博文
(2011-08-17 12:02:00)
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(2011-08-17 07:27:13)
“PrettyisWhatChanges”isapersonalaccount.Theauthordescribedherexperienceoflearningherriskofhavinghereditarybreastandovariancancerandofthecoursethatshedecidedtoundergoprophylacticsurgeriesandhowshedefiedherdestiny.BornasaprettyAshkenaziJew,theauthorhadbeenraisedinanelegantandartisticenvironment.Hergrandmotherwasadancerandhermotherwasadesigner,whotookgreatcareofherbodyandimage.Theauthor’ssist...[阅读全文]
(2011-08-09 07:18:28)
Rivetedbythebook“TheBoyintheMoon”,Icouldnotputitdownwithoutfinishingthelastline.Itwaswrittenbythefatheroftheboywhosufferedfromanextremelyraregeneticdisordercardiofaciocutaneous(CFC)syndrome.CFCissorarethatonlyabout50caseshavebeenreportedintheentireworld.CFCissocomplicatedastobetakenasothersyndromessuchasNoonansyndromeorCostellosyndrome.Inaddition,anaffectedindividualcouldhavespontaneousgenemutat...[阅读全文]
(2011-07-31 16:54:05)
AlthoughIwatchedthemovie“TheHours”twice,Istillfeelabitconfusedwiththemoodoftheentiremovie.Itseemsnotasimplemovie,butIamnotabletoseein-depththemewhichmightbepresentindirectly,ifany.Themostconfusingthingtomeiswhythethreewomenpresentedinthemovieweresodepressing.Virginiaseemedsufferingfromschizophrenia.Deathmightbethebestchoicetoendherpain.LauraBrown,unfortunately,wasdifficultformetounderstand.Iamco...[阅读全文]
(2011-07-30 10:52:42)
Justfinishedthebook“Thebrokencord”,takingaboutafather’sjourneytorealize,dealwithandadvocateforfetalalcoholsyndrome(FAS)oreffect(FAE).MichaelDorrisistheauthorwhoadoptedanAmericanIndianboyAdamwhohadFAS.Asasinglefather,heexperiencedAdam’sunexplainedsignsandsymptoms.HehadbeenlookingveryhardforadiagnosisofFAS.ItisnotdifficulttounderstandtheoccurrenceofFASwhenconsideringthelifeandculturalfeatur...[阅读全文]
(2011-07-27 14:23:32)
Seeingapatterndoesn’tmeanyouknowhowtoputitalltogether.Takenbabysteps:don’tfocusonthefolkswhoseskillsarefarbeyondyourown.Whenyouarenewtosomething,oryouhaven’ttrieditinawhile,itcanfeelimpossiblyhardtogetitright.Everymisstepfeelslikeareasontoquit.Youenvyeveryoneelsewhoseemstoknowwhattheyaredoing.Whatkeepsyougoing?Thebeliefthatonedayyouwillalsobelikethat:Elegant,Capable,Confident,Experienced.A...[阅读全文]
(2011-07-27 14:10:09)
Journal07-26-2011IhavebeensoveryspoiledbyVSsitewherealmostallpatientsarewelleducatedandcameinduringtheirfirsttrimester.SoIhavebeenexperiencedwellstructuredcounselingsessions.TodayinHR,thingsweredifferent.ThecoupleIsawcameinat22wk5dofpregnancy.Theyhadnoscreentest.U/Sshowedshortfemurandechogenicfocusinheart,indicatingthebabywasathigherriskforDS.Myjobwastotakingpedigreeandtalkaboutamniocentesisinaddi...[阅读全文]
(2011-07-27 14:03:01)
Isshepositive?Mythirdpatienttodayhadtwinboyssufferingfromautism,onewasreportedseverethantheother.XXXactuallydidmostofthesession.Igotchancetoseehowsheexploredthelifeoftheseboysandthepatientherselflittlebylittlebyaskingquestionsandreflectingwhatshesaid.It’sagoodcounselinglessonforme.LateronwhenXXXandItalkedaboutthepatient,IsaidIthoughtthepatientwasverypositive.Seemedtomeshedealtwithherboysverywell,...[阅读全文]
(2011-07-27 13:55:57)
AmIdumbtofigureoutpatient’smood?AmIjudgmental?Intoday’sjournal,Iwilldiscusstwoissueslistedabove.IthappenedatleasttwicethatXXXandIhadoppositeinterpretationofpatient’smood.Fistpatientwastheonewesawon7-20-2011.ThepatientcameintodiscussCVS.ShedidsomeresearchandlearnedalotofinformationaboutCVS,someareright,somearewrong.Whenwestartedtotalk,Ifeltshewasconfusedwithwhatshe’slearned.LaterXXXcommentedtha...[阅读全文]
(2011-07-27 13:49:10)
Whocontrolsthesession?IthoughtIhadasimplecasetodaysincethepatientisanurse.However,Ilearnedtwolesionsformthiscase.1)Don’tletassumptionscontrolyou;2)don’tletpatientcontrolthesession,especiallywhiletakingpedigree.Becausethepatientisanurse,soshetalkedalotwhenItookpedigree,includingeverylittledetail.Ididn’tstopherbecauseIfeltrudeorlessconcernforapatientifIinterrupted.SoasXXXcommented,shecontrolledme...[阅读全文]
