Remedial Anatomy Part II: Rudolph the Red-nosed Reindeer Explains Female Reproductive Anatomy

Last week we discussed how it is physically impossible for a woman to swallow a camera in order to undergo a gynecologic exam.  I promised to cover human female reproductive anatomy with a little help from Rudolph the Red-nosed Reindeer.  As a special perk, in a couple weeks we’ll review female external anatomy: Bottoms Up – or Three Holes & the Truth.

Disclaimer: Nothing is drawn to scale.  Organs aren’t two-dimensional.  I’m not your doctor.  If you need medical advice, please see your healthcare professional.  Thanks.

Let’s start with a human female standing up, her head is up, her feet are down.  IMG_8413Now we’ll add Rudolph’s head – the uterus. IMG_8414

 

Most non-pregnant uteruses are smaller than this relative to the belly I drew but I want you to be able to read my writing. The two fallopian tubes come off the uterus like two antlers.  IMG_8415At the ends of the antlers are fimbriae – or fingers – that wave like a sea anemone.

Two ovaries (Rudolph’s ears) are attached to the uterus by tissue stalks, the ligaments of the ovaries.  IMG_8416In a woman or girl who gets her period, an ovary spits out an egg once a month (ovulation; like a jelly bean falling out of Rudolph’s ear).  IMG_8418The fimbriae of the adjacent fallopian tube wave and try to lure the egg into the tube.  The ovaries alternate months – the right ovary contributes an egg one month and the left ovary the next month.

Rudolph’s face narrows into a snout – the cervix of the uterus.  IMG_8421The opening of the cervix is visible inside the vagina.  Think of the vagina as Rudolph’s nose.  If it’s red, think yeast infection.  IMG_8422Ouch.

I’ll put some eyes on Rudolph so you can get the full effect.  No, uteruses don’t have eyeballs.IMG_8424

Musical Moment

 

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Remedial Anatomy Part 1: The Alimentary Canal

Idaho state representative Vito Barbieri made social media waves last week by asking if a woman could swallow a camera in order for a physician to perform a remote gyn exam.  The details are slightly murky and I confess I did not seek out audio documentation of the proceedings.  Apparently Barbieri was trying to garner support for a bill banning doctors from prescribing abortifacients via telemedicine.  If you’re curious, you can read all about it.

Let us lay aside partisan discussion and instead launch into a brief summary of the mouth-to-anus situation known as the ALIMENTARY CANAL.  It’s alimentary, my dear Vito, alimentary.

Here’s your smiling face.  IMG_8303Food goes into your mouth, you chew it up in your oral cavity, and through an incredibly well-coordinated movement know as swallowing the food passes through the oropharynx and shoots into the esophagus.  This is a neat trick, because the trachea (helps take air to the lungs) sits in front of the esophagus.  Way to go tongue and epiglottis!  IMG_8304So the bolus (wad) of masticated (chewed) organic material (food) travels down the esophagus to the lower esophageal sphincter. Think of this as the mostly one-way door to the stomach.  (You really don’t want stuff to come back up, either as vomit or as reflux.)  IMG_8305 After banging around in the stomach for awhile, the food passes into about twenty feet of small intestine. In case you’re wondering, the small intestine is divided into three parts: the duodenum the jejunum and the ileum.  IMG_8308So your bisonburger

 

 

 

 

 

is actively deconstructed and sent on its merry way to the large intestine, the colon.  You got your ascending colon that snakes up the right side of your abdomen (belly).  Then the transverse colon that crosses the belly to the left.  And finally the descending and sigmoid colon that empties into the rectum.  IMG_8310The opening of the rectum is called the anus, and that’s where the burger re-emerges as poop.  Yippee!IMG_8311

We can now put to rest the question of whether a woman can swallow a camera for a gynecological exam.  No.

Next week, I’ll explain female reproductive anatomy with the help of Rudolph the Red-Nosed Reindeer.

Please note: Drawings are not to scale, organs are not made of ink and paper, and I am not an artist.  Autographed lithographs are available on a limited basis, however.  For the sake of simplicity, I omitted all discussion of the pancreas, gallbladder, and appendix.  Oh fine, you insist on knowing where the appendix sits.  There it is hanging off the start of the ascending colon.  Happy now? IMG_8391

Musical Moment

I am not an actor, but I play a physician in real life.  As usual, anything written here is not intended as MEDICAL ADVICE.  If you need medical advice, please see your health care provider.  Thank you.

 

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Shari

The ribbon candy arrives every December in a decrepit orange VW bug, swirls of radioactive corn syrup contorted into impossibly long curlicues, one infinity symbol stacked atop another.  The candy is hard, hard enough to cut your gums.  You’re supposed to suck on it and this simply doesn’t work for me.  I know I’m expected to love it, to love the effort behind it, not only the effort of our friend Shari for procuring it, but the effort of the people who formed those impossibly long curlicues.  The truth is, I don’t love it.  The flavors taste artificial.  My tongue balks at the yellow #5 and red #3.  Maybe my parents hate the ribbons too, and dump the candy in the backyard for the squirrels to use  as the skeleton for their nests.

In those days, we could only recycle aluminum cans.  I remember throwing thirty or forty cans down the back stairs and racing to stomp them on the cement floor of the basement.  The ribbon candy arrives in an aluminum rectangle, maybe five by seven.  The top, surely #6 plastic, tucks securely into the edges of the aluminum.

I don’t know how the ribbon candy tradition started.  Maybe the same way the Shari tradition started.  She always arrives in an orange VW bug.  She wears a sweatshirt adorned with cat fur.  Her thick hair, auburn in color and flecked with gray, is parted on the side and curled under at the ends, a tribute to the late ’60s.

She once taught English.  Now she works at Northwest Orient Airlines.  Something happened and as I grow I glean more of the story.  Shari fell in love with a married man, they were soulmates, he promised they would be together.  Did he live in Minnesota?  No, I imagine him on the East Coast, tucked into his comfortable family, breaking the heart of our friend.

On one particular visit, I’m standing behind the wingback chair in the living room, facing the windows, listening to Shari and my dad in the heated midst of a pun battle.  And I suddenly experience my own little epiphany – I understand puns for the first time!  My dad is proud.  This is the true Lippin rite of passage.  Mom tolerates puns but rarely partakes.  She is a Milanese masquerading as a Lippin.

Dad and Shari speak German when they aren’t speaking puns.  When they’re feeling particularly feisty they pun in German.  Shari refers to my dad as “du,” even in the midst of normal conversation, her version of “hun” or “love.”  Her funny vocal mannerisms, the “du” and a little hum that she inserts into blank moments, leave me with the impression that Shari is lonely and I feel a tentative sadness for her in my childish brain.

Shari and her sister haven’t spoken in years.  As an only child, this makes no sense to me. If I had a sister, I naively vow, I would never let anything or anyone come between us.  Her mother lives in a huge house by the lakes.  We go over to help clean out the house after the mother dies.  Few tears, if any, are shed.  We never visit Shari’s apartment.  She never invites us.

I’m away, maybe at college, maybe home afterwards while I finish pre-med.  But still away in the way of a young adult, self-focussed and flip.  My mom describes Shari’s apartment, a tiny studio off Grand Avenue in Saint Paul, the piles of books, the cat hair, the garbage scattered on the floor, the lack of air.  Shari is a hoarder before the word exists.  With a lack of research and vocabulary, we struggle to understand.  Does she have OCD?  Did her love trauma predispose her to this hell?  Is she somehow related to Grandma Lima?  My aunt and my mom methodically help Shari clean out the apartment.  Then they move on to the storage units, jam packed with cookbooks and bolts of baby fabric, duckies and bunnies and rainbows.

Shari won’t seek help, afraid she’ll lose her insurance or even her job.  Shame rolls like toxic gas under every interaction.

The phone rings one day, I think it’s spring or summer.  My parents aren’t home.  I answer.  Hello, is this?  No, I’m her daughter.  We don’t usually give news like this over the phone, but your dad is listed as the power of attorney.

Shari is dead.

Her beloved cat is missing, escaped through an open window.  My dad goes on a feline rescue mission and finds a cat that fits the description.  He captures the cat, a thrill of success in an otherwise dismal situation.  In an ironic twist likely orchestrated by Shari herself from some celestial plane, the real cat turns up in the apartment.  Dad returns the abductee to the neighborhood.

Her memorial service is tan in my memory, a flat tan room devoid of vibrance, lacking the quirkiness that characterized the living Shari.  The daughters of her friends weep.  We, the surrogate children, weep.  The other girls wear the JB Hudson cultured pearl earrings bestowed upon them by Shari on the occasion of high school graduation.  Shari and I went shopping at Hudson’s together, searching for a similarly-priced substitute since my earlobes were intact.  I wore the thin gold band on my left middle finger for years.

The contents of Shari’s apartment scatter to the various kids.  Molly gets the white bookcases.  Ethan takes possession of the orange VW bug.  My mom thinks the bug went to the junkyard and not to Ethan.  I remember him driving it though, watching the road through the holes in the floor.

I take a few cookbooks, glossy and pristine.  Somehow I wind up with a handful of silver jewelry, evidence of Shari’s travels, her life before the mental illness derail.

Does her ghost still hang in that apartment half a mile from my house, trapped by regret, unable to move beyond?

Now that we know, now that we can name and diagnose, the past falls into a bleak focus.  Why didn’t someone drag her to the doctor?  Did we kill Shari by helping her clean out her home, by removing her chaotic pit of safety?  If only this had played out ten years later, when SSRIs had a long track record and people were more comfortable discussing mental illness.  If only.

I imagine the bolts of baby fabric, converted to onesies and quilts, comforting generations of children.  I wear the jewelry, connecting to the one from whom it came.  And when I see ribbon candy, I remember.

Musical Moment

 

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The Ace Transducer

My husband, Ace, doesn’t believe in Valentine’s Day, says he doesn’t want to be manipulated by our consumerist culture into professing ebullient emotions in a manner befitting an extrovert.  Those are my words.  He’d say, “I don’t like it when people tell me what to do.”  Ace speaks a different language of love: everyday pragmatism.

When our love was fresh, we often required a translator.  I had little experience with practical men.  My previous boyfriends drove motorcycles, up and moved to LA, and made art.  Ace arrived on our first (blind) date in his summer uniform – a button-down white oxford shirt (untucked), blue elastic waist shorts, and sensible shoes.  I interpreted his ensemble to mean that he lacked interest.  In me.  I found out several years later that he had carefully selected a newer old oxford shirt and the blue shorts without holes.  Romantic everyday pragmatism.

Ace is not prone to fits of superfluity.  His list of approved adjectives may appear to be somewhat narrow.  My adjectives tend toward the extreme: amazing! awful! hideous! gorgeous! disgusting!  This was somewhat difficult for us initially.

One day, as I contemplated the true meaning of “You look nice,” it came to me.  THE ACE TRANSDUCER.  I fed his words into the transducer and the true meaning spat out the other side.  “You are the most gorgeous woman I’ve ever seen!”

This transducer is a remarkably handy little imaginary gadget.  Here are some examples of the transducer’s work:

His words: “This stew is okay.”

After the transducer: “Holy crap!  I’ve never tasted anything as delectable as this concoction.  You are a culinary goddess.”

His words: “My day was a little rough.”

After the transducer: “Everyone was incredibly sick with life-threatening conditions, all my colleagues were totally stressed out, and I almost ran over an elephant on the way home.”

His words: (nothing because he’s out shoveling snow)

After the transducer: “I shovel this snow as a sign of my love.  I shovel it three times DURING a snowstorm not as a sign of my anal snow-shoveling tendencies, but as a sign of my PROFOUND love for you.  This pristine ice-free pavement is proof that I LOVE YOU from here to eternity!!!!!!”

Does your beloved speak your love language?  Or might you benefit from a Beloved Transducer?

Musical Moment

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Crush Confessions

Shaun Cassidy stole my innocence.  I sat in one of the twin beds at my grandparents’ house, tucked into the mustard yellow sheets with bold black and white splotches.  I sat and I realized for the first time that normal people develop crushes on celebrities.  Weird.

Shaun did nothing for me.  His flat feathered hair and plain “all-American” features held no appeal.  To this day, I can’t name any of his tunes.  In our home, we listened to Mussorgsky and Rachmaninov, Handel and Beverly Sills.  The closest we got to pop music was my mom’s mild interest in Neil Diamond (Hot August Night era) and John Denver (before we found out he wasn’t a very nice man).

The origins of MTV collided in a significant way with my early teen years.  I stayed up late to watch the world premiere of Michael Jackson’s “Thriller” video.  Awesome.   At that time, we could get MTV right on our regular fifteen-inch cathode ray tube television. Without a cable subscription.  And MTV played nonstop music videos.

Let me say that again: nonstop music videos.  No movies.  No “reality” television.  No “Broke A$$ Game Show.”  No Jackass marathon.  No “Rob Dyrdek’s Fantasy Factory.”

I cut my crush teeth on Duran Duran.  Those boys knew how to make a vid.  John Taylor received the largest percentage of my crushing.  Is he not the quintessential ’80s icon with his poofy hair, shoulder pads, and a touch of eyeliner?  Simon?  Meh.  Roger?  Eh.  Andy?  Who?  Nick got a little love.  He intrigued me in ways that I couldn’t articulate.  He wore makeup, dyed his hair, and walked an androgynous line.

Do celebrities ever obsess over regular people?  Do they cyberstalk their letter carrier, vet, or cabdriver?  Perhaps this is their only “safe” crush, one who wouldn’t threaten a romantic partner, because really, how could Jennifer Lopez run off with her cabbie?

I can safely love (in approximate chronological order) John Taylor, the men of the gold-medal 1984 US gymnastics team (particularly Peter Vidmar), Judd Nelson, Sting, Johnny Depp, Branford Marsalis, Bono, Peter Gabriel, Patrick Swayze, Harry Connick Jr., Geoff Tate, Patrick Stewart (“Make it so”), Adrian Paul, Joseph Fiennes, Ricky Martin, Richard T. Jones, Tom Welling, Patrick Dempsey, Taye Diggs, Angel, tWitch, Alexander Skarsgård, Wade Robson, Robert Pattinson, the Hemsworth brothers, James Franco, Jonathan Groff, Theo James, Pope Francis, Tobias Menzies, Neil deGrasse Tyson, Graham McTavish, Vivek Murthy, and Eugene Lee Yang, without causing any distress whatsoever for my partner.

There is no threat because there is no possibility.

My absolute longest crush, though, is the singular James Alexander Malcolm MacKenzie Fraser, the product of author Diana Gabaldon’s fertile imagination.  I am not alone in my obsession.  Google JAMMF.  I dare you.

How did I wind up in this nostalgic tale?  First: Valentine’s Day.  Second: a lovely Salon excerpt from Lisa A Phillips’ Unrequited: Women and Romantic Obsession.

Crushes, like zits, do not end at the conclusion of the teen years.  Yippee!!!!!

Tell me your crushes.  Please.

Musical Moment

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Here’s What I Wore – part two

In honor of Groundhog Day (the movie), I present the second annual “Here’s What I Wore.”

Woke up to “feels like minus six degrees” today!  Refreshing!  I have no memory of my breakfast.  I lovingly crafted a wholesome meal for my fourth-grader that he refused to eat.  I then lovingly crafted a wholesome lunch and stuffed it into his lunchbox (a charming black Lands End number – $4 on clearance due to monogram), forcing the zipper half shut.  (Anticipatory note to self: throw uneaten lunch into front yard for bunnies after school.)

IMG_8214

Note the lovely texturized appearance afforded by Chester.

What to wear?!  The possibilities are nearly endless and much more convenient now that Ace has evacuated our marital boudoir (due to recurrent viral upper respiratory infections).  I keep all my clean laundry in a handy mound right on the bed!  My black Guildan sweatpants, with a fetching elastic waist, are perfect year-round  in any Minnesota weather situation.  While I paid full price ($10.97 at Mills Fleet Farm) I firmly believe that the versatility of this garment justifies the expenditure.  Chester, our yellow Labrador retriever, really makes our black clothing POP.  His long fur gives added warmth and a lovely texturized appearance to any item.

IMG_8209

Photo bomb by Rafa.

Today, I paired the sweats with a ribbed cotton navy shirt (fished out of the rag bucket at Steeple People Thrift Store; unknown brand).  The black and blue color palette accurately represented my state-of-mind this morning.  For the exhilaratingly early choir rehearsal at The Big E’s school (I’m the piano accompanist), I completed my outfit with a heathered purple hoodie (zipped up to cover any décolletage; $4 Steeple People – unknown brand b/c I chopped off the tag) in a luxurious poly/cotton blend.  I find this color to be most effective for me in the winter, when it sucks the last of the lifeforce right out of my complexion.  The handy front pockets add extra tummy padding for that rounded Renaissance look.

I accessorized with knee-high SmartWool socks (picture above; Christmas gift) that coincidentally sort-of matched the hoodie!  As the day progressed, I realized the socks (though wool) were too thin for current weather conditions and fished my Thorio brown+baby blue x-c ski socks (clearance @ Marshalls; mentioned last year in Here’s What I Wore) out of the dirty laundry.

IMG_8206

Photo taken right before Chester ate my mitten.

Bright sunny day with rejuvenating cool crisp frigid air.  For the trip to school, I wore my brown Lands End down comforter-with-sleeves (dug out of rag box at Steeple People; took home and washed the living daylights out of it).  I’m afraid I parted ways with my black Lands End down comforter with sleeves featured in last year’s Here’s What I Wore; it was simply too small to accommodate the five or six layers that I often wear on top.  For accessories: multicolored hat (from rag box at Steeple People; I repaired the holes), black REI mittens ($2 Steeple People; not to be confused with the black REI mittens gifted to me by my beloved), mostly-brown Bogs (featured in last year’s post as well!), and brown no-name plastic sunglasses (stolen from hub’s car, again).

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Chester trying to be a scarf.

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Rafa as lap warmer.

My living fur collection expanded this year to include the a-fur-mentioned 75-pound Labrador retriever.  Imagine the infinite possibilities with all that fur!  Chester works best as a lap warmer or legwarmer, though he likes to experiment as a scarf.  My smaller living fur, Rafa, continues to offer superior flexibility, warmth, and comfort.  If you are in the market for a living fur, please visit this site, or this one if you aren’t a Twin Citian.

Tonight, I’ll slip into something sexy: my husband’s beige knee-high athletic socks (50 cents Steeple People), men’s XXXL Minnesota Wild raglan-sleeve T (50 cents church rummage sale), and my nighttime bite splint (super cute, ridiculously expensive, and recently repaired!).  You might recognize this as my sexy-fun-times outfit from last year’s post.  Hey – why mess with a good thing.

If you want to see what Tamron and Dylan wore, click here.

Musical Moment

 

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Trampled By Zebras

My back “went out” on Saturday.  For the three days prior, I had hints of my upcoming misfortune, a twinge over my hip, some vague throbbing around the knee.  By Saturday afternoon, I couldn’t take off my socks, touch my toes, or even get out of a car.  I figured it was sacroiliitis, inflammation of the joint between the sacrum and the butterflywing-like ilia (pleural of ilium) that splay out from either side.

Ace said, “Sounds like a disc,” shorthand for protrusion of an intervertebral disc outside of it’s allotted space between the bones of the spine.  “But I don’t want it to be a disc!”  My mom asked if I was still exercising and reminded me that the stability and strength of the spine depend in large part upon the strength and stability of the abdominal muscles. Thanks Mom.

I drugged myself with acetaminophen and naproxen sodium and went to bed, an ice pack propped against my back, hoping that the lovely restorative powers of sleep would work their magic.  At 3 am, 2:53 am to be exact, I woke up and tried to get up to pee.  My body declined to be vertical, citing lack of Substance P inhibition.  In other words, ACK!

Three am is not the time to do any constructive deconstruction of events or symptoms.  Three am was always a witching time for me when I was a practicing physician; I felt simultaneously exhausted, starving, anxious, and heavy.  I’d drag myself from my warm bed cocoon and driving off into the dark night, into the specter of possibility.

The pain at 2:53 am took my breath away.  So naturally, I freaked out.  Ace abandoned our marital bed several weeks ago, at the beginning of my cold-that-wouldn’t-end.  I replaced him with a lumpy pile of clean laundry and a fluffy Pomeranian who doubles as a hot water bottle.

I wracked my brain for my old nursing assistant tricks: roll up onto your side, bend your knees, use the arm not pinned to the bed to push your torso upright.  By the time I got up and managed to shuffle into the guest bedroom, I was convinced I had a psoas muscle abscess + metastatic ovarian cancer + a spinal artery infarction + inexplicable acute demyelination over the left L4-L5 region.

Ace awakens poorly in the middle of the night.  He generally assumes the house is on fire or intruders have breached the perimeter.  I told him I felt sad and scared and we debated the situation.  Was it bad enough to go to the ER?  In that moment that took my breath away, yes.  What would they do?  Nothing acutely.  They’d treat my pain and make sure I wasn’t imminently dying.  I could go to the urgent care Sunday and beg for narcotics.  Fun.

In the end, we went back to bed, both of us together.  I felt much better, having transferred my herd of zebras* to my husband.  I fell asleep, assisted by some leftover promethazine with codeine, and snored the night away.  Ace slept fitfully, his dreams disturbed by thoughts of my death.  How could he take over paying the bills when he can’t even see the top of my desk?  Should he move to a smaller town?  Take a different job?

When the sun rose, I felt a little better.  My rational brain reminded me that evidence-based medicine exists.  I reviewed Low Back Pain Diagnosis and Treatment on UpToDate: most people get better over a couple weeks no matter the cause, NSAIDs and muscle relaxants can be helpful, and bedrest should be avoided.  (Bummer on that last one.)

I informed Ace that I had no intention of dying any time soon.  We resolved to de-clutter the house anyhow.  And today I’m feeling pretty good.  I expect my Now-You’re-Really-Middle-Aged card to arrive any day.  Do I get any special discounts?

The morals to the story:

1) don’t jump to any seriously improbable conclusions at 2:53 am.

2) share your pain with your loved ones.

3) Pomeranians snore less than spouses.

Musical Moment

*In medicine, a “zebra” is a diagnosis that is unlikely but possible.  For example, a school age child with nausea, vomiting, and diarrhea this time of year in Minnesota probably has viral gastroenteritis – this is the “cow” diagnosis if you will.  A “zebra” diagnosis (we just don’t see many wild zebras wandering around in the Midwest) would be hookworm infection, unpleasant and extremely common in developing tropical countries.

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MLKhaos

The annual MLK performance at my son’s school is the major all-school event of the year.    The entire student body participates, even the kids who claim to hate singing.  (How can anyone hate singing?)

The music teacher, let’s call him Dr. Mercury, is pretty much in charge of the whole thing.    Yes, there’s an MLK committee.  And yes, the other teachers assist with class presentations.  But the music teacher pours his soul into MLK every single year.

This year he poured in his appendix, too.  Two weeks ago, Dr. Mercury went to his doctor for an evaluation of abdominal discomfort.  While driving home, he received word from the clinic  that he should turn around and come back to – no wait – GO DIRECTLY TO THE ER!  YOU NEED TO HAVE YOUR APPENDIX REMOVED!

A lot happens in the two weeks prior to the annual MLK performance.  The kids return from winter break in a state of sleep deprivation and hyperglycemic coma.  Then they cough and sneeze on each other.  Germs happily re-locate and multiply.  In a normal pre-MLK period, half the student body succumbs to the typical catarrh, while the other half is evenly divided between Influenza (The Real Deal), gastroenteritis, and relatively good health.  Spoken lines and vocal solos are reassigned on a prn basis.

Those who are well enough to stand on their own two feet for ninety minutes perform in front of a live audience, a live LARGE audience.  The MLK performance is, for many, the highlight of the school year.  Grandparents fly in from other states.  Alumni return and reminisce about the MLK show devoted entirely to gamelan music.  It’s a BIG DEAL.

Dr. Mercury’s appendix put a small crimp in the plans.  Okay, it was a massive crimp, an almost crippling crimp.  And it festered and demanded removal after the stage manager had already gone out sick and the tech goddess was sidelined with a major back surgery.

I met with the principal ten days before showtime.  I’m Dr. Mercury’s self-appointed Room Mama and I try to keep my finger on the Mercurial pulse.  The principal wondered if we should cancel.  Our school focuses on process over product.  Would the performance put undue strain on an already stressed system?  Was the universe trying to tell us something?

I knew what Dr. Mercury would say but I encouraged the principal to make her own decision.  After consulting with the teachers and staff, she came to her conclusion: THE SHOW MUST GO ON.

Dr. Mercury returned to school 106 hours before the concert.  The day after his return, in a confluence of strange events involving cats and mittens, the principal required foot surgery and subsequent lower extremity immobilization which precluded her involvement in the MLK performance.  And the cellist suddenly realized she had double-booked – and backed out of the gig.

The students persevered.  They learned their lines, memorized the songs, and manufactured a lovely shadow play basically out of thin air.  We found another cellist and assembled a rocking orchestra in a 75 minute rehearsal.  Dr. Mercury coaxed magic from the kids’ mouths: “Peace Like a River”, “Imagine”, “Bambelela”, “Que Canten los Ninos”, “Waiting On the World To Change.”

No one fainted, everyone sang (except a couple of the seventh-grade boys who stood on the risers like pillars of salt), and Dr. Mercury made it through the night sans narcotics.

We lift our voices and sing for those who have been silenced.  We sing for our sisters and brothers in Nigeria and France.  We sing for Rani Crowley and Kendrea Johnson.  We sing for Diana Showman, Michael Brown, Tamir Rice, and Carey Smith-Viramontes.  We sing for Ella Fitzgerald, Billie Holiday, and Nina Simone.

Life provides unexpected circumstances.  We add flexibility, creativity, and resolve.  We can’t sit around waiting on the world to change.

Let’s change the world.

Musical Moment #1

Musical Moment  #2 I’d like to alter the lyrics a bit: “We are the champions FOR the world.”

 

 

 

 

 

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How the Dog Ate Christmas – guest post by The Big E

My guest blogger today is The Big E – grade 4.  We hope you enjoy his tale of suspense and intrigue.

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It was Christmas Eve in Glueville and the Affengrincher was coming so that night the Affengrincher got on his hovercraft with barking missiles and headed off to Glueville.  When he got to the gate he saw that it was locked so he fired one of his barking missiles at the gate and the gate got so scared from all the barking that it ran away.

So the Affengrincher went into the village and picked the first house.  Once he was inside he took all the presents and went to the next house.  This time he saw that it was a live tree not a fake tree so he took the ribbon off a present and put part of it in the fireplace then set the tree on fire with the ribbon.

At the next house once he took the presents a kid came up to him and said “Are you Santa?”  That night the Affengrincher’s teeth grew 3 sizes and he bit the kid’s arm off.

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To which his teacher responded, “Very touching.”  I can assure you that The Big E is a lovely child, not at all prone to malicious fire-starting or cannibalism.

Musical Moment

 

 

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One Flu Over the Cuckoo’s Nest

Disclaimer: I am not your doctor.  I am not trying to give you medical advice.  If you are experiencing a medical emergency, call 911 now.  Now!  Thank you.

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Tis the season.  Everyone has “The Flu.”  Unfortunately for health care providers everywhere, “The Flu” represents at least four different situations in our culture.

1) The Flue.  Let’s get this one out of the way as it’s the least confusing.  Anyone with a woodburning fireplace has A Flue.  The great news is, flues aren’t contagious!

2) Which brings us to the next The Flu, as in Influenza, as in THE REAL DEAL FLU!  This is the bad one.  It isn’t actually one at all but many.  Sorry.  There are a three types of the influenza virus.  Ya got yer influenza A and yer influenza B and yer influenza C.

But influenza A is further divided into subtypes: influenza A H(1-18)N(1-11).  In other words, there are 19 different possibilities of H protein and 11 different possibilities of N protein on the surface of the influenza A virus.  To put this in mathematical terms would require me to relive something involving factorials and I’m not going there.  Suffice it to say that nature can produce many H + N combinations for our respiratory pleasure.

The joy doesn’t stop.  There can be many strains of a certain subtype.  Remember H1N1 from 2009?  That was a new strain of influenza A H1N1.  Vaccine wizards try to predict which strains, subtypes, and types will be particularly important in upcoming flu seasons and tailor “The Flu Shot” to those strains.  Sometimes they get it right.  Other times not so much.  Don’t get too mad at them – remember that factorial situation.

How does The Flu Shot work?  Most of the shots contain dead flu viruses.  “Inactivated” is the slightly more pleasant term.  So I get my shot and my immune system picks up the dead viruses and says, hm, we have an intruder.  (Technically, we have three ((trivalent vaccine – this year containing an A H1N1, an A H3N2, and a B)) or four ((quadrivalent vaccine – everything above plus another B)) intruders.)  Let’s make antibody weapons directed against this intruder!  It takes a couple weeks for me to really build up my antibody arsenal.  When someone with The Flu sneezes on my face and I get exposed to real live virus, my immune system recognizes the intruder and my antibody weapons are ready to be deployed.

FluMist, the nose spray flu vaccination, is made up of “live attenuated” virus.  Think of it like a scorpion with its stinger removed.  No don’t.  That’s creepy.  Think of it like a barberry bush with the thorns removed.  Never mind.  Think of it like a virus that’s still alive but can’t hurt you.  Your body builds up antibody weapons to fight it because it’s an intruder.  When the real live thorny stingered virus comes calling, the antibody weapons are ready to go.

To put this in perspective, our bodies are exposed to thousands of new “intruders” each day as we eat and breathe and live.  Most of us can easily handle a couple more.

Influenza A is currently running rampant according to my charming husband and this helpful yet alarming map.  If you lived in California or Hawaii during the month of December, good for you.  It’s January now though, and all bets are off.

3) So how about The Flu, like The Stomach Flu, like I’m-Puking-And-Pooping-And-Miserable Flu.  Well, technically that isn’t flu at all.  Depending on your circumstances, it could be “food poisoning” (which isn’t really poisoning, but ingestion of food-borne microbes such as campylobacter and salmonella) or viral gastroenteritis caused by any one of a number of fecal-to-oral transmitted viruses.  Norovirus,  the virus-formerly-known-as-Norwalk, is the big offender in this country.
Yup, you read that right.  Fecal, as in POOP, to oral, as in EAT POOP.  Ace and I both learned a scintillating saying in medical school: “If shit were red, the world would be pink.”  Just let that one sink in for a minute.  The moral to the story is: WASH YOUR HANDS.

4) Finally, we come to The Flu.  “I have a touch of The Flu” is what your neighbor says when he has a runny nose and slight cough.  Folks, you cannot have a touch of the Actual Flu.  The Actual Flu doesn’t touch you, it bowls you over, leaving you prostrate and begging for mercy.  Your neighbor’s “touch of The Flu” is likely a viral upper respiratory infection, caused by one of a group of constantly mutating viruses.  Hence, no vaccine).  Common causes of The Common Cold include rhinovirus, parainfluenza virus, and respiratory syncytial virus (RSV).

People know that “a touch of The Flu” will excuse them from work, uncomfortable social obligations, and cooking duty.  “A touch of The Flu” begs sympathy and chicken noodle soup.  “I have a cold” and you can just join the club.  Buck up!

If you schedule an appointment with your Minnesota doctor for symptoms of a viral upper respiratory infection during the months of December or January, s/he is likely to be sicker than you are and more than a little peevish from a vexing combination of stress (it’s nearly impossible for doctors to just “call in sick”) and lack of sleep.

That was fun!  Thanks for hanging out with me.

Musical Moment

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