Leopold’s Maneuvers

In two years of interacting with pregnant women on a near daily basis, I never once touched a pregnant belly.  Pregnant women are rather protective of their bellies and I never wanted to be one more person trying to touch their “little peanut,” while their little peanut was still in utero.  That all changed yesterday, when my big sib, M, who is 31 weeks pregnant, walked me through Leopold’s maneuvers using her own belly as a classroom.

“Leopold’s maneuvers” are really a fancy way of saying “techniques for palpating a baby to figure out how it’s oriented inside of mom.”  M started by placing my hands on either side of her baby, showing me how to push in with one hand so that I could better palpate with the other hand.  I’ve placed my hands on people before and in general I know that I don’t have to be as gentle as I think, but as I very intentionally placed my hands around M’s baby, I felt the sudden need to be very delicate.  ”Don’t be afraid to dig in there,” M said, as she demonstrated just how much pressure I should be applying.  After pushing her baby back and forth between my hands a few times, the way you would idly pass a beanbag from one hand to another, I determined that the back was on M’s right side.  She confirmed and then had me feel around her fundus, where I was able to feel the baby’s bottom.  Finding the head was harder – I found a shoulder instead and M showed me where she thought the head was, saying that it might be hard to feel as she suspected her baby was face up.  Then M let me play with her fetoscope so that I could listen to her baby’s heartbeat, a sound so different than when you auscultate with a doppler.  This whole time her baby was very quiet – no kicks or flutters from within, but as we were finishing up, M’s face lit up and she pointed and exclaimed, “Now here’s a foot!”

She lifted her fingers and I put mine in their place, feeling, very distinctly, the outline of a tiny foot.  I’d been trying to play it cool this whole time, but when I felt that little foot pressing against my hand, just a few layers of skin and muscle separating us, I couldn’t help but to let my awe show.  For a moment I couldn’t believe my luck, that I would get to do this every day for the rest of my career, that I would literally be allowed to hold a new life between my hands and then help bring it into the world.  Kneeling on the floor next to the couch where M lay, my hand still touching that 31 week old foot, I felt humbled by how amazingly privileged I am to share in this intimate moment, experienced daily, hourly, with each breath, by mother and child.  I know that at some point Leopold’s maneuvers will become routine, one of those things I will do half asleep after a night on-call, but I can’t imagine losing my sense of wonder, can’t imagine waking up every day not absolutely in love with my work.

Posted in Birth, Highlights, School | Tagged , , , | 2 Comments

Spring Break

After nearly a month back, I’ve finally posted entries from my retreat at Blue Cliff Monastery in Pine Bush, NY.  Check them out here.  On the photos page (under USA, 2012), you can see pix from both my trip to SF and Blue Cliff.  Enjoy!

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Spring

Spring is officially here in New Haven.  Not that we had much of a winter, but things have definitely changed.  The sakura and magnolias are in full bloom and I finally figured out what a daffodil is…because they’re EVERYWHERE.  Instead of saying “popping up like daisies,” we should say “popping up like daffodils.”  The temp has been a solid 50-something degrees (with some random rain here and there), I’m sportin’ some tan lines, switched over to my summer make up and Maki introduced me to Froyo World.  It’s actually been rather pleasant to walk to school in the mornings.

To be honest, it’s not just the nice weather and pretty flowers that makes walking to school pleasant.  It’s also the getting out of my house and away from the porch construction.  They began the first day of spring and are almost done now, but that first week was rough – the workers hung out and gabbed to one another outside my window starting at 7am, and the jackhammering started promptly at 7:30.  I was awake before then anyway during the week, but I have to admit I lost it a little when it happened on Saturday.  The noise was constant and it was particularly special when the entire house started vibrating.  At some point, they boarded up our front door in order to tear down the porch.  Along with the porch, they tore down our mailbox and even though the workers set the mailbox off to the side, the postman still couldn’t get into it.  After about a week and a half of trying to track down my mail (calling the landlord, calling USPS, calling our local post office only to have them let the phone ring.  And ring.  And ring), the postman gave up and started leaving it in a bundle by what was left of the mailbox.  We now have access to our front door and the mailbox has been put back up, but I still don’t think we can use either one.

At first I thought it might be tinnitus, but then I realized that I really was hearing jackhammering everywhere even when I was out and about.  It occurred to me that spring must be construction season in places where it snows, since they probably can’t get any work done in the winter.  It’s a nice metaphor – breaking ground, tearing down the old and rebuilding the new.  I just wish they’d carry out the metaphor a little more quietly.

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Lighthouse Point Park

Lighthouse Point Park

Clay and I went to Lighthouse Point Park in New Haven this weekend. It was the first time I’d been to the ocean on the East Coast and it’s always a little strange to me to walk along a beach and not be able to identify the shells, not know anything about the currents and why the water is cold. It’s these little, subtle things that give the Sound a distinctly “other,” New England feel.

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San Francisco Bay Area

I left my heart in San Francisco/High on a hill, it calls to me.

Three weeks ago, I bought a plane ticket to San Francisco.  It was a spontaneous, spur of the moment trip – E and I had been talking (after a long time of not talking) and the end result was that on Monday, I hopped on a plane and headed home for a few days.  It was a short visit and I spent half of it being travel-crazy (I don’t know if I’ve always been semi-nuts when I travel, but within the last few years, I’ve noticed that my vata goes way out of whack for the first few days of a trip.  I feel like it was worse than normal this time – E called me out for obsessively repeating myself and jumping from unrelated topic to unrelated topic.  I was aware that I was doing this, but I just couldn’t stop myself.  Of course, this could have been the coffee I had on Tuesday and Wednesday.  It took me until Thursday to finally mellow out).  But, despite the vata derangement and the short stay, I found myself more joyful than I am in Connecticut.  It’s not that I’m unhappy at school – I like the program and I would choose it again.  I think my classmates are intelligent and awesome and I have found good friends.  While the novelty of New Haven is starting to wear off, I still find myself inspired by the beauty of New England in general (I mean, does anyone ever really get tired of Yale’s gothic architecture, colonial-style houses or the picturesque countryside?).

But, it’s just not the same.  Something inside me comes alive when I’m in California, and even more so when I’m in San Francisco.  I feel like everything is easier, not just because of familiarity, but because of some magical quality that I share with that particular place in the world.  My intuition is better, my insight clearer.  Things seem to fall into place more easily and every moment feels synchronous.  At the risk of sounding melodramatic, I feel on the verge of tears every time I fly into the Bay Area.  To me, there’s nothing more lovely than seeing the Bay from the sky.  This trip, I came in at night and even in the darkness, I was able to pick out the Dumbarton Bridge, then the San Mateo, the string of lights connecting them I knew was 101.  And then there was the still blackness of the Bay herself, who, with enough imagination, looks like a mermaid perched on the bow of a ship.  I never get tired of looking at maps of the Bay Area, the same way I never get tired of looking at ocean exhibits and aquariums.  I love finding the familiar landmarks, and tracing my finger over well-known routes.  When I see them in real time, the way I do from the sky, my breath catches, my heart fills, and I am Home.

I had a moment in the car as E and I returned from hiking around Mt. Tam.  The weather was perfect, the hike had been gorgeous and I was about to lose my shit.

“This is so infuriating!” I exclaimed.  E asked me to explain and I responded by recounting our weekend together.  We went to Outerlands for lunch on Wednesday and then walked back through Golden Gate Park, stopping at the Columbarium on our way home.  We rested a bit and then had dinner with friends at Nojo.  On Thursday, we got lunch in Stinson Beach and spent a glorious day in nature at the beach and on Mt. Tam.  Later that evening, we planned to get dinner with some other friends at State Bird Provisions, a new restaurant that E’s friend recently opened.  ”It’s just, this is what we always do!  We eat delicious food, we do something vaguely cultural in the City, we go for long walks in nature and hang out with our friends every weekend.” I complained.

“And…?” E prompted, somewhere between bemused and nervous.

“And it’s fucking amazing!” I fumed.

I sometimes wonder if I would feel this way about the Bay Area if it weren’t for the people who live there.  That same full-to-bursting sensation I feel when flying over the Bay is present in the tenderness I feel when I hear my parents’ voices calling out a hello from up the stairs as I walk through their front door, the quiet pause as I take in Lindsay’s new hair or look, the pressure of E’s lips on my forehead as he leaves for work in the morning.  I know that I am spoiled to have most of my family, my best friend and my… “whatever-he-is” (i.e. E) all in the same place.  Not to mention the majority of my dearest friends and Teachers.  (I keep waiting for conservative legislation to force Kat and Juan out of Arizona, but at this point, I may have to resort to kidnapping.)  I have noticed that it has become harder and harder for me to leave the Bay, and more and more poignant for me to come Home.  Sometimes I think it’s a function of getting older, a desire to settle down.  Truthfully though, I think it’s more a transference, an overflow, of the fondness I feel for the people living in the Bay.  The more connections I make, the deeper my love for them, the more abundant my affection becomes.

Note: For a few minutes while writing this, a kid was throwing a tantrum in my parking lot, crying that she wanted to go home.  So much for a lack of synchronicity in New Haven.  

Posted in Bay Area, Highlights, Scribblings | Tagged , | 3 Comments

Swimming

I have bunions.  I don’t even like saying it because a) bunions seem like an old lady thing and b) “bunion” is not a nice-sounding word (which is strange, because I have no problem with the word “onion”).  It turns out that I’ve always had bunions – which are bony growths on the lateral and medial edges of the foot, usually located at the proximal joint of the big and little toes – I just never knew that that’s what they were.  Most people only get them on their big toes, but I’ve had them on both sides of my feet (of both feet!) for as long as I can remember.  The only reason I’ve started caring about them recently is because they’ve started hurting.

It started about a year and a half ago in SF.  I was doing a lot of walking (at some point, I calculated my average on-foot mileage to be between 5-6 mi/day while living in the City) and wearing shitty shoes.  I assumed the pain I was feeling in my left big toe at the time was some sort of tendonitis, or other stress-related injury from marching up and down all those hills all the time.  Every now and then, this toe pain would be accompanied by extreme cramping in my arches during yoga, usually when I was trying to balance on one foot.  Sometimes the cramping sent pain all the way up the inside of my calf.  While worrisome, these aches and pains went away with rest and since I was unwilling to pay for a doctor’s visit with no health insurance, I never got it checked out.

When I moved to New Haven, the pain went away, which fit in with my “I walk too much” theory (average daily New Haven mileage?  About 2-3 mi/day).  Recently, however, the pain has returned.  I took a break from running on the treadmill and switched to the elliptical, to no avail.  I moved from the elliptical to the stationary bike, but that was just boring.  The final straw came while transitioning from hasta padangusthasana to vira III, when my foot cramped up so bad, I could no longer stand on it.  I recalled that I have health insurance now, made an appointment to see the NP, stopped going to the gym and started hitting the pool instead.

I used to really like swimming, but there are quite a few humps to get over:

1) Start up costs.  I think most people own “gym” clothes.  By gym clothes, I mean old T-shirts and sweats.  Swimsuit and goggles on the other hand?  Thanks to living in SF for the last three years, I wasn’t even sure I owned a bikini, let alone a one piece.

2) Time.  Going to the gym took me a grand total of an hour and fifteen minutes.  This included walking to and from the gym, a 30 minute workout, 10 minutes of stretching and a shower once I got home. Going to the pool takes me a full two hours and involves walking to and from the gym, renting a locker, changing into and out of my suit (which for some reason takes longer than changing into and out of gym clothes), showering (which for some reason takes longer at the gym than it does at home) and caring for my wet things (which for some reason always reminds me of dealing with a wet cat).

3) Schedule.  I like to go the gym immediately after class, which is around 3:30-4:00 pm.  The pool isn’t open then.  This means figuring out when it is open and when my schedule allows me to go.  I’m sure we can all relate to the phenomenon of the inversely proportional relationship between amount of time we have to think about going to the gym vs. the amount of time we actually spend at the gym.

4) Wearing a swimsuit.  I can run around in what is essentially my underwear at a beach, but donning a swimsuit and heading to the pool for a workout is super intimidating.  The first couple of times I went, I awkwardly tried to figure out how to get into the pool without actually removing my towel.  Now I’ve adopted a fake-it-till-I-make-it kind of attitude and pretend I have zero insecurities about my body as I try to resist the urge to run from the bench where I’ve left my towel to the lane.

5) Sharing a lane.  If anyone has any tips for making this a less painful experience, I’d love to hear them.  I’m no longer insecure about the speed at which I swim – that’s what the outer lane is for – but I’m still working on swimming in a straight line.  I know there are lines to use as markers on the bottom of the pool and the ceiling, not to mention a wall and a lane divider in the pool itself, but I inevitably end up drifting no matter how hard I try to stay on my side of the lane.  Freestyle is okay, but backstroke is completely out of the question if I’m sharing a lane.  Breaststroke is another good option, except that I end up kicking the wall or the person I’m sharing a lane with, or (as is more often the case), stopping in the middle of the pool to wait for the other person to pass.  Usually, I’m the weaker swimmer in the lane, but the other day I shared a lane with someone who didn’t know how to swim at all.  She spent most of her time cutting me off and stealing my kick board.

6) Actually swimming.  If I have bad form while running, I don’t notice it.  While swimming, on the other hand, I’m acutely aware of how poorly I’m doing it.  It just feels awkward and ungraceful.  Then there’s the whole breathing thing.  If you start to get out of breath while doing land-based activities, you can just breathe faster.  Not so with swimming.  With swimming, you have to wait to breathe.  It’s a small thing, but it creates a huge psychological barrier for me (i.e. the “OMG, I’m going to drown” barrier).

Despite these obstacles, I have managed to get to the pool twice/week over the last two weeks.  The pain in my feet has improved, but the bunions on my left foot are noticeably bigger.  The NP told me that my bunions are as a result of having freakishly flat feet (thanks Dad!) and a lack of supportive footwear (this is also apparently the most likely cause of my cramping arches).  I bought insoles, but replacing all my shoes with wider, more supportive shoes isn’t really an option right now, so I think I’ll continue to swim to reduce the amount of impact and pressure on my feet.  Each time I go to the pool, I’m reminded of when I learned to snowboard.  I was terrible at snowboarding.  It didn’t come naturally (still doesn’t) and I spent my first day either face-planting or getting the wind knocked out of me every fifth heartbeat.  But, as I hobbled back to my car, I realized I couldn’t wait to go again.  That’s how I feel about swimming – it’s hard, awkward and time-consuming, and I’m not particularly good at it, but I’m excited about doing it in a way that I never have been about running.  It makes me hopeful – hopeful that I’ll get stronger and improve, hopeful that my feet will heal, hopeful that this could be sustainable.

Posted in Fitness | Tagged , , | 2 Comments

Sons of Anarchy

I’m on Spring Break!  In the next few days, I hope to be posting a few things that I’ve been batting around in my head for a while.  I thought I’d start with something easy, although, it may only be funny to me (and M):

Via Text:

(March 2)
Me: I’m on episode 3 of sons of anarchy
M: omg. don’t you have a wet hot crush on Jax?
Me: yeah pretty much.

(March 4)
Me: So, I don’t want to keep bothering you while you’re on your vacay, but I plan to monopolize our conversation at dinner on wed with my processing re SOA
M: What’s SOA? School of the Americas?
Me: Lol. Sons of Anarchy
M: Oh yes. I do love that show.  By show I mean Hottie McHotterson.
Me: dear sweet jesus, why doesn’t jax just run around shirtless the whole show? Opie isn’t bad either.
M: Agree.
M: All I want to do is traffic guns and ride motorcycles
Me: We could form a naughty nurse motorcycle gang
M: And run pain killers
Me: omg, now that that seed is planted, I want to make it happen.  We need naughty nurse leather jackets.
M: Yeah, the only thing I’m not super on board with is the outfits.  Haha.
Me: Basic safety dictates that you have to wear a leather jacket while riding, but otherwise I will still let you wear dresses, tights and clogs.
M: Ahahahaha. So true. I also want helmets with music speakers and radio.  My motorcycle name is Mongoose.
Me: Hi.larious. I almost just choked on my gum.

Posted in Movies/TV | Tagged , , | 1 Comment