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Doctors as the Key to Health Care Reform

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Hansen/Boyer family reunion in 2016?

Rio\'s Olympics Quest: Can It Handle the 2016 Games?

Cienega Creek

After a ride through the high desert this morning, we reached this oasis in the sun. By far this place ranks in the top 5 "hidden gems" of Arizona. It's about 45 miles Southwest of Tucson and worth every mile. The BLM has set aside thousands of acres here with the purpose of maintaining a wildlife preserve in its natural state. No trails, just roaming with the mule deer. Anna and I LOVE when we both have a day off together. Morning hikes and afternoon football!

Celebration- Let the Cheesiness Begin: A Tucson Dating Scene

The Bear

Today I performed a psychiatric history on a patient who was recently arrested for domestic violence. He is a big, bear-looking rancher from Yuma, who suffers from PTSD. This big bear of a man was in tears by the end of our interview as he thought of how his wife struck a deal with the county judge to let him out of prison over the weekend if he agreed to seek treatment at the VA. He loves his family. He is genuine, I could tell. After the interview I warned him he was going to be the patient my classmates would "round" on this afternoon. This basically means we sit in as the psychiatrist interviews him. I told him he should play a joke on my classmates and pretend to act weird during the interview. So, rounds comes, and we are sitting in a circle surrounding our patient and the psychiatrist. A half-hour into the interview, with a few of us already dozing off, the bear of a man is calmly explaining his PTSD and then suddenly yells in a loud voice "because I'm violent!!." If you thought jumping out of your chair one foot into the air was a lot for us students, you should have seen how high the psychiatrist jumped. The bear quickly laughed and gave me a wink and assured us he has a sense of humor like the rest of us. I'm lovin' psych!! We'll see what Anna has to say about my affinity for the mentally affected.

What about Bob?

Now into my second week of the psychiatry clerkship, I'm afraid I've worried Anna I might pursue a new-found interest in this branch of medicine. It's such a different style than any other specialty. Take, for instance, the office layout of an outpatient psychiatrist. You walk into a neat, comfortable room, probably a lot like your home living room. Comfy couches surround an expensive carpet. A gorgeous, oakwood bookshelf lined from toe to head with hardbacks inclduding "Robinson Crusoe," "Anthropologist from Mars," and the psyche bible, DSM-IV. A pair of palladian windows let in sun-light in a way that makes you feel trapped inside a Martha Stewart magazine. The fake plants in the corner don't help with that image. I'll be sure to stock up my side tables with enough Sports Illustrated to counter the Martha effect. Nothing like the fresh words of Rick Reilly to ease the troubled mind. In fact, the only evidence in the room betraying the doctor's profession is an electronic scale off to the side. No stethoscope. No reflex hammer. No white coat. Yes, there are patient charts on the doctor's desk, but that is all. This morning I watched a psychiatrist at work in this environment. The only physical contact with the patients involved hand-shaking. One of the things I love about medicine is the hands-on approach to care. I would be surprised if I ended up in this specialty. But who knows, with all the bananas laying around out there, I just might have a Freudian slip someday.