Tuesday, February 14, 2012

Love is in the air...

...or is love in the ear?  Ha ha.  Maybe if sweet nothings are being whispered in it. Not for me.  But that's okay. He may not be able to talk yet, but I had the cutest guy as my Valentine this year. :-) Because I have to work on Valentine's Day and he had plans himself, we had a lunch date this past weekend. 


In line with the Valentine's Day theme, I don't wear my heart on my sleeve...just on a refrigerator magnet on my fridge.  Heh heh. 
I actually got the magnet for free in the mail a few weeks ago.  So guess it's audiology who hearts me. ;P Heh heh. 

I'm "Hear 4 U Always"...and no expert on the heart (or matters of it).  Uh, that's why I'm pursuing a career as an audiologist and not as a cardiologist. ;-)  Wishing you love not just today but every day, readers. xoxo

Sunday, January 29, 2012

Quick update on Year Four

I can't believe I'm almost half done with my fourth-year clinical externship.  As I wrote in my previous blog post, time seems to go by faster as you get older.  Can you believe February is nearly upon us?  Where did January go?

My fourth year has definitely been an interesting ride thus far.  Interesting good or interesting bad...that's debatable.  I will admit it's been good to be at clinic full time unlike as a second-year student where clinic was once a week and as a third-year student where clinic was 2-3 days a week.  The site that I'm at is a hospital setting where the audiology clinic sees about 50% adult patients and 50% pediatric patients.  That's an excellent ratio to break things up and also to retain skills in testing children. 

The mission of the hospital is to provide access to the highest quality health care regardless of ability to pay.  A fact sheet for this hospital states that it cares for "the special health needs of the entire population with services ranging from trauma care to the [omitted] Poison and Drug Center, and the needs of special populations such as the poor, uninsured, mentally ill, pregnant teens, persons addicted to alcohol and other substances, victims of violence, the homeless and those with AIDS".  The audiology clinic also treats prison inmates; they come cuffed and with at least one guard. Yup, it's a challenging patient population at this site.  Very different from what I've encountered in private practice settings.  I consider this to be both good and bad for reasons I won't get into. 

There are 3 full-time audiologists and 2 fourth-year student doctors of audiology.  The audiology students see the majority of the patients so clinical experience can be gained, and the full-time audiologists serve in a supervisory role.  The audiology clinic sees their own patients and also Ear Nose Throat (ENT) patients.  The patients range in age from newborn to 100 years old.  Services provided by the audiology clinic include case history, otoscopic evaluation, audiometry (air conduction, bone conduction, speech), tympanometry, acoustic reflexes & acoustic reflex decay, otoacoustic emissions (OAE), unsedated auditory brainstem response (ABR), videonystagmography (VNG), and amplification (consult, fitting, and follow-up on hearing aids & assistive listening devices).  Two of the full-time audiologists on occasion provide intraoperative neuromonitoring (aka monitoring the functional integrity of certain neural structures during surgery).  About three years ago when I first learned about intraoperative neuromonitoring, I assumed audiologists only monitored the VIIth & VIIIth cranial nerves (facial & vestibulocochlear nerves respectively) during surgery.  But it can be more than just that.  For instance, I had the opportunity to sit in on two thyroidectomies -- one surgery was done by an ENT physician and the other was done by a general surgeon.  Nothing like seeing a grapefruit-sized tumor being extracted from someone's neck after lunch. 

Below is a picture of me before the 2nd surgery of the day; decked out in green scrubs minus surgical cap (nice bouffant kind ;-P), surgical mask, shoe covers, and gloves.   

This is the last quarter where I am taking a class.  I'm glad for that, because I'm about burnt out on academics.  I can't complain - - 1 class with 5 days of clinic is better than juggling 3 classes with 3 days of clinic like I first had to when moving to this state last spring. 

I'm "Hear 4 U Always"...and getting closer to being a full-fledged Doctor of Audiology.  It'll be nice to start earning a paycheck for all the work.  All right -- gotta prep for Monday's class session and also prep for a Grand Rounds presentation I'm giving at clinic this week (the clinic I'm at video-conferences monthly with another hospital/audiology clinic).  Work is never done...c'est la vie.  Work hard and play hard, readers.  Oh yeah, I should take my own advice. ;-P

Sunday, January 22, 2012

Happy New Year 2.0

Happy New Year!  I apologize I'm three weeks late in wishing that, but tis better late than never.  Or maybe I was just waiting for the Lunar New Year which is tomorrow (aka New Year 2.0 ;-P).  Anyway, I can't believe it's already 2012.  I know it's been said that the years seem to go by faster as you get older, but man, 2011 went by so fast that it was a blur. 

My apologies for not posting anything for a couple of months.  Clinic and class keep me busy.  Also undergoing/underwent some personal difficulties.  Hopefully the Lunar New Year gives my 2012 a second chance to make a first impression.  Fingers crossed.

As I hopefully get my blogging groove back, I leave you with two audiologically-related tidbits:
  1. "Switched at Birth" made its winter premiere on 3 January 2012.  The show airs on Tuesday nights at 8/7c on ABC Family.  I mentioned this show back in June 2011 when the show first premiered.  The following is a description of the show from the ABC Family website: "Switched at Birth tells the story of two teenage girls who discover they were accidentally switched as newborns in the hospital.  Bay Kennish grew up in a wealthy family with two parents and a brother.  Meanwhile Daphne Vasquez, who contracted meningitis and became deaf at an early age, grew up with a single mother in a working-class neighborhood.  Things come to a dramatic head when the families meet and struggle to learn how to live together for the sake of the girls.  This season, the families must deal with the arrival of Bay's biological father Angelo, inflaming old passions and creating new rivalries.  During their lawsuit with the hospital, the Kennishes find an unlikely ally in Angelo.  But can he be trusted?  Everyone struggles to navigate the complicated family dynamics as the girls clash in a love triangle with Emmett."
  2. Can't stress the importance of seeing an audiologist for your hearing health needs (diagnostics, treatment/rehabilitation, etc.)!!!  An article about a hearing aid exploding near a man's face was forwarded to classmates & me by an audiology professor early last month.  Mind you, this hearing aid was bought on-line for about $22.  Two giant red flags in that last sentence...hearing aid bought on-line & $22.  For the full article, go to http://www.12ktrv.com/Global/story.asp?S=14310896
I'm "Hear 4 U Always"...even if my lack of on-line presence may seem like that I'm not.  Feel free to contact me anytime via e-mail if you need a dose of "ear geek speak" (totally coined that term just now!) or have any questions. It's been very pleasing in recent months for friends to reach out to me with their audiologically-related questions e.g. a college friend had a baby & wondered how his baby's hearing was screened at the hospital, etc.  I can't believe I'm graduating this year and finally earning the doctoral degree I've been working on for the last few years.  Four Januarys ago, I never imagined that this is the path I'd be on.  Life works in mysterious ways.  That's part of the beauty of life...the unknown.  May your life be full of wonderful surprises, readers! Happy 2012!

Monday, October 31, 2011

You've seen eye candy, right? ;-)

Heard of ear candy? Only an ear geek would walk down the Halloween candy aisle at Walmart and stop to check out a bag of candy because an ear caught her eye.  Heh heh.  That was me last Friday.  I wound up buying a bag of Butterfingers instead. ;-)
I got an ear lollipop from the other Au.D. extern at clinic today.  There was a sliver of paper attached to the stick and it read "Ear's to a Happy Halloween!".  I think she said her mom & her sister (who is also an audiologist) came up with that cute greeting.  I wish I got excited for holidays like I once used to.  Halloween had been a favorite as a little kid...hello, free candy!  Ever since starting work full-time at age 22 and the line of work that I did, I started to view holidays like any other day.  Maybe if I ever have kids of my own, the kid in me will come back out to play. ;-)

I'm "Hear 4 U Always"...hoping you satisfy your sweet tooth.  And keep your ears sweet...uh, by practicing healthy hearing habits like listening to music at safe levels & wearing hearing protection if busting out the leaf blower. :-) 

Wednesday, October 5, 2011

Auditory trick...or treat...

The following is a dialogue that occurred between the other Au.D. extern at clinic & me yesterday during our lunch break...

FRIEND: If I don't dress up for Halloween this year, it'll be the first year that I haven't dressed up for it.
ME: What were you for Halloween last year?
FRIEND: A dental aide.
ME: Cool.
FRIEND: Yeah, I wore a white shirt.  I had yellow fabric on the front. And I also had red jewels for paprika.
ME IN MY HEAD: Huh? Paprika? Oooookay.
FRIEND CONTINUES: I also wore heels and horns & a tail.
ME IN MY HEAD: HUH?!?!
ME TO FRIEND: Um, what were you for Halloween?
FRIEND: A deviled egg.

Hey, anyone know of an audiologist? ;-P Ha ha, kidding!  Maybe you had to be there, but that confusion had me cracking up to the point of tears when she said "a deviled egg" and it all made sense to me.  That's actually a really cute Halloween costume idea.  Good thing she didn't tell me about having been the tooth fairy for Halloween two years ago first, because if she started off with that, I don't think I would have asked her to clarify what she dressed up as last year since 'teeth' would have seemed to be a theme with her & costumes.  Heh heh. 

October is National Audiology Awareness Month and National Protect Your Hearing Month.  Guess I should get my hearing checked. ;-)  A number of people get an annual eye exam.  Why not get your hearing tested yearly too?  Particularly if you notice a decrease in hearing.  Per the American Academy of Audiology website, approximately 36 million Americans suffer from hearing loss.  Please check out www.audiology.org/resources/consumer/audiologyawareness for fact sheets, etc. 

I'm "Hear 4 U Always"...and hoping to avoid any more auditory 'trick' situations. Treat your ears well by not putting anything in your ear (yup, don't use Q-tips!) and turning the volume down when listening to music on the radio or MP3 player.  Hope the 10th month of the year is a 10 for you, readers!

Thursday, September 29, 2011

Rock on!

Happy Autumn!  Almost a week late wishing that but better late than never. ;-) Before the month of September closes out, thought I'd post a blog entry.  There are so many audiologically-related happenings that go on, but I don't get a chance to write about them all.  Today marks one month that I've been at my fourth-year externship site.  See -- writing about my clinic site for my fourth & last year of the Au.D. degree program is something I need to do.  That will have to wait for another blog post. ;-) 

Last Friday I went to my very first concert! :-) Well, honestly I've seen Celine Dion perform live on four different occasions...three times in Las Vegas and once in Phoenix.  However I was informed by a friend I knew back in college that ol' Celine doesn't count as "having been to a concert".  Heh heh.  So he bought tickets to see one of his favorite rock bands play at a local dive bar and took me along.  I had contemplated taking ear plugs to protect my hearing, but I sacrificed the outer hair cells of my inner ears to get the full experience of a rock concert.  And get the full experience I did...I nearly got sucked into the mosh pit.  That thing is insane!  So I sacrificed my outer hair cells AND my toes, because I did get my footsies stepped on pretty good a couple of times even though I was on the outskirts of the crazy mosh pit. 

There were three bands that performed at this venue.  My favorite of the three was actually the opening band.  When they were on stage, ear geek me was totally checking out their ears and noticed they were not protected. :-(  Same with Band #2.  Then the headlining band started to set up, and my friend noticed the more expensive drum set compared to the first two bands.  Guess that's because he's a bit of a musician by night.  As for me, when the band members took the stage in a cloud of smoke & multicolored strobe lights, I noticed that each band member had on musicians earplugs. :-) That's how I ascertained that this band had money...for guy friend, it was the drum set.  Heh heh.  For more information on musicians earplugs, check out http://www.etymotic.com/hp/erme.html.  I totally was like "hmm, I wonder if they wore ER-25" to my friend in the car after the concert.  Other "ear geek" moments at the concert included trying to guessimate at what decibel the music playing was at (you know, without a sound level meter ;-P) and thinking to myself "OMG! TTS!" constantly throughout the night.  For non-ear geek folks, TTS is 'temporary threshold shift' in which hearing improves after initial impairment following exposure to high-level sounds.  Noise-induced hearing loss is 100% preventable, but there is no method for reversing it once it occurs.  So protect your ears!

I'm "Hear 4 U Always"...and even rocking out on occasion.  Next time though I'll be sure to bring some hearing protection devices. :-)  Tidbits from military life such as "lead by example" apply in my new 'professional' life.  Oh, and ear geek is the new chic. :-)

Monday, August 22, 2011

License to...

Hurrah!  Today I found out that I achieved a passing score on the licensure exam for audiology.  I took the exam last month, and it was announced that scores wouldn't be available until 4 weeks after the exam date.  So this afternoon it dawned on me that 4 Saturdays had passed and maybe my score report was available on-line.  It was!  You'd think a notification e-mail would have gone out. Oh well.  I know how busy computers can be. ;-P 
I'll admit that I was cringing before opening up the score report.  When I did finally open up the score report, I was pleased to have passed and on my first attempt.  So the $130 fee wasn't a waste and no need to retake it (for another $130...).  Whew! 

I'll also admit that I didn't study for this exam as much as I would have liked.  It was futile to try and study during Spring Quarter with post-Year 3 Comps burnout and juggling clinic & 3 classes.  So I had a lovely 6-week study plan drawn up for after Spring Quarter since Summer Quarter consisted of the same amount of clinic & only 1 class.  Well, let's just say that 6 weeks turned out to be more like 6 days of studying.  I didn't stress out like I did for Comps.  I just told myself that if 3 years of classes & clinic to date didn't prepare me to pass the licensure exam that I didn't deserve a license to practice.  I figured the exam questions were written by audiologists and that they weren't out to trick us students.  AND if I was to not pass, then I had the opportunity to retake the exam later in the year.  So I went into the exam cool, calm, and collected. :-)  I gave my best, answered according to my clinical intuition, and did not second-guess myself.  I had a few minutes leftover at the end of the exam period, but I didn't double-check my answers to argue with myself & change any answers (most likely to the wrong ones...).  My score was above the required passing score of 600 (in addition to being above the median score of 1,360 examinees in a 35-month period), but I wished I had scored higher.  Suppose I should stop being so hard on myself and celebrate, right? ;-)  Well, actually I already had a celebratory lunch on the same day that I had taken the exam.  A friend took me out even though I told him it was premature.  Luckily I was able to text my friend today and let him know that the celebratory lunch wasn't a sham. ;-)  Ah, sweet is the taste of success...literally and figuratively.  Heh heh.  And I wrote the friend who sent me an Edible Arrangements fresh fruit bouquet as good luck for the exam that it was all the fruit that nourished my brain that allowed me to do well.

I'm "Hear 4 U Always"...and edging ever closer to becoming licensed to practice as a doctor of audiology.  My 10-year college reunion is next month, and here I am still getting my nerd on.  Career #2 in my 30s...a healthcare career...something desired many moons ago.  It just goes to show that life is what you make it.  If you're passionate about something, you'll do anything to achieve it.  And it's never too late for new beginnings.  After all, there's no time like the present.  Okie dokey...I think you HEAR me on the point I'm trying to make. ;-)  May all your dreams come true, readers. XOXO

Monday, August 8, 2011

Eureka!

Hello hello!  No, I haven't struck gold or even fool's gold.  And no, I haven't decided to leave the office job of a clinical audiologist (per the picture of me...took a pic of myself with my cell phone while I was on a group tour in a gold mine just last week).  The only canals I traverse are external auditory meatus aka ear canals.  A headlamp can be worn to assist the audiologist in cerumen (earwax) removal, but hard hats are unnecessary.  And since I didn't find any gold during my lil field trip, suppose I shall stick with the second chosen career path. :-)  Speaking of which, the last day of Summer Quarter of Year 3 was on Friday, 5 August 2011.  That means I'm officially a fourth-year student doctor of audiology.  And less than 360 days until graduation.  So guess "WOO HOO!" is more appropriate of a blog entry title than "Eureka!". ;-P  Did you know there is about $50 million worth of gold in this mine but it would take about $75 million to get it out so the gold has been left alone?  I'm "Hear 4 U Always"...and expanding my horizons but never forgetting Priority #1 which is providing excellent hearing & balance health care.

Friday, July 29, 2011

Anything but frigid...

Since being on my own and making my own money for the last 14 years, I'd buy whatever I wanted or needed when I wanted or needed it.  I didn't wait for the winter holidays or my birthday for family & friends to get me things.  My best friend has even said that it's hard shopping for me because I seem to have everything that I want or need.  And for me, material things are unnecessary...to be loved & appreciated are all that I ask of my family & friends.  To add to that, I consider myself a simple & low-maintenance person in that I don't require a lot of things.  I've gotten only one mani & pedi in my life (and yeah, I'm a girly girl though ;-P).  I've never owned a smartphone and barely got into texting the earlier part of last year.  I want a sports car but will instead buy the practical car.  The list goes on. 

With that said, today I was surprised...not once but twice.  My contract with the current clinic site ended today (insert huge sad face!).  I was not expecting anything but a 'normal' clinic day when I went in to work.  I had bought a small gift as a token of thanks for my clinical preceptor, Dr. R.  But Dr. R had other plans. ;-)  We were working ENT clinic so no patients specifically for audiology were scheduled.  There was a lull, and Dr. R says "I want to show you something" so I follow her to the staff lounge.  I see a cake on the table which I recognized as a mocha chocolate icebox cake, and I was excited to see that Dr. R had made it.  You see, I've turned into a Food Network junkie in the past few months and saw two different cooking shows with a recipe for an icebox cake.  I thought it was really neat to make a cake without even baking it in the oven!  And as a full-time grad student, I'm always looking for an easier means to make delicious food.  Anywho, I had never heard of an icebox cake and then found it interesting to see two different recipes for it on TV in the span of like a month.  Dr. R and I lunched together just about every day that we were at clinic together.  So we'd chat about a lot of topics. Yes, non-audiological stuff like cooking. :-)  I asked her if she had ever made an icebox cake, and she told me that she hadn't.  So I e-mailed her the recipe for the mocha chocolate icebox cake that I saw Ina Garten make on her cooking show, "Barefoot Contessa".  This recipe calls for a springform pan which I did not own at the time.  I had asked Santa (uh, my parents ;-P) in May for a springform pan, a mini muffin pan, and cookie cutters.  Those were items that I didn't have but didn't exactly need, so I knew I could continue living without them.  But if Santa needed a hint or two on what to get me, I had a little list ready.  Well, it turns out that Christmas came early for me since Santa got me the requested items in June. 

Apparently Christmas for me spilled over into July. :-)  Dr. R didn't bring in the mocha chocolate icebox cake just to show me that she had made it.  She had made the cake specifically for me for my last day of clinic!  In addition, the springform pan she used to make the icebox cake was also for me!  This springform pan is especially spiffy because it has a glass bottom.  I was floored.  I rarely get surprised, and it happened twice today.  Plus refer to the previous blog entry regarding my surprise last week of an Edible Arrangements fresh fruit bouquet.  I am spoiled and blessed!  My oh my.

Pictured is the superb chef AND superb doctor of audiology.  She was about to start cutting us a slice of cake when I shouted for her to stop as I ran back to the office to grab my cell phone to take pictures. 

Here's a shot of the inside of the cake.  You can see the layers. 

The recipe calls for thin, hard chocolate chip cookies.  I'm so glad that Dr. R told me she used chocolate Teddy Grahams.  Otherwise I would have been freaked out to see a tiny face looking up at me while I was eating.  Can you see a smiling Teddy Graham head in the picture below?

If you're not familiar with a springform pan, below is a picture of a cheesecake made with this pan and you can see the glass bottom.  This is the awesome pan that I now own! :-)

Thank you so much to Dr. R for her thoughtfulness and kindness!  Not just today but for the past four months.  It's really special to find someone you click with on a professional AND personal level.  I'm honored to call her a friend.  I'll miss working with her and seeing pediatric patients 100% of the time.  But as the saying goes, "all good things must come to an end".  And as another saying goes, "when one door closes, another door opens".  It was a rough time in my life for awhile there (refer to the 24 May 2011 "See no evil, Hear no evil..." blog entry if needed), but thankfully my life has been anything but frigid lately. :-)

I'm "Hear 4 U Always"...and happy as a clam.  Oo - clams...maybe I'll try a recipe with those next like linguine with white clam sauce.  Yum.  And if you're wanting the mocha chocolate icebox cake recipe, go to  http://www.foodnetwork.com/recipes/ina-garten/mocha-chocolate-icebox-cake-recipe/index.html.  You have gotta try that recipe.  The cake is soooo good.  It tastes like tiramisu.  Bon appetit!  Take care of your ears and your tummy. 

Tuesday, July 19, 2011

The Cat's Meow

Hello, reader!  And Hello Kitty!  I only worked half a day at clinic today, and luckily so because I was able to be home for a special delivery.  I have never received or even been in the same room as an Edible Arrangements fresh fruit bouquet, and today that changed. :-)  I have a big audiology-related event coming up (no, not graduation...one more year to go!), and this was to wish me good luck.  How sweet, huh?!  Literally- and figuratively-speaking...


Pictured is my very thoughtful friend and me when our deployments to Iraq overlapped and we saw each other in the sandbox.  A time when my friend & I were "Hear 4 U Always" in a different sense...
Friends for seven years and counting...he was nice enough to make it out to my White Coat Ceremony.
I'm "Hear 4 U Always"...and apparently I have a friend who is here for me always. :-)  I hope you are blessed with such great people in your life.  Now that I've noshed on fruit for nourishment, time to hit the books and study, study, study.  But as my wise friend wrote in the card, "remember to take time to smell the roses". That thoughtful suggestion should be adhered to by all of us all the time. :-)