Posts Tagged ‘Special Education’

Summation of a month in the Arctic

December 3, 2017

The alk phos kept coming up high

And the local docs can’t tell me why

And the TSH low?

It’s just part of the show

Like the constantly cloudy sky.

Synopsis: I’m a Family Practitioner from Sioux City, Iowa. In 2010 I danced back from the brink of burnout, and honoring a 1 year non-compete clause, traveled and worked in out-of-the-way places in Alaska, Nebraska, Iowa, and New Zealand. I followed 3 years Community Health Center work with a return to traveling and adventures in temporary positions in Alaska, rural Iowa, suburban Pennsylvania and western Nebraska. A month in the Arctic followed a month in Iowa followed 3 months in British Columbia.  Any identifiable patient information has been included with permission.

I finished in Arctic Alaska the Friday before Thanksgiving. I found the pace  leisurely, sometimes to the point of frustration.  I enjoyed my most productive days, 14 in 12 ER hours and 11 in 8 clinic hours, but the day 5 patients spread over 8 hours I filled the empty minutes with Continuing Medical Education (CME), email, Wikipedia, and naps.

I found 6 mildly low TSH (thyroid stimulating hormone) assays out of 9 that I ordered. Out of the 12 alkaline phosphatase (an enzyme found in liver and blood) tests I requisitioned, 10 came up mildly high. When asked, the clinical director confirmed that, yes, those two tests came back abnormal more often than not, but had no good explanation.

I covered the twelve-hour ER shift four times, coming into contact with 2 patients with dislocated fingers. I got to follow, from afar, the progress of the sickest patient I saw, sent out on a plane to a surgeon and hospitalized for the better part of two weeks.

I never worked more than 44 hours in a week.

I bought Rosetta Stone Inupiaq, the language of the Inuit, only to find it wouldn’t work on a computer using any software newer than Windows XP.

The major plus of the assignment: great leadership. The major minus: the housing (supposedly built from recycled cargo containers) which promoted isolation.

The rainy weather that greeted us promptly froze 4 days after our arrival, when the snow started. Cloudy skies prevented a good view of the Aurora Borealis, and the wind might have shifted direction a few times but never went under 20 mph.

During the month, a baby seal strayed through a breathing hole in the ice and appeared at the foot of an apartment house stairs. A week later, a caribou showed up at the hotel, looking lost.  Three days after we left, I got a video of a herd of caribou running on the sea ice outside the same hotel.

Inspired by the high cost of food, both Bethany and I lost weight.

I bought a hat made of beaver fur and a letter opener of mastodon ivory.

We never quite made it to the gym but we took lots of walks in the cold and the wind.

Bethany substitute taught Special Education, and found herself paid a good deal more than she’d expected.

Would we return? Absolutely!  But we would have to ask, When?

 

 

Advertisements

Highlights of six weeks in Barrow

March 1, 2011

You might say it flew far like a sparrow

Or fast and straight like an arrow.

     But either way time

     Like a vacation sublime

Went fast while we were in Barrow

Synopsis:  I’m a family practitioner from Sioux City, Iowa.  Avoiding burnout, I’m taking a sabbatical while my one-year non-compete clause winds down, having adventures, visiting family and friends, and working in out-of-the-way places.  Currently I just finished an assignment at the hospital in Barrow, Alaska, the northernmost point in the United States, and I’m in Anchorage for two days.

Six weeks in Barrow, Alaska, has flown by.  We arrived at the end of the two-month Arctic night.  We went out in -75 degree F temperatures, and we stayed inside while the worst blizzard in four years raged outside.

Gone!

Blizzard in Barrow

I worked 360 hours while here, but the other doctors worked more hours than I did.  I received the lightest load on the call schedule.  I didn’t work any nights.

I saw a lot of broken ankles, from snow machine accidents and falls on the ice.  I picked up two cases of vitamin B12 deficiency, nine cases of vitamin D deficiency, two cases of hypothyroidism, and not one case of frostbite. 

I took care of people from all over Alaska, including Barrow.  I also saw those from Tonga, the Philippines, Hawaii, Korea, California, Tennessee, Kentucky, Mexico, Canada, Puerto Rico, Florida, England, South Africa, Colombia, and Ireland.

I met people who had survived plane crashes and gunshot wounds.  I made personal acquaintance with more than a dozen whaling captains, and more than two dozen who had personally killed whales.

A lot of the men had taken polar bears, most at close range with low-powered rifles, many in self-defense.  One had killed a polar bear without a firearm at all.  

I talked to women who sew the seal skins onto umiak frames, and the men who hunted the seals.

When a white-out shut the town down for four days, I suited up and went outside.  Twenty paces from the building I thought better of the venture and turned back.

I didn't have to go out in a blizzard to ice up.

We watched the first dawn after sixty-three days of darkness on the afternoon of January 24, and watched it set less than two hours later.

First sunset and first sunrise in 63 days, at the point. January 23 2011

The medical community viewed the Superbowl in the Commons room, farther north than any other medical staff activity in the country.

I talked to other hunters who shot caribou, wolf, goose, duck, wolverine, seal, and walrus.  Several people had been hunted by polar bears, but lived.

We saw the Northern Lights, I for the first time and Bethany for the second.

We attended Kiviuk, the Messenger Feast that happens every two years.  I saw dancers passionately portray heroic stories with their dances.

Afterwards, while the Northern Lights swept mutely across the sky, we watched the best fireworks display I’ve seen.

While we were here we saw pressure ridges form in the ice on the Arctic Ocean.

For every active drunk I took care of I met two in recovery.

Bethany taught sign, Inupiak, Special Ed, third grade and fifth grade.  She made a lot of new friends, one of whom she started into knitting.  She got a lot of exercise.

I drove twice, a total of less than fifteen miles.

We had the best Kung Pao chicken and Mongolian beef we’ve ever had.

Both of us lost a few pounds.