsible adults, but I sometimes see us putting on the “helpless little girl” act more than is necessary.  Sure, I partake in this charade when there’s a tire that needs changing, because I don’t really trust my own ability to effectively tighten lug nuts.  But it’s not just pretending to be helpless that bothers me–it’s the affectation of weird little quirks that some women think makes them so! Cute! And twee!

I blame Zooey Deschanel for this.  I blame Zooey Deschanel for a lot of things.

I blame Zooey Deschanel for this. I blame Zooey Deschanel for a lot of things.

Why does this annoy me so much?  Because a list of quirks does not a personality make.  Especially when they are, as I suspect, fake quirks.  See: hipsters.  Then combine hipsters with fifties housewives and you get, in list form, because I think in lists now (I read too many Cracked articles)–five ways grown-ass women act like delicate night-blooming flowers:

1) Pretending to hate the sound of the word “moist”.  I don’t know how this got started, but let’s clear it up now: there is nothing gross about the sound of “moist”.  Ditto for the word “panties”.  I once had a friend who pretended to be grossed out by the word “coupon”, and I say pretended, because let’s be real here: there isn’t anything gross about most sounds, except maybe HEEUURRGGHH splat splat splat splat (the sound of someone projectile vomiting after a Mexican food buffet).  People who squeal about how gross “moist” sounds are either overly fastidious, or pretending to be so for the sake of appearing delicate.

Things that are actually gross: infected butt wounds, maggots on rotting animals, the trough that serves as the men’s bathroom at the Foxfield Races, sliding through said trough for the money that people throw into it.

Swimming through hundreds of strangers' urine?  Now that's moist.

Swimming through hundreds of strangers’ urine? Now that’s moist.


2) Being afraid of non-scary things.  
Similar to 1), pretending that you’re scared of something that is not remotely scary doesn’t make you a special snowflake.  Being afraid of things like babies, mushrooms, or other random non-threatening things is illogical, not quirky.  I can only imagine these people wait for something innocuous that everyone likes to come up in conversation just so they can be different and pipe up, “I’m scared of kittens!  They’re so…small!  And fluffy and generally immobile!  And unable to hurt me!”

Actually if you google "scary baby this is what you get, and I'm not gonna lie, it's pretty terrifying.  So maybe if you have only seen babies that look like this, then yeah, you can be scared of them.

Actually if you google “scary baby” this is what you get, and I’m not gonna lie, it’s moderately terrifying. So maybe if you have only seen babies that look like this, then yeah, you can be scared of them.


3)
Being proud of being directionally challenged.  Getting lost happens, in spite of (or sometimes because of) smartphones.  In fact, once Siri sent me in an infinite loop in the middle of rural Virginia.  But incompetence is not something to brag about.  Small children get lost easily, and there is nothing attractive about adult women acting like small children.  It’s kind of like saying “I’m so bad at math!  Teehee, leave that hard stuff to the menfolk!”   

"And while he's at it, my brother handles the GPS as well!  Me woman too pretty for technology!"

“And while he’s at it, my brother handles the GPS as well! Me woman too pretty for technology!”


4) Talking about how they’re always cold, like it’s cute. 
 My roommate actually is always cold.  You know what she did?  She got an electric blanket and didn’t whine.  She loves that thing, I think she would marry it if she could.  My point is, being perpetually cold when things like sweaters exist does not make you lovably fragile.  It just makes you unprepared.

5) I can’t think of another one, but maybe I’ll try to explain why this annoys me more articulately.  It’s kind of that “show, don’t tell” thing they teach you in high-school English.  Don’t tell me various facts about yourself like it’s going to show me what kind of person you are.  It’d be like someone walking around saying “I always give change to homeless people” instead of just living charitably.  If you have to proclaim your quirks to everyone, they’re probably not very real in the first place.  And if you’re pretending to be squeamish or dumb because you think it’s cute, please stop for the rest of our sakes.

Breaking News: Vacation is Better Than Real Life

by Joceline

Hello from Florida! I’m on vacation after finishing third year of med school, and it is glorious.  Never have I been lazier.  Never has my nose been this sunburnt.  Never have more popsicles been eaten.

Don’t get me wrong, non-vacation life has been pretty good. Since my last post–a long while ago, sorry–I finished my last rotation, Psychiatry in Salem, VA.  I said goodbye to being graded during med school.  I planned out my fourth year schedule.  I tried to figure out what I want to do with my life (that’s a post for another time).  It was busy, I liked it. But here are a few reasons why, no matter how good normal life is, everyone could use a few days of vacation:

1) The music is better. Maybe I was living in a big cloud of grumpy, but listening to the radio made me occasionally ragey.  Taylor Swift warbling on about her various high-school heartbreaks is enough to make anyone scream, “You don’t know anything about a normal teenage life, Taylor!” Or maybe that’s just me.

But you know what? Driving with the windows down, with the beach on one side and the river on the other, I can happily sing along, no eyerolls elicited. Oldies, classic rock, country–they were made for beach listening. It’s great.  Truthfully, it’s not the music, I just feel less bitchy.  Vacation: it’s like anger management, but with fewer group sessions.  (The only band this doesn’t work for is One Direction–I will never be laid-back enough not to think their music is stupid.)

2) Hydration is exciting:

image

Plucked from a palm tree that definitely did not belong to us growing near a hotel that we definitely were not staying in.

3) You can’t be late to the beach.   Right before we went on vacation I was studying for Step 2 of the Board exams.  It wasn’t as stressful as studying for Boards last year, but I still had multiple nightmares of forgetting to schedule my test, missing my test date, or arriving to the test center without an ID or pencils (it’s a computerized exam).  So I’ve basically been neurotic on overdrive.

The first morning, I woke up at 7 am out of habit and tried to wake up my boyfriend (who understands vacation better than I do).  I rushed him through breakfast so we could get going, slapping on sunscreen like a crazy person.  ”What’s the big rush?” He asked when I tried to turn off the TV, looking and sounding very much like my mother in that moment.  ”The beach isn’t going anywhere.”  So freeing was this realization that I literally had nothing that I was imminently running late for, I sat down and watched a Criminal Minds marathon until noon. And it was effing great.

Anyway, we leave for Charlottesville tomorrow morning.  If I were in a preachy mood I would talk about how this week made me appreciate daily life all the more, blah blah blah, but there is no moral to this post other than: the beach is awesome, I’m scared of going back to work because I think the sun baked out all my competence, and the only reason why I’m not a permanent beach bum is because I would quickly be broke and I’m afraid of the wild boar that live here.

In Which Educated, Empowered and Enlightened Twenty-Something Females Rank and Reevaluate the Disney Heros of Their Youth

 
 

Once Upon a Time there was a Buzzfeed article named, “The Disney Prince Hotness Ranking.” Due to the predictable wave of tweets, shares, and  viral what-have-you’s that occur after any piece of 90′s nostalgia hits the interwebs,  said article was easily tripped over by a young blogger named Denise. Seeing as it was Friday and she was feeling whimsical, Denise decided that she should email this article out to  every similarly aged female she knew (who would, you know, not judge her). The resulting hilarious and overly opinionated email interaction has been recreated below with added visuals for good measure. By all means, enjoy…

Denise:

Happy Friday! Read this  —> Buzzfeed has penned what I started in my head long, long ago.

Reactions?

First, let’s clear up the obvious – Dimitri from Anatasia blows these dudes away. Also, SHANG and John Smith should be higher on this list. The nameless princes from Snow White and Cinderella have no business on this ranking – especially ahead of anyone Mel Gibson voiced. Prince Eric is too high. He’s too prone to mind control to be in the big leagues, but that’s just one girl’s opinion.

Also, animals are not contenders. Yes, Joceline I am talking to you and your odd attraction to adult Simba that I know for a fact you’ve had since college.

Not a dude. Sorry, Joce.

Not a dude. Sorry, Joce.

Emily:

First of all, Denise, this is the DISNEY rankings, so just stop talking about Dimitri! If he were that great, he would have gotten himself a Disney deal, not some rando second-rate animation contract. Also, Dimitri had a questionable character and tried to basically sell Anastasia to further himself (rude) and he wasn’t the brightest crayon in the box to begin with. In the end, Anastasia totally defeats Rasputin anyways.

I agree that Shang should rank higher, because although he perpetuates chauvinist lyrics in “I’ll Make A Man Out Of You,” that song is EPIC and in the end he is secure enough in his own skin to be with a strong woman like Mulan, and to appreciate and respect her. HUGE points.

I love that Prince Naveen from the Princess and the Frog ranks high on this list. Yet another great example of a weak man that saw the light when a smart, driven woman came in his life, and he changed himself and worked diligently to be his best self with her.

Prince Eric is the PITS. THE PITS, I SAY. He was too dumb to figure out human Ursula wasn’t Ariel (hello, HOW CAN YOU MISS THAT SHE WAS A GINGER?) and was so vein that he had a statue made of himself. And he never considered becoming a mermaid for Ariel. Clearly, he’s selfish.

Flynn Rider (#4) is just a washed-up frat boy. Can we please just get rid of him and his disgusting hair flip ASAP?

The nameless Princes may remain in the rankings as evidence of weak early-era Disney character development, and as a warning of why pretty faces really only get you but so far in life.

I would argue that Simba has more admirable characteristics than all of these men, but we’ll save that for another day.

Most of them? dumb. as. rocks.

Finally! Thank you “Enchanted” – The perfect prince: not animated, beautiful luscious hair, and all about empowering women (we think, maybe….)

Denise:

In defense of Dimitri, I only have the following to say: 1) John Cusak’s voice 2) collared shirts w/ rolled-up sleeves (sigh) and  3) a Sean from Boy Meets World haircut.

Need I say more?

Also, let’s not forget that despite his con man history, Dimitri can save you during a violent rainstorm, soothe you during a nightmare, wear a tux (like, WEAR it well), dance, and sacrifice everything for your happiness. Yeah, so don’t turn up your nose at Fox Animation, Emily. Mickey Mouse can’t have a monopoly on fictional dreaminess.

I agree with your judgement on Shang, Flynn, and Prince Eric. I forgot about that statue. Man, what a d-bag thing to do…

Can anyone shine light as to why the Beast is so highly ranked in this article? I mean, he was a cute human, but that lasted all of about two minutes.

Not quite doing it for me.

Not quite doing it for me.

Better.

Better.

Lauren:

Seriously –  ranking the Beast that high based on his appearance as an animal – and actually deducting points for what he looked like when he was human?  Pretty sure he should have been ranked last, precisely because as a furry beast, it’s impossible to call him hot or sexy.  At least John Smith was human.

And Shang.  Oh Shang.  You are my favorite.  Absolute crime to have not ranked him #1.

Stephanie:

One, this is the best email chain I have ever gotten, and I saw this ranking yesterday! I love it!

I was disappointed that Dimitri was not on the list, because as we all know, he embodies masculinity so completely that he without a doubt has two y chromosomes (like our good friend the Hoff), and therefore he should beat out all disney princes.  But I think that Shang should have been at the top of the list too!

If I could have class discussion about these things I would have above a 4.0.

Disney wishes they had this swag.

Disney wishes they had this swag.

But what do the MEN have to say about this ranking of fictional characters, you ask? Well, we have some input from a former guest blogger:

Nick

Really?! I thought Aladdin and Eric would be in the top 3, but Captain Shang is waaaaaay too low.

We agree, Nick. We agree.

We agree, Nick. We agree.

So, if you are a man and you happen to be reading this, here are the basic take-away points from this pointless exercise:

  1. Have a personality.
  2. Don’t be an animal.
  3. Also, this:
Dealbreaker...

Deal-breaker.

You’re welcome, Internet.

Ophthalmoscopes and the Eternal Wow

by Joceline

Within a few days of getting to med school, we were instructed to drop a lot of cash on various things, like 1) tuition and 2) an ophthalmoscope.  Although both were exorbitantly expensive, only one was really necessary (hint: it’s the really expensive one).

What is an ophthalmoscope?  It’s a device you use to look inside someone’s eye, at their retina.  It’s actually pretty fun to use, but it’s about $500 for something you rarely use–and anytime you really do need one, it’ll be on the wall in the patient room. So I never bought one.  And accordingly, never really learned how to use one, until my Neurology clerkship this past month.

ggg

You use the lens to look through the patient’s pupil onto the back of the eye, or the retina (the orange thing).

The pupil is such a small opening, you have to get really close in order to see–like close enough to kiss, although that’s generally discouraged.  Imagine trying to look at the inside of a ping-pong ball with a magnifying glass, through a small hole in the side.  You end up having to move around to see bits of the retina at a time, from all different angles.  It’s like trying to see a mural through a hole in a wall, or looking a painting in the dark aided only by a tiny flashlight.

So maybe this is burying the lede a bit–but what does this have to do with the Eternal Wow? (You know, those times I completely geek out about living in the moment and the limits of our existence.  Otherwise known as being extremely high on life.)  Well, as I was kissing-close to a patient’s eyeball one day, my face screwed up in concentration, trying to see through her constricted pupil–I realized that she was seeing the world through the same tiny opening.  I was looking in, she was looking out.

Think flashlight metaphor earlier.  If my view of the retina was limited by her pupil, our view of the world is just as limited–by our senses, our perceptions, our biases, tiny fractions of experiences that shape how we “see” life.  Sometimes I get caught up thinking my life is so big, and then little moments like this give me a little perspective.

“There’s a metaphor rolling around in there!”

Things I wish Existed

by Joceline

1) A friendly car horn, for when the light has turned green but the driver in front isn’t paying attention. Maybe a soft “toot” or something.  Or a friendly “ding”, like, “Ding!  The light is green but you didn’t notice!  A mistake anyone could have made!”  I just hate feeling like I’m antagonizing someone, especially if they’re old.

2) An automatic flush that doesn’t think you’ve finished peeing because you’re actually hovering.  Is this just me? Maybe because you have to lean forward, out of the sensor’s range, when you hover?

I just don't like being rushed by a bathroom appliance, you know?

I just don’t like being rushed by a bathroom appliance, you know?

On a semi-related note, I have never flushed a public toilet with my hand–I’ve always used my feet.  I know other people who do this too so don’t get mad!

3)  A way I could get eight glasses of water per day inside me without having to drink it.  (I know, it’s called an IV, but for everyday life).  Yes, I’m still talking about not drinking enough any water. I tend to feel guilty about around New Year’s resolution time, maybe because it’s something I literally cannot make myself do.  The lack of self-control rankles.

Speaking of not healthy, this happened a lot over the past month of vacation.  I think fake cheese flavor is laced with crack or something.

Speaking of not healthy, this happened a lot over the past month of vacation. I think fake cheese flavor is laced with crack or something.

4) A word for the feeling you get when you make out with someone in a dream, then run into them later that day.  My friend from undergrad calls it a dream hangover, which I like, but I wish there were some way to express that unique mix of embarrassment, lingering residual dream-intimacy, and embarrassment.

There’s No Crying In Surgery and the Friendliness Setpoint

by Joceline

Well, that was a long, semi-unintentional break from blogging.  I blame mostly writer’s block, but the truth is, I had a bit of a blue period for the two months I was on Surgery.  It was weird.  I was simultaneously extremely cranky, but happy.  But mostly cranky.

I was mean to everyone--my roommates, my boyfriend, even the poor Century Link guy.  To be fair he tried to overcharge me $40.

I was mean to everyone–my roommates, my boyfriend, even the Century Link guy. To be fair, he tried to overcharge me $40.

Why so blue?  To explain, we have to talk about the Friendliness Setpoint.  The Friendliness Setpoint is the reason why the Golden Rule doesn’t always work, but that’s a post for another day.  Anyway, your setpoint is your basic level of friendliness to a random stranger or acquaintance–to people who aren’t your friends, but that you maybe know mildly or have to work with.  It’s how you greet your barista.  It’s whether you smile at people you pass in the hallway, or don’t look at them.  It’s how friendly you are to, say, a new medical student on your service.

My setpoint is set extremely high.  I talk to random strangers, I bounce around the hospital grinning madly at people, I get called ‘perky’ by people in the cafeteria.  It’s not because I’m any nicer than someone with a lower setpoint, it’s just that I’m more demonstrative about it.  I’m an effing golden retriever.  Also my voice is very high-pitched and it makes me sound approachable.  You know people like this.  Many pediatricians are like this, or anyone who has to ask for signatures on things in the street.  Let me make the distinction now, before people start thinking this post is about how mean surgeons are and how nice I am, I didn’t call this a Kindness Setpoint.  It’s a Friendliness Setpoint, it only deals with how outwardly nice you are to people you don’t know, not how nice you are on the inside.

The point is, for whatever reason, surgeons tend to have a lower setpoint than doctors in other specialties.  It’s not necessarily that they’re meaner.  It’s just, they’re not interested in small talk.  They don’t smile when you (I) greet them with a high-pitched “Good morning”.  They don’t soften criticism with a perfunctory “That was good, but”.  They’re nice to people they know, but to acquaintances, their setpoint is set to: Neutral.  (Mine is set to Hugs.)

Again, this is not a post whining that the people were mean to me on Surgery.  It was just something I realized when I would come home wondering why I was in such a bad mood.  The truth is: things get complicated when there’s a setpoint mismatch.  In my case, I’m used to the world going around on Hugs and when I meet a bunch of people on Neutral, I start to wonder: why is everyone mad at me?  It’s because if Hugs is my default setting, I’m Neutral to the people I don’t like.  So if I encounter a bunch of people who don’t want to talk to me, I assume it’s because I did something wrong…when it’s really them being normal.  (Or at least I hope, or else I really screwed up that clerkship.)

Here, I made a graphic.  It's true though; in my mind, not smiling or talking to someone is about as mean as I get in my normal everyday.

Here, I made a graphic. It made me rethink any time I’ve written someone off as cold or a bitch–maybe they just have a lower setpoint than I do.

No one was pissed at me, I had just fallen victim to a Setpoint Mismatch.  And once I realized this after the first couple weeks, it all got better.  I think one of my attendings said it best: “There’s no crying in surgery.  You can’t take anything personally, because we’re all very stressed, high-strung people trying to do a stressful job and if we lash out at you it’s because we’re stressed.”  (He said stressed a lot).

Wait, did I mention I was happy, too?  Maybe it didn’t sound like it…but despite feeling like I was constantly being yelled at, it was strangely amazing to be helping in surgeries as well.  I mean, you can do things like cut out cancer.  I saw a lung reinflate after we transplanted it into a patient who had rated her previous quality of life at a 2.  I won’t gush any more, but for a little while (and maybe even a bit right now) I considered going into surgery as a career path.  I’d just have to adjust my little Friendliness slidey bar…

Just kidding, I don't think I could ever stop being high-pitched or smiley.

Surgical clamps lined up in their sterile glory. You’re probably not supposed to Instagram in the OR but they had given me permission to take photos for learning purposes. This counts, right?

Some things never change…

Fall, 2006

Oh hey college person I just met. Let’s be friends and take a quirky picture at the Downtown Mall just because. Hey look, you’re really light – or I’m really strong! We’re super cool. Now let’s sing the Sound of Music.

Fall, 2008

Huzzah for apartment life, roomie! Hey, remember when we were awkward first years forever ago and posed in that pic? Yeah, let’s do that again. Wait, you’re dropping me! Ack! Upper body strength…not what it used to be…where’s my Powerthirst?!

Fall, 2012

With the age and sophistication of our collective years came equal parts beauty (duh), whimsicalness (see moose hat), nostalgia (see this post) and a classy willingness to crop out inappropriate parts of pictures. When did we get so grown up?

Joce, I request that we forever document our aging friendship in this manner.

That is all.

My Life on Surgery

Wellllll I’ve been slacking on the whole posting dealio.  But that’s because I started my surgery rotation!  I’m on the Colorectal service, where we do a lot of bowel surgeries.  I talk about poop a lot (yeah, that hasn’t changed).  A fart earns my patients a high five.  Actual poop gets them a fist bump!  If it’s a lot of poop, my voice gets all squeaky with joy.

Other things I do on surgery:

1) Feel stupid all. the. time.  We call it “pimping”–not that kind of pimping, but maybe just as humiliating.  It’s when a higher-up asks you a question that you probably should know the answer to, but invariably don’t.  What’s worse, though, than getting pimped mercilessly?  Not getting pimped anymore, because they’ve decided you don’t know enough to be worth it.

If I could hide, I would. via whatshouldwecallmedschool

2) Take longing pictures of Autumn colors through the hospital windows.  It’s killing me that I get home after it’s already dark…but iPhone to the rescue!

3) Turn 23!

Denise came to visit! Also, check out the sweet moose hat I got as a bday gift!

Toy Stories

I have no ideas for a post for today, so instead, look at these hilarious prints by artist Aled Lewis made with toy animals and wit!  All photos from Aled Lewis.

On Trying to Lose Weight

Well, it’s officially pants season in Charlottesville, which brings with it the dubious pleasure of getting reacquainted with my thighs.  They aren’t a problem in the summer, what with shorts and skirts letting me forget their existence.  Also, one of the perks of working during the summer is having no bikini season. But Autumn comes, and brings with it the Return of the Thighs.

I’m joking, but I did want to write about something that I never, ever talk about (so naturally the logical thing is to share it on the internet).  Why?  Well, it’s vaguely embarrassing, and it makes me seem petty and insecure.  Like facebook stalking your ex.  Or even worse, your ex’s new girlfriend.  Everyone does it, but it’s not something you want to get caught doing.

I know–what the heck am I talking about, before you get too bored and go back to Facebook?

I’m talking about losing weight. Or rather, thinking about losing weight, or thinking about exercising, or estimating my calorie intake for the day before I get fro-yo (and no matter what the number is, I usually get the fro-yo anyway.  I said thinking about losing weight, after all).  I am not alone in this, either.  Almost 80% of college-age women in this study said they wanted to lose some weight, despite the fact that most of them were at a normal BMI.  I did a snap poll of my girlfriends, and almost every single one said that they’d like to lose a pound or two, or that they’d been on a diet once  or more in their life, or that they think about the calories in what they’re eating at least some, if not most, of the time.

Quickly! Estimate how calories are in this banana!  Most of my girlfriends can do this. If you’ve ever watched what you’re eating before, calorie counts just become something you carry around in your head, like Backstreet Boys lyrics.

But is it just me, or does no one talk about this??  It’s so counterintuitive, because we’re inundated with weight-loss/diet ads and skinny people every time we  get online, watch TV, or open a magazine–but in conversation, it doesn’t come up much.  I’ll be frank and say: I’d like to look the way I do with Spanx on.  Being 4’11″ means that my frame shows jiggle rather unforgivingly, especially after a weekend of indulgence or that sort of thing.  To stay the same (let alone lose), I count calories on my iPhone with a handy app (MyFitnessPal! I recommend it to my patients), I try to eat a balanced diet blah blah…and I woefully neglect exercising.   Oops.

But I’ll also tell you I never talk about my own efforts to lose weight with anyone.  As evidence, I’ve tried to write this post for at least three weeks, and it’s sat in the Drafts folder unfinished for that long.  Also, once a friend found the aforementioned MyFitnessPal app on my phone, and I felt as though he’d caught me with compromising photos.  If I’m like many women and would like to tone off a few pounds, why is admitting it so embarrassing?  I’ve thought about all the reasons I feel weird talking about it, and this is what I came up with:

1) It’s vain.

Yeah, it’s embarrassing to have people know that I’m preoccupied with my appearance.  Especially after posting about how Beauty is overrated and you can love everyone without taking their looks into account. Shouldn’t I be worrying about my mind/learning/morality/helping others/any of the myriad other things that are more important than what I look like?

Yes!  There are so many more important things.  But here’s my point: having some vanity doesn’t reduce me to just being a vain person.  Devoting some of my mental energy to my body doesn’t take away from those other thoughts–just because I watch what I eat doesn’t mean I can’t also think about deeper subjects.  A happy, well-adjusted, well-rounded person can have lofty thoughts of bettering their mind or society while also aiming for superficial goals. One of my favorite Walt Whitman quotes is, “Do I contradict myself? Very well, then I contradict myself, I am large, I contain multitudes.”  I…don’t think he was talking about weight loss, but it applies here–I can believe that having a good personality trumps being beautiful, while continuing to use makeup/watch my weight/be a little vain, from time to time.  I can worry about what I eat and whether people can pay for healthcare at the same time–I’ve got plenty of neuroticism to spread around, don’t fret.

2) It sounds judgmental…of myself.  And accordingly, of others.

And if I’m already normal-sized and -shaped, and I’d like to lose some weight, what kind of message does that send to other people?  Am I judging them, too?  This is actually what I most fear while writing this post–that it’ll make you think I judge people who are overweight and think everyone should be striving to be unrealistically attractive.  Please don’t think that.  I don’t know how to explain, but I guess we always hold ourselves to much higher standards than we expect of others.  Also, we tend to be much less forgiving of our own flaws than of other people’s.

3) It smacks of poor body-image.

Before I started this post I talked to Emily A (the queen of having good body image) and asked her, “I want to post about losing weight, but how do I talk about it without making it sound like I’m completely unhappy with myself?”

It’s hard, because we’re at a time in our lives when we’re trying to broadcast confidence.  And admitting something like “I watch my weight” feels vulnerable.  It’s a little embarrassing to come out and say, yeah, there are some things I’d change about myself–because I’m worried that it’ll sound like I’m insecure or that I hate the way I look.  I’m usually spewing positivity and self-love, etc., but I think it’s okay to look in the mirror and want to change something.  It’s completely possible to love your body as it is, while still shooting for a goal. Like Emily said to me: it’s like having a six-year-old.  You think she’s amazing as is, but you still want what’s best for her; same thing when it comes to food, health, nutrition, weight.  You want her to be healthy and happy, and sometimes that involves pushing for a change, even though you can love her the whole time.

I spend a fair amount of time counseling patients about weight loss, so I have all these thoughts about it that would be good in completely unrelated posts–like how you develop disordered relationships with food, or forming bad eating habits.  Anyway, I’ve agonized over posting this for too many weeks, so I’m just going to wrap it up here and say: trying to lose weight shouldn’t be embarrassing!  If more people our age talked about it, maybe we all would feel less alone on those days where we have terrible body image.  Plus, all this maintenance is hard work, and we’re not doing each other any favors by pretending we nonchalantly look like this without trying.  Try!  And take pride in the trying.

How To Motivate Yourself To Floss Every Day

I think I’ve mentioned this in a blog post before (but I’m too lazy to check so I’m just going to plagiarize from myself): I hate when I’m at the dentist and he/she says accusingly, “I can tell you don’t floss. Your gums are bleeding.” Yeah, obviously they’re bleeding, you’re jabbing a needle-sharp piece of metal into them.

But let’s be honest, I don’t really floss.  Or didn’t use to.  But now I do.  And maybe, by the end of this blog post, maybe you will too…

First, what you really need to do is spend a day shadowing in a dental clinic in an under-served area.  What, not really on your to-do list for this week?  Well, don’t worry, I did it for you on my Family Medicine rotation.  I’m going to go ahead and speak from a place of tremendous privilege and say–I’ve always had dental insurance.  I go twice a year to the dentist to get my gums prodded (and judged).  And even then, even then, they once found seven cavities at one visit. 

Side note: if your dentist ever pulls out a laser-sonar-magic wand thing, and says that it will detect cavities that “can’t yet be found on x-ray, just know that she probably just bought herself a  new tooth toy and needs to pay for it.  Seven cavities later, she did.

Anyway, what I’m driving at is: I keep my teeth in generally good health, and I’ve never seen how bad they can get.  My only experience with cavities is the undetectable-on-x-ray ones that get filled with some white stuff that’s almost impossible to distinguish from my actual tooth.  So, when I saw patients whose teeth were bothering them so much that they finally went to the dentist, after years of never coming in…well.  Let me say, I started bringing a toothbrush to work.

This is actually a really tame one, you can search “tooth decay” on google images for more fun.  Or don’t.  Brush your teeth instead.

It’s not just the looks.  It’s the thought of horrible, throbbing pain as bacteria eat their way inside your teeth, into your gums and jawbone and bloodstream and arrghhhhh.  And also the drilling.  I thought feeling the drill vibrate through my entire skull was pretty bad, but watching it sink into someone’s teeth, spewing tooth dust and leaving horrible empty holes inside their molars, is almost worse. Or pulling teeth out!  They don’t pop out cleanly–you have to actually dig them out, with an array of tools like sharpened spoons and pliers, literal pliers.  And extracted molars look like deformed alien hands, with their roots all splayed out and bloodied.

After talking about poop and grilled cheese sandwich abscesses all the time, I never thought that teeth would be the thing to gross me out. But there you are.  Alien hands.

Anyway.  Onto flossing!  I decided to be really virtuous and get all that gunk out from between my teeth.  Maybe this is only news to me, as a non-flosser, but…holy halitosis.  Do you happen to be familiar with that particular smell, that I like to call “old-man-coffee-breath?”  Well.  I drink coffee.  And despite not being an old man, I was gripped with the sudden realization that the contents of my own mouth could have proudly held their own at a convention of geriatric mouth-breathers.  But really.  Does my breath actually smell like this?  Have people just been really polite all my life?  Did you know your mouth bacteria are mostly anaerobes, same as in your colon?  Isn’t that just lovely?  Do you have any gum?

And there you have it: how to motivate yourself to be a daily flosser.  Just floss once…and smell it. It won’t even be a chore anymore, it’ll be like public service, for your love life. It’s also oddly satisfying in a gross way, like picking a scab. Happy hygiene!

Eleven

September 11th memorial on the Lawn at UVA.

On Feeling Impotent

By Joceline

I absolutely hate Election Season.

I get uncomfortable when I hear people argue, so reading my Facebook feed or watching any news outlet or even getting on Youtube gives me a sad, tight feeling.

Dammit, all I want to do is watch my funny video without getting sneak-attacked by ads.  Although the cuteness of this clip is worth it.

Now, I know that’s awfully “CAN’T WE ALL JUST GET ALONG?!!!” of me.  It’s not that hearing people call each other names offends my delicate flower-like constitution.  I’ve just never understood how you can get so worked up about what someone else thinks.  I do have my own opinions, and yes, I sometimes question and judge others because they don’t agree with me.  But at the end of the day, I have an opinion, and you have an opinion.  I have a vote, and you have a vote.  Nice how it works out like that, isn’t it?

Also, some people get energized by talking about how society is wrecked and the economy is circling the drain and this is what’s wrong with America.  Props for enjoying it, but I’ve just become increasingly apathetic and jaded since starting med school.  It’s depressing, too, that the future of healthcare is such a big-ticket topic these days, and everyone is so eager to give their input on an issue that so intimately involves my everyday life.

I’m not saying I have any insider knowledge about “the healthcare crisis”; I’m woefully uninformed and really can’t speak about policy or how we can fix access problems.  All I can say is–I see people every day who don’t have health insurance.  Whose chronic diseases have run completely rampant to the point of amputation, etc., because they don’t have a primary care physician, or can’t pay for one, or can’t be bothered to go.  Or the patients who do care and are sick anyway and still can’t pay for it.  Or kids who get hit by cars and their parents have to turn their entire lives inside out to handle their healthcare.  And this isn’t a rant–I’m not blaming the system for failing to cover everyone, or patients for not keeping themselves healthy.  It’s just hard when everyone keeps saying “our healthcare system is broken,” and I go into work and see that, yes–if by broken, you mean too damn expensive, unsustainably expensive–it’s freaking broken.

Usually I’m really good at seeing the positive side of things.  I’ve even written before about how I always try to do my part in little ways to help a bigger problem.  But somehow, here, it feels pointless trying to make tiny differences.  The questions here are so big–how do you allocate billions of dollars?  Do you deny someone care because they’re 86 and have dementia?  Or they have a terminal disease but their family wants everything done?  How about if they’re a homeless smoker in respiratory distress?  Or if they drank during their pregnancy and now have a disabled baby?  Or if they’re in prison for murder?

The stakes are always the same–there’s always someone else who could use the care more.  In just a few months of being in the hospital, I’ve already seen several cases where I feel naggingly sure we’re doing too much for a patient when we could be spending time/money/space/personnel elsewhere.  And it’s worrying to realize I’m actually thinking those thoughts–that we’re wasting money on a patient, that this person is a waste of our resources, and someone else deserves it more.  But that’s why these problems are so big–there are limited resources, and waste happens (oh, it definitely happens).

Sorry if this post is completely defeatist and discombobulated.  It’s just been something that’s been frustrating me the past few months, and hearing everyone get fluffed up about the election just made me realized why it’s bugging me: I don’t like seeing people sick, and whose sickness is actually the least of their problems, and it seems impossible to fix, on a large scale.  I honestly have no faith that anything will change, no matter who gets elected.  I don’t know how it could be possible to start reforming healthcare–I’m no great thinker.  My strengths are in the little picture–being nice to people, smiling at them, having empathy.  Maybe one day when I’m an attending I’ll try not to order unnecessary MRIs, or I’ll pick the generic drug instead of name-brand.

You see what I mean?  It just feels so small.

Hilarious.

The answer to my prayers! Pens made specially “For Her”, courtesy of Bic.  The customer reviews are great.

Apparently designed to be super-slim for delicate lady hands. Finally, a pen that gets me.

You Are a Modest Person With an Outstanding Character–Sung by No Boy Band, Ever

by Joceline

So I just made the one-hour drive to Richmond and “What Makes You Beautiful” by One Direction played three times on three different stations. I know, so Spring 2012, but usually I just switch stations when I hear it come on, so I’ve never really heard the lyrics. This time there wasn’t anything on the country station, so I got to hear the poetical musicality of this wildly insightful song.

Essentially, this guy is singing about his girl, who is super beautiful, obviously. But! She doesn’t know it, and it only makes her more beautiful. In fact, that is exactly what makes her beautiful. Also, he likes it when she flips her hair. (I just went through the lyrics again and those are really the only two things he says about her.)

Thanks for saying I’m pretty even though I don’t know I’m pretty which makes me pretty.  I do like your matchy outfits though, that’s pretty cute.

I’m being snarky on purpose, since I just hate this song, but I have definitely heard this sentiment before when talking about someone. “Oh, he’s so hot, but the best thing is, he doesn’t know it.”  “She’s much nicer than someone that pretty needs to be, it makes her even more attractive.” Once again, that’s taking pretty-on-the-inside and translating it into pretty-on-the-outside.  I’m glad this girl is being praised for not being conceited, but that’s a compliment enough without having to qualify it in units of beauty.

It would honestly be more accurate (and more flattering, probably) to say “You look good AND you managed to not be an asshole!”  I don’t know if that’s quite as catchy, though.  But if someone turns that into a hit single for the fall, you tell them you heard it here first.

If You Have to Say You’re So Low-Maintenance, The Truth Is…You’re Not

by Joceline

There are three types of girls: high-maintenance, low-maintenance, and those who say they’re low-maintenance, but are actually high-maintenance.

This post is not about being fussy or being laidback.  It’s about the third: the girl who likes to bring up the fact that she’s so chill, implying that being high-maintenance makes you an unrelatable b.  In my experience, it’s because we think guys like low-maintenance women.  So one tactic is to highlight how not high-maintenance you are.

These girls say things like:

- “You’re taking forever to get ready.  It took me five minutes.”
- “God, girls.  I hate constant drama.  So catty.”  Because making blanket statements about other girls isn’t catty.
- “I don’t like expensive things.”
- “I don’t mind when [significant other] talks to other chicks.  I’m not a jealous bitch.”
- “You’re drinking a vodka soda? I’d like a beer.”
- “Why are you so dressed up?  I’m just wearing a t-shirt.”
- “I never get manicures.”  …And? It’s not a personality trait.
- “I don’t even own a blowdryer.”

Note that these statements may all seem innocuous when you’re just reading them–I’m not saying there’s anything wrong with liking beer or t-shirts, or not owning a blowdryer (heck, I don’t, I just don’t think it’s something to brag about).  It’s the judging that rubs me the wrong way, or the quiet implication that: if you drink floofy drinks or get manicures, that makes you more demanding, therefore I am better.

What’s my point?  You will never catch someone who is truly low-maintenance say, “I am so mellow, did I mention I’m really casual, and I’m easygoing too?”  If they’re actually low-maintenance, they won’t be thinking about it, so they won’t brag about how much attention they don’t need.  Bottom line: if you’re high-maintenance, that’s fine.  If you’re low-maintenance, that’s great!  But if you’re putting other girls down because you think that guys like chill girls better, can it.

As for me, I’m definitely high-maintenance.  Less so financially or with material gifts, but emotionally?  I’ll say it myself, I’m pretty damn clingy in a relationship.  Full disclosure!  It’s only fair to everyone involved.  And the solution is not to change what level of attention to require–or to pretend you need less than you actually do.  We might think guys like chill girls, but really some guys like chill girls, and some guys like fussy ones.

Also, now that I’m done writing this post I realize that When Harry Met Sally did it better.

Harry: There are two kinds of women, high maintenance and low maintenance.
Sally: Which one am I?
Harry: You’re the worst kind. You’re high maintenance, but you think you’re low maintenance.
Sally: I don’t see that.
Harry: You don’t see that? “Waiter, I’ll begin with the house salad “but I don’t want the regular dressing. “I’ll have the balsamic vinegar and oil but on the side. “And then the salmon with the mustard sauce, “but I want the mustard sauce on the side.” “On the side” is a very big thing for you.
Sally: Well, I just want it the way I want it.

OWN it, Sally–”I just want it the way I want it.”  No need to pretend or bash anyone.