When Allergens Attack

Over the past two weeks I have learned how to be an allergist. This is about one and half weeks over the national average. If you too would like to be an allergist, just follow this simple algorithm:

Does patient have allergies?

• If yes, then prescribe Flonase, Zyrtec, and offer immunotherapy.
• If maybe, then prescribe Flonase, Zyrtec, and offer allergy testing.
• If no, refer back to primary care physician.

The differential diagnosis seems to primarily be: allergies?

The seeming simplicity of allergyology aside, there has been no shortage of rigorous academic debate. We have had no less than two extended, multi-party conversations about whether glaucoma eye drops are relative contraindications for allergy testing or not. Why are we not discussing this in internal medicine morning report? Are we afraid to confront the issues?!

Which raises the important follow up question: allergists get paid more than us why?

What is interesting in all of this is not the cytokines and chemokines and mini blinds that make up the facade of legitimate medical practice that is allergy, but how many allergists themselves have allergies. Considering that most all psychologists have some sort of personality disorder, most anesthesiologists have one or more substance abuse disorders, and most OB-GYN docs are, well, ladies, do all physicians chose specialties based on personal disease experience? Is there increased cancer incidence in hematology-oncology doctors? Does going into infectious disease require that I first acquire an infectious disease? I don't know for sure, but to be on the safe side I am going to go ahead and get myself some Cat Scratch Fever before it's too late. After all, I don't want to be left with Rat Bite Fever or Chikungunya, whatever the hell that is.

Be on guard folks: mountain cedar and elm are up today. That means goggles, people!

A Confession

I am sorry but I have been dieing to get this off my chest.

Chester Cheetah is the creepiest, sexual predator of a commercial cartoon character that has come into existence. I now feel dirty buying Cheetos.

And Jar Jar Binks? Why didn't anyone ever kill you?

The Prettiest Squirrel

That is one pretty squirrel. I went to the San Antonio Zoo recently and happened upon this guy. The Asian Tri-Colored Squirrel. Also known as Prevost's Squirrel, I didn't know these things existed. There're flying squirrels, yes, and regular squirrels, true, there're even collared squirrels that I am familiar with, but tri-colored squirrels? What was the purpose of my elementary education if not to accurately name and identify small furry animals? Oregon Trail you have let me down. I saw a lot of things at the zoo -- they even got new jaguar cubs or kittens or baby jaguar things -- but my favorite was the fancy pants squirrel.

And speaking of pretty, I've got too much bling! On my right arm at least. Whereas previously my shiny gold Aggie ring glared brilliantly in everyone's eye, now I have my shiny gold Aggie ring and a shiny new silver watch. It too is beautiful; perhaps too beautiful. Especially in relation to my completely naked left arm. I briefly tried moving my watch to my left wrist in an effort to be all right-handed like, but it felt wrong. I feel I must either alternate jewelry daily or embrace decorative excess and get myself a grill. With sapphires. There can be no room for compromise.

Lastly of note, I just got my medical license. This colored squirrel is now officially licensed to practice medicine in the great commonwealth of Virginia! Next stop, selling my credentials and credibility to late night infomercials.

Christmas In Brief

Christmas came and Christmas went. Like most holidays it was enjoyable but unremarkable. Visited with family, completed a puzzle, saw some lights on some boats in a marina. I got a lovely watch and Lucca got Horny. I tried to surf by gulping sea water. We all had some pie.

The trip ended, as all family trips are required to end, with me forgetting an article of clothing behind. In this case it was my Aggie ring; which my mom sent back to me wrapped in a sock. Wrapped in another sock. Wrapped in a package. Packed in a box. Which was then stuffed in a chicken, stuffed in a duck, stuffed in a turkey.

Anyways, here's the pictures. Not much to look at. Move along people.

Prosecutors Will Be Violated

Sometimes we need to be protected, and sometimes we need to be protected from ourselves. Thankfully that is where the Vistana apartment management comes in: to ruthlessly wield the iron club of justice on all who would perpetrate wrong doing. Wrong doing in this case defined by a monthly one page handout.

Each month like so many apartment complexes the Vistana provides us with a newsletter of sorts consisting of a few entirely uninteresting articles on entirely random subjects, a couple quotes about nonsense, a recipe for those who get their recipes from newsletters, and an empty calendar for those who need to know when Christmas and Boxing Day are since these are typically the only kind of events that makes it onto the list. Enclosed with our newsletters, however, is frequently another slip of paper. Sometimes white, sometimes pink, suggestive of something fun, fun it is not. No, it is the monthly reminder of things not to do pending criminal prosecution and summary execution. Don't throw boxes down the trash chute! Don't have too many guests over! Don't let others through the parking gate without paying the parking bridge troll! Don't smile unnecessarily or yield the right of way! Don't let your pets! The list goes on and on.

A few days ago, perhaps fearing people were just throwing their silly newsletters away without at least perusing through its pages, they decided to be more direct. I came home to find a note stuck in the corner of my door. With Christmas tree clip art affixed to the bottom corner of it I thought perhaps they were having some sort of holiday social, but no, they were putting us on notice:

Christmas celebrators beware! Security cameras and informants have reported the disposal of Christmas trees in the loading dock trash containers! This is a grievous offense. Anyone caught disposing of trees anywhere in the building will be put to death.

This is of course a rough paraphrase. The actual penalty was specified as "a removal fee" but it turns out this means be put to death.

Don't get me wrong. I have mostly enjoyed my stay at the Vistana so far, by and large, and knowing the general good nature of the office staff I am inclined to believe their threats are mostly bellicose posturing. Nevertheless I fear the clap of storm trooper boots in the hall and often lie awake at night for fear of a knock at the door. I may not live for long, but the struggle to use the pool after 10:00 pm will go on forever!