Just talked to my brother. He's a Palmer grad, class of October, 2009. It was Josh that talked me into coming to Palmer, over the course of two years. When he started I was still living in Florida. I was so proud to see him get through Palmer in 10 tri's, while having two kids. OK it was his wife that had the two kids, but I think he's changed a few diapers. She made it through in the same 10 tri's. They're super-human. Meanwhile, I started in July 0f '07 and won't finish until October of '12. Took two tri's off to make some money after my daughter was born. Lucky if I broke even; honestly, I'm sure I lost money. The bigger part of it was probably that I couldn't wrap my head around becoming a dad for the first time and still focus on school. The tri that she was born I failed almost all my classes. We're all wired differently I guess, and Josh, I would venture to say, is wired better than I am. I'm better looking, though. Well, not really, but I like to say it. Mom loves me more though, she told me herself. She made me promise not to tell Josh or my sister Jani.



Anyway, I'm immensely proud of my little brother. He's a great dad, great husband, great doctor, and he was even the drummer for a metal band for a while. Cool.



So anyway just talked to him. He wanted my advice on a couple of different used cars he's considering buying. I used to sell cars, and lots of them. Yeah, I'm the used car guy everybody dreads. "Come over this way, I just got in a real peach, and I'm sure it won't last a day at the price I've got on it. Got it for a steal and I'll pass the savings on to you. How's your credit?" Ah, the memories. Advice from a reformed car salesman. Never trust a car salesman.



It was nice to catch up with Josh. We don't talk enough. Asked him about how things were going in practice. They're going. He's working, along with his wife, in her dad's practice. They're self-employed, renting space from him. Business is growing, slow but sure. He's busy working on a diplomate in whiplash care, and also working on a certification in accident reconstruction. He's going the route that I'm interested in going, which is PI (personal injury) It's a lucrative and rewarding aspect of practice, if you can stomach working with attorneys all the time. His father-in-law does quite a bit of PI business, and is an expert witness in demand in the Peoria area. I would love to one day focus on helping people recover from an accident, having been in a couple myself. To not only help them on their road to physical recovery, but also help to make sure they are fairly treated by the insurance companies, now that's what I'm talking about. I used to work in the insurance business too. Worse than used cars.



I told him I'd like to shadow him in practice some day coming up. He politely told me I'd be better off with Doc (dad) as he's not seeing anywhere near as many patients as Doc is. I shadowed Doc for a while before deciding to come to Palmer. I was considering Physical Therapy as well. Doc said "Now why would you go to school all those years to not be a doctor?" Made sense to me. Shadowed some PT's for a while too, though, just to be sure. I learned that pretty much all PT's either work for a hospital or a large PT center; hardly any strike it out on their own. I asked them why and they said that the equipment costs a fortune, so it was only cost effective to be in large groups. Also, they're not portal of entry for patients, meaning pretty much all their patients are referred from other docs, who write a presciption for therapy. Since most hospitals have their own PT department, and most doctors are associated with a hospital, it would be difficult to make it if you started your own company. Well, I have no interest in working for a hospital, or for anyone for that matter. Also, I knew I wanted to be a primary care doctor. I want to diagnose. I want to be a doctor, not a technician. Now don't get me wrong, I have huge respect for PT's. They helped me immensely in recovering from my car accident, literally re-teaching me how to walk. Awesome work, what they do. It's just not the route I want to go. I'd rather be the guy writing the presciption for PT, determing the need for PT, than be the guy performing it. That's just me.



I'm really looking forward to being done with school. I love Palmer, love the classes, love the teachers. I feel it's the best school in the world to learn Chiropractic. But I can't wait to get out into the "real world" again. Josh tells me to enjoy Palmer, that he misses it. He says the stress of passing classes and board exams has nothing on the stress of going into business. I believe him, but I still can't wait. 5 more tri's including this one. I start seeing patients next tri. That's exciting! I've watched the class I started with graduate, last October, and the one I spent the most time with just a few weeks ago. And I'll watch four more tri's of students I've shared classes with along the way graduate too. Lot's of friends come through and pass me by, on my "slow track". I don't feel bad about it; I know it's what's best for my family. But sometimes it's hard to feel left behind. Oh well. I re-study all the classes I've taken. This tri I plan on sitting in on a few classes I've been through, just to get a firmer grasp of the material. I'm not taking a light load just to have a light load, I'm doing it to be a better dad, better husband, and someday, better doctor. My brother could do it in 10, and do it all well. But he's super-man. Funny, when we were little, he thought I was superman, being 5 years older than him. Lately, I have to remind myself that he's the younger one...Because I look younger...well, not really...

So last time I posted I talked about my back injury. I have to say that the more I learn about the body, the more empowered I feel regarding my own health. I have always been the typical guy in the regard that I figure if I ignore health problems, they'll go away. I was always mystified by the complexity of health, and figured that it was really out of my hands. While it is true that there are aspects of our health I feel are out of our control, there is a surprising amount we do have influence over. Let's take my back problem, as an example. I could simply mourn over my ailment, and hope for as little pain as possible, and avoid all the activities I love that I fear would make it worse. Or I could research ways to minimize the pain and damage that occur. There are a ton of things that I can do to have a healthier back. A lot of them are conventiona wisdom, but not things you would necessarilly relate to back pain.

Drink more water.

Sure, we all know to get at least 8 glasses of water a day, but do we really know why? Doctor's orders, right? Well, besides being the vehicle for which all nutrients get to all cells in your body, and being an integral aspect of waste management, getting toxins out of the body, it's also a shock absorber. It plays a crucial role in cushioning in our spine. Our intervertebral discs have a substance in them that makes them highly attractive to water, kind of like those dessicant pouches that come in new clothing to keep them dry, you know the ones that say DO NOT EAT all over them. This substance in the discs attract the water into them and hold it there, making the discs thicker and better shock absorbers. throughout the day the pressure on our discs squeezes the water out, and we actually get shorter due to this throughout the day. when we lay down and take the load off our discs, they imbibe the water back in, so we start each day with refreshed discs. Well if we're not getting enough water in our diet, this water that gets squeezed out might not be available to get attracted back into the discs. This could set us up for injury. Just another reason to get plenty of water.

Making sure your body's core muscles are strong is also vitally important. these muscles support the back, and safely move the spine through it's normal ranges of motion in all of our activities. But we have to careful what exercises we do. Before going to Palmer, I did all kinds of exercises that are horrible for the back, while thinking I was helping it. Sit-ups, for example.When we do a sit-up, we are putting tons of stress into our spine, and our discs, that our bodies were never designed to handle. It's one of the worst exercises you could ever do! Another I always did was the roman chair, while holding a 45 pound plate to my chest, throwing rotation at the lumbar spine in for good messure. I was asking for a blown disc! There's plenty of exercises that are safe for your back that are just as good at strengthening your core, but for some reason they're not the ones taught in health clubs...

Proper posture is paramount as well. You're Mom always said not to slouch. You always figured it was because it looked bad. Well it's also bad for your back. It forces the normal curve out of your low back, putting a lot more stress on the discs to carry the load. It accentuates the mid back curve, which subsequently makes it harder to breath deeply. Less oxygen for your tissues... It also causes your head to shift forward,placing tons of strain on your delicate neck spine and muscles. You can end up with headaches from this as well. This posture also tightens some muscles while weakening others. You end up with weak abdominal, low back, and butt muscles, and tight psoas muscles, which further comprimises your posture. Your chest muscles and neck muscles get tight, while your important upper back muscles get weak. You'll end up hunchbacked and shuffling by age 60!

I could go on and on and on...

The point I guess is...

We can empower ourselves to be healthier people. We can learn ways to make the most of the bodies we've been given. choosing a career in healthcare is an awesome decision. We are learning how to take care of ourselves, and our patients. We will be advocates for the health of the people we care for. this is profoundly important.

And back to my health problem, low back pain.

If, as a doctor, through my treatments, therapies, and advice, I accomplish nothing more than to relieve my patients' pain, I will consider myself a great success. Having lived with pain, and understanding how deeply it impacts a person's well-being and view of life, I would never dream of discounting the importance of this. I once heard a chiropractor, whom I greatly admire and respect, defensively proclaim "We're not pain doctors!" feeling, no doubt, that the larger impact that what we do has on the nervous system and subsequently general health, is much more important. It might be more important, but try telling that to someone dealing with pain. All they care about is the pain, and every thought revolves around finding a way out of it. If it's bad enough people will commit suicide over it. It may even persuade a man to go to the doctor! Pain is a serious thing, and a patient's pain should never be dismissed. I would gladly be a "pain doctor". Pain is what led me to Palmer, because chiropractic is the only treatment that addressed the cause of my pain, and resolved it. One chiropractic adjustment effectively ended pain that several days popping countless Vicadin , Ibuprofen, aspirin, (and a bottle of wine) didn't even put a dent in. If medicinal marijuana were available I would have tried that too! Acupuncture, hypnosis, sensory deprivation tank, sign me up! I would have tried anything to get out of that pain. But it was a Chiropractor who confidently delivered a precise and coordinated manual thrust into my low back and Voila! Eureka! effective? Heck yeah. Life-changing, in fact. Now, as an added benefit, chiropractic may also be keeping my blood pressure in check, and preventing some cancer from taking hold in my body, thanks to an efficiently functioning nervous system, but if it does I'll never know, right? What I do know is that with a good chiropactic adjustment, the horrible pain I was in goes away, and I'm able to enjoy my life rather than avoid my life. Isn't this noble enough? If, as a chiropractor, I could be known for anything in the community, it would be that I can help you get out of pain. In helping people with their pain, I'll be helping them with their health. I might prevent cancer, lower blood pressure, or restore vision to a blind man. Or I might not. In most cases, I feel there's no way of really knowing all the positive effects I might have on someone's health, and I don't feel the need to take credit for it, and I certainly won't advertise that I can perform these miracles. But if that person say's to me "I feel better doc, thanks!" I will consider that the greatest success, and worth all the time and effort I'm putting into this education. I can't wait to hear those words. My brother, on a Palmer mission trip to Vietnam, had an elderly lady, whom he just treated, say to him "You have God in your hands." He'll never forget that awesome compliment. I pray I hear similar praise someday from my patients!

Well its been a while I know. This tri has been a stressful one for me lately. I think it has more to do with everything I'm juggling in my life than the actual classes. Late last year I had a series of MRI's performed on my low back, as I have had recurring episodes of severe, disabling pain. They've been happening since 2003, but lately it's gotten a lot worse, well, a lot more frequent, and with less obvious causes. So I had my younger brother, who is a Palmer grad practicing in my home town of Peoria, IL, do a physical exam on me and he agreed that I needed special imaging. I learned in my NMS class that the symptoms I had suggested a space occuping lesion, or SOL, aggravating and sometimes compressing one or more nerve roots affecting my left leg. What especially concerned me was that I have a positive Valsalva, where if you cough, sneeZe, or bear down, it causes an increase in the symptoms. Well I sneezed one day while pumping gas, and my legs literally gave out from under me. This is a "red flag" deserving of MRI, because it suggests compression of the cord itself, when the symptoms are bilateral, as they were. Cord compression in the lumbar region is known as Cauda Equina Syndrome. This is a serious neurological condition that can result in loss of bowel and bladder function, which can be life threatening. Another possible result is loss of motor function to the legs, obviously something that I don't want to happen! Well the MRI confirmed our fears. I actually have four herniated discs, at L1, L2, L3, and L4. The first three are posterolateral protrusions that are encroaching into the intervertebral foramen, or IVF, lateral to the nerve root. This is actually the type of herniated disc that responds best to Chiropractic care, sometimes even immediately. This corresponds to my previous chiropractic care results, where sometimes I would come in to the Doctor in a wheelchair, and able to walk out after the appointment. I love it when that happens, but it doesn't always, unfortunately. Well the L4 disc has herniated straight posterior, meaning it is actually hitting the spinal cord. In that region the cord has already broken up into individual nerve roots, and is no longer a single cord. In dissection it looks alot like a horse's tail, hence Cauda Equina, latin for "horse's tail". With posterior protrusions care is a lot less successful, and in my case this seems to hold true. At this point, it seems that when these discs are fired up, all of my back muscles in that region, called paraspinal muscles in general, are spasming. It takes a lot of therapy to relieve the spasming, like triggerpoint therapy or an aspect of Sacral Occipital Technique, or S.O.T., called blocking, where you're placed laying with your pelvis on wedges, placed depending on the symptoms, to release the spasms. Supposedly it also restores Cerebrospinal fluid flow from the Occiput down to the Sacrum, but this is a little understood theory with far-reaching claims but little scientific data to support it. Not saying it's not true, more that science hasn't caught up with the claim. We're really just scratching the surface of our understanding of this amazing structure, the human body. I love it! Anyway back to my disc problem. Nothing can be done to reverse the damage to these discs, especially L4. So my care at this point is therapeutic at best. We've determined that a surgery, called a discectomy, will be at some point necessary. I'm debating when would be best to do this. Do I elect to do it, before absolutely needed? Or do I wait to see how long I can go before that's the case? At this point I'm leaning towards the latter, as I hate the idea of going into surgery right now in my life. But if the episodes, which render me pretty much paralyzed for up to two weeks, continue to be more and more frequent, it will really strain my ability to get through the program here at Palmer. So I guess I'm playing it by ear at this point. Well gotta go for now, time for P.T. class!

So despite Kristi and I having technique practicals and tests this week, we decided that we really needed to get away over the last weekend. We decided to go to Galena, IL, about an hour and a half up the mississippi. If you've never been to the Driftless Area of Northwest Illinois, Northeast Iowa, Southwest Wisconsin, and Southeast Minnesota, you really need to go. It is a beautiful area. It's called the driftless area because during the last ice age, when glaciers scraped and leveled all the northern area of the states, they somehow missed this area completely. So instead of the typical flatlands or rolling plains of the Midwest, there's a rugged topography with steep hills several hundred feet in height, rocky outcroppings of limestone, and deeply carved river valleys with a canyon effect. It's not anything you'de expect in the midwest. Galena is a historic town that was untouched by the modern developements of the post-war era, due to it's local depression of economy during that time. It's height of prosperity was the mid-1800's, and the architecture reflects that. Awesome Victorian, Romanensque, Greek Revival, Federal, and Vernacular architectural styles predominate the town, with 85% of the town listed on the National Historic Register. The Main St. area, where we stayed, has over 200 storefronts, all built in brick, 3 to 5 stories in height. The buildings create one continuous brick wall on each side of Main for about a mile. I've never been in a town quite like it. When I first visited there about 15 years ago, I fell in love with it, and I've been going back regularly ever since. This time we took our friends, Paul and Sharron. We've been friends with Paul for years, Kristi has known him for about twenty years. They're newlyweds, Paul married Sharron last January. Sharron is a perfect match for Paul. We don't get to hang out as much as we used to , as they used to live right across the street, but in the summer they moved further away, still in town, but before we'de see them about every day, and now we have to make plans to get together. With all of our busy schedules, it's been difficult to make plans. I'de say we see them about once a month now. This last weekend was great, as we really got to spend a lot of time with them, and we really got to know Sharron a lot better. It was a realxing weekend, mostly casually walking up and down Main, looking in the shops, and eating great food. We shared a two bedroom suite with a big living room , and we stayed up late watching movies on the flatscreen TV. We don't have cable, and neither do they, as life is usually too busy to watch TV anyway, so it was a treat for all of us! We're already talking about going back!



So back to reality this morning. Had a practical in thoracolumbar monday morning. I nearly did perfect, except I answered a question regarding one of my set-ups wrong. they ask you things like what's your DS, SCP, SP, CP, SSP, SP, STAB, PP, etc. They stand for things like patient placement, doctor stance, segmental contact point, segmental stabilization point, and so on. Well the teacher asked me SP and gave him the SSP on accident. Oh well, just one point missed out of 25, and a simple mistake. Not a big deal I guess.

Wednesday afternoon I had my first written exam in PT. It went OK, but I did struggle with keeping straight the different voltages and frequencies for different therapies. I'll need to review it more, obviously, before I start hooking electrodes up to people!

Thanksgiving today, as I'm finishing up this blog that I started monday morning... So happy Thanksgiving everone! Heading over to Kristi's cousin's house for dinner #1, then leaving from there to my Dad's house for dinner #2... I'm going to be stuffed by the end of the day! Well gotta go, have to load the van up.

This will be a first... blog entries two days in a row.

So this morning I didn't have to come in to Palmer til 10:15. Wednesday and Friday I don't have my morning class, Rad III. It's nice to have a slow morning. Not that I could possibly sleep in with such a busy house in the morning. Delaney is usually the first one up in the morning. She's so cute about it when she wakes up on her own. She shyly peaks her head out her bedroom door and quitely says over and over again "I up" or "I wakey wake" waiting for approval to leave her room. Then when she finally hears us respond to her, it's as if she's gotten the green light to charge out of her room and run up to our bed with a big smile on her face. This is on a good morning, and it sets the mood for the day. This morning, however...

Well lets just say she's like her mother. If she's not gotten enough slee, everbody pays. If we have to wake her, it's usually because she stayed up to late, which last night was certainly the case. On mornings like this she's a bear. Everything's an argument. What clothes she's going to wear. Wether or not she wears a ponytail. She wants to do everything herself. "My pony!!!" she yeslls when you try to do her hair. She can't do it herself yet; she just rubs the pony tail holder back and forth over her head. Then she gets frustrated and wants help. Then she changes her mind when you're only half done. Repeat with brushing teeth, and putting on shoes. And getting her buckled into the carseat... Makes you feel like you've had a full day's work, and it's only 7am. It's a good thing she's so darn cute, but I think she knows it, and that's not good. There's nothing like having a toddler to make you question everything that comes out of your own mouth, every action you take. She's a sponge, and everything counts right now. What seems like a great idea one day comes back to bite you the next.

For example...

Because of her independence, getting her to do something can be a challenge. She might not want to eat at dinner time, or go to bed at bedtime, and so on. But we've also noticed that she doesn't ever want to miss anything. So for a while when she was saying "I don't want to" I'de respond, "That's OK, I'll do it" like at dinner I'de say "Well I'll eat it then." She'd then change her tune and say "I eat it" or at bedtime "I go to bed" Well it worked fine for a while, then instead of "I eat it" or I go to bed" in a pleasant demeanor, she'd start screaming "No! My food! or No! My bed!" in a defensive, selfish tone. So all that time I was using reverse psychology on her I was basically feeding her innate toddler selfishness, creating a monster! I'm constantly amazed and humbled at the responsibility of parenthood. I try to not be too hard on myself, and remind myself that I'm learning as I go, but at the same time these are her developmental years, and I want to make the most of them. I certainly don't want to blow it. There's no choice in this, no option to procrastinate. It's game time, all the time, and every day, every moment counts.

Kind of like attending Palmer...

In that I mean that you get what you put in. Some students can sort of coast through, putting in the bare moticum of effort, and pass everything. But I question how much they're really preparing themselves to be accountable for their patients health. We're preparing to take care of people here. To be their trusted doctors. We're going to be a lot of these people's only, or at least primary, healthcare provider. If we were dozing off or not even present in class the day that some random insideous disease or disorder was discussed, we might totally miss it. Don't we owe it to our patients to be the expert they assume us to be?

It's easy to get in the mindset of memorizing new material to do well on a test, to pass a test, to pass a class, to move on to the next one. Then you do a brain-dump of most the material you just went over to make room for the new stuff. I don't want to do this, and I get mad when I realize that it's happened. Fro example, Kristi is about a tri or two behind me, and is taking classes that I took last tri or the tri before. As she's studying she'll ask me for clarification on something. When I don't remember the answer, or worse yet, don't remember even the topic, it worries me. Last tri one of my teachers put it very sucinctly when she said, "When you get out in practice, every day, every patient, is a test. And it's not multiple choice. They don't sit on your table and say "Patient presents with throbbing pain over left side of face and over the top of the head, gets worse with rest. Do you suspect (A)cervicogenic headache (B)migraine or (C)stroke?" And meanwhile, I'm thinking, do I adjust, do I even examine, or do I call an ambulance? Once we're out of here, there's no A,B, or C. We'll be the experts, and we'll be responsible to do right for our patients. Period.

So basically I'm in no hurry to get through the classes. I'm trying to retain all that I can, and make the most sense of everything.

Speaking of which it's time to go to class, got P.T.

SO now we're a couple weeks into the tri, I can let you all know what I think of the classes I'm in now. I'm taking 4 DC classes and 3 BS classes this tri, with a total of 30 hours.



First thing in the morning, 3 days a week, MTH, for two hours I'm in Radiology III. This Rad class is all about the Physics of x-ray. How it works, radioactivity exposure, etc. I find it very interesting. A lot of people in the class don't care for it, probably because it's physics stuff, and it's first thing in the morning. I've always been fascinated with how things work though, so it's right up my alley. Dr. Rowell is nice and funny, and he makes the class very interactive. Later in the tri we get to start taking x-rays, just of models, but I'm looking forward to that.



After Rad I have an hour break, which I'm utilizing right now to blog...



Then my favorite class this tri, Thoracolumbar adjusting with Dr. Bovee. This class is awesome! Dr. Bovee is making this class so much fun. He's as much of an authority on Palmer Gonstead adjusting as you'll find. I think he's taken more post-grad adjusting seminars in Gonstead Methods than anyone in the world. He teaches the listings on a conceptual level, so we get to rationalize and think through the listings and set-ups, rather than memorize things like doctor stance, contact point, etc. You still need to memorize these things, of course, but the way he teaches the material, every listing we get, we think through the "why" and build the set-up. I learn a lot better this way. I'm not big on rote memorization. If I understand why I'm doing something, I'll for sure remember how to do it. Dr. Bovee is such a personality too. He looks like Bob Ross, right down to the poofy hair and goatee. He usually wears untucked Hawaian print shirts. He's very laid back. Always cracking jokes. Totally my style.



NMS II with Dr. Brozovich is about the neurologic and orthopedic tests of the lower extremity, building on the knowledge learned in NMS I last tri. Dr. Brozovich is full of stories about practice life, and being an expert witness in court. Lot of legal stuff in this class so far, like what you could get sued for if you fail to perform. It's insightful to see this aspect of the realities of being in practice.



Then another hour break...



Then on MWF I have PT II, again with Dr. Rowell. This is the passive therapies portion of physiotherapy, last tri was active therapies ( exercises and stretches). Passive therapy is things like hot and cold, electrotherapy, ultrasound, cold laser, stim... There's a lab with this class, and last week we had to experience the four stages of an ice water bath. I had to stick my hand in a bucket of ice with just enough water to fill it up, but it's all ice! 15 minutes through cold, burning, aching, then numbness! Ahhhhhhhh!!!!! Those polar bear club members are insane. That's all I'm saying. Certifiable.

Signing out for now, time to go to class...

So I had lab in PT again today. Today we hooked up electrical stim on each other, learnng the different voltages and frequencies to use for different reasons and body areas. Dangerous. Fun.

Kinesiology, a bachelor's class, Monday nights with Dr. Pavlicek. He heads the rehab department and has a background and keen interest in sports. This should be a great class, and I guess about 70 other students thought so too. The typical B.S. class has about 15 to 20 students. I've never seen more than that, so 70 was a shock. Dr. Pavlicek is a great guy. He's about 12 feet tall and 500 pounds. OK I exagerate. But he's a big boy. First name Ranier. Like the Mountain.

Wellness, a psychology B.S. class with Tara Kelley is on Tuesday nights. Our class project involves picking an aspect of our own life that needs improvement for the sake of wellness. I decided that spending more meaningful time with friends was something lacking in my life right now. Ever since starting Palmer, getting married and having a kid, while renovating the house, I've had no time to just hang out. Go figure. Well not anymore. Last Friday I had a good friend from Palmer come over for dinner. It was nice to hang out with him outside of school for a change. This weekend Kristi and I are going to Galena, IL with friends. We reserved a two bedroom suite in a little inn right on Main St., so we can be next to all the stuff to see, do, and eat. I'm really looking forward to this, as our entire break I spent working on the house, and I still am every free moment I get. I really need a break! Galena is my favorite place to get away to. I've been going there fairly regularly for about15 years now. It's been a couple years now since we've spent the night there. We've visited quite a bit more often, passing through, but it's high time we spent a weekend there again!

Oh yah classes.

Finally there's Small Business Management with Karrie Holland. I took a marketing class from her last tri and really enjoyed it. She has an MBA and owns 3 or 4 locations of Cartridge World here in the QC. It's nice to have a business teacher that's in business, and can bring current and practical info to the class. Really looking forward to this class with her.

Once again a full plate and they call it "reduced schedule."

Winter tri is a long one for a couple reasons. For one it's the winter. Iowa winters are brutal, don't let anyone sugar-coat it. Daylight seems to last just a few hours. It's dark by 5. It's dark til 7. So on days I'm at school from 7:30 til 6:15, I'm in class from dark out to dark out. Not that I'd want to be outside when it's 10 degrees out. the other reason the winter tri is so long is that it's broken in two by a 2 week holiday break. Keep in mind that the fall break is two weeks long and the spring break is one week long. So when you get back from the holiday recess it feels like you should be starting a new tri, but really you're right in the middle of one. Usually you come back to tests waiting for you.

Sounds like I'm complaining, sorry. Don't take me wrong. Here in the midwest we like having cold dark winters, and we like to complain about them. It's like going to the gym. Feel the burn. It's good for you. No pain no gain. Makes you appreciate the other 3 seasons all the more. It's probably good for us in some Innate way, being a serious challenge to our survival instincts. Sympathetics kick in, endorphins circulate, pain decreases...ok it's too late to start talking neurophysiology.

Speaking of too late, it's now 10:10 and 10 minutes past my bedtime. Laney's been fighting going to sleep for the last 2 hours and I'm wiped out.

Been a while...

Well, what can I say, it's been a while. A little after my last post, we decided that we wanted to tackle some exterior projects on the house before winter sets in. Nothing major, just rip off the two layers of siding, old drafty windows and front door, then blow in insulation, wrap the house in more insulation, install new wood windows and cedar siding. We're going Craftsman on our house, with period details and materials. Also means a LOT of work. All the siding had to be primed front and back, and we pre-painted it before I hang it. Not quite done with the siding, hopefully this week... Was hoping to get it done over our 13 day break between tris. I literally put in 12 to 15 hour days every day of the break. Kristi and Dartagnan helped a lot, and my neighbor across the street and a friend have lent a hand when they could.



Our neighborhood is an awesome little enclave right by the river in downtown Bettendorf. The houses were all built between the turn of the century and 1950 for the most part. The lots are mostly 50 feet wide and the houses sit just 25 feet off the sidewalk. Its a walking, biking, running neighborhood. There's a great city park just a block from our house, and a little grade school and another park just 3 blocks in the other direction. We know all our neighbors, most of them well. It's the closest thing to a perfect little neighborhood you're likely to find. So anyway, every day I'm out there in the front yard, cutting and hanging siding, and attracting a lot of attention from the neighborhood. The friendly outside sales rep for K&K True Value, Dave, stops by about every day to check my progress. He gives me pointers and makes me feel like a pro at the same time. The mailman, also Dave, always stops and chats for a couple minutes. He even disclosed the home address of the hooligan who threw a rock through one of the old windows stacked up behind our garage in the alley. When he rolled by later on his little scooter I told him I knew where he lived, and by everything holy his mother would cry when she saw what I did to him... OK I didn't say that last part. But we did threaten police intervention. Probably scared the begeesus out of him. hehehe. Haven't seen him roll by on his little scooter since. We really love our neighborhood, and I'm sure we'll miss it sorely when e move after graduation. We talk about keeping the house, but honestly I don't think we'll be able to afford two household right out of school. It will be very hard to walk away from this house after all the hard work and love we've put into it.



Maybe that's why there's so many chiropractors in the Quad Cities. They all came to here to go to school, then met their spouse here, got involved with the community, or a church, whatever, and well, just never left. I don't think they all lived here already. Whatever the reason there are a ton of chiropractors here, and our business coach assures us that it would be a huge challenge opening a practice here. I tend to agree. Anyway I don't think either of us really want to stay here. We're always looking for the perfect place to move to after we're done here. It's always changing. When it's cold outside we start thinking South. When it's hot we think North... we talk about practicing with our friend in Australia, or going to New Zealand. We still have some time to figure it out I guess, but we both like having a plan, so it can be as stressful as it is exciting to think of all the possibilities...

So it's a new tri, seems like maybe that's how I started my last post... At the beginning of the tri it's easy to think you have all the time in the world. No tests looming, no grade yet. Starting fresh. But the tri hits you quick. Around thanksgiving, right before and right after, I have several tests. So there's not a whole lot of time to goof off, There's reading assignments to keep up with. For example in NMS II we have weekly quizzes, and this week's quiz is over 180 pages in the most dry neurological exam book you'll ever see. I've yet to pick it up without falling asleep. And it's fascinating stuff! We'll be performing these tests, analyzing the function of these nerves for the rest of our lives. But this darn book could make the most interesting subject boring. It's in it's millionth edition, and is THE text for the neurological exam, so there's no way Palmer wouldn't use it for reference. I just wish they'd mix it up a bit, maybe use, I don't know, pictures, perhaps. Seriously the thing looks like The Bible. OK so there are photos in it, all black and white though. They should use color. And people from this century. There's other books I just love though. Evans Orthopedic Exam is a great one. Mosby's Physical Exam. As an artist I love the Netter Atlas for Human Anatomy. Rather than photos of dissected cadavers there's wonderful painted illustrations of dissections. Nerves are yellow. Arteries are red, veins are blue, and lymphatics are green. Muscle bodies are bright red, and the tendons are bright white. Everything's neat. With photos of cadaver, it's like a pile of muck, all the same dingy gray tan color.
Studying with cadavers in person, on the other hand, is fascinating, and nothing, not the greatest text, could ever replace it. We're fortunate at Palmer to have an awesome cadaver lab. There are five classes in the curriculum that utilize cadaver studies: CNS, Gross Anatomy One and Two, and Spinal Anatomy One and Two. All of these classes are in the first year at Palmer. But as long as we're students we can use the open lab hours in the cadaver lab, and have access to most of the specimens to study on our own. It's truly a privilege to be able to study the human body in this way, and I marvel at the thoughtfulness of the individuals who donate their remains for the advancement of knowledge. Kristi and I want to do this... just not any time soon.

Well it's time for bed. I think if I post at night after I can't work on the house or tend to our children, maybe I'll get to it a little more often. Oh wait, that's when I study...

Until next time.