Taking It on the Road
Although WebMD Health Experts are not obligated to post every day, it sort of becomes addicting, even when on vacation.
Over the last eight or so years, I have posted responses from cruise ships in Mexico and Alaska, the District of Columbia, Maryland, Maine, West Virginia, Pennsylvania, Oregon, Idaho, Washington, Nevada (Vegas!), Canada, England, Scotland, Wales, and Ireland, just to name a few places.
When I list all of these places, it appears that I am some kind of world traveler. I attend a lot of medical meetings, and I do like to travel. After 9/11, I don't travel quite as often. I can't remember a time that I didn't take along the laptop.
I have used wireless networks in restaurants, hotel lobbies, conference facilities, and some of the oddest Internet cafes you can imagine. I have sat next to some dubious characters (probably setting up those infamous Internet scams), and waited my turn at the library when my satellite service fails, which is quite often (I won't mention the name, but it rhymes with Mirth Link.). I have even posted from my car outside of a hot link that I found.
I post quite often from my clinic desk (see photograph), between patients, when there are "no-shows," after my 12-hour shift, and of course, while eating lunch over the keyboard. If there ever was a global famine, I could live for several days on the crumbs that I could shake out of my keyboard.
Mostly, I post from my rural home nestled in the Sierra Foothills between Sacramento and Lake Tahoe. My window looks out on the snow-capped mountains, lots of beautiful Japanese maples that I planted, and my neighbor's shack. He inherited the property from his grandmother and "improved" it by building an outhouse-like shack, where he spends the weekends, perhaps writing his manifesto. I like to keep an eye on him. We call him "Ted" and his shack, "Ted's shed." He likes to burn stuff; not a good pastime when you live in a high fire risk area.
When my home network is functioning, I can post from my vegetable garden, from the garage, or sitting out in the grass alternating between typing and dog-petting. I won't show you a picture of my home office, but I can describe it to you...
I enlarged my desk with a huge sheet of oak plywood (finished nicely, of course) so that it will hold the stacks of papers, bills, and stuff that I should throw away. My computer is about six years old. I would like to replace it, but my Internet connection is so unreliable that I would be like having a Ferrari just to drive around the yard. My laptop is newer, but not by much. As long as they work, I am fine with them.
I have three printers (I like to take digital photographs), a copy machine, two scanners, a paper shredder, and a television. I threw my fax machine away, since it wore out one day when a real estate office accidentally printed my fax number on their business cards. I had just added a whole ream of paper, too.
Behind my desk, you will find three bookshelves filled with my reference materials, two file cabinets, and a big, glass case that holds my lifelong collection of antique medicines, including my award-winning collection of antique laxatives. All of these (and more) will soon be on permanent loan to the new Gold County Medical Museum when it opens in the fall.
The floor (carpeted, I think) is my desk extension and axillary file. There are several piles of neatly stacked papers that do not fit anywhere else. In a cleared space by my desk, you will find my dog, Herman. He has been my constant companion since his birth in our bedroom seven years ago next month. Herman's mother, Maggie, is downstairs looking out of the window, hoping to see our seasonal coyote attempting to get another one of our cats.
I don't know what I am going to do without Herman. He was in a terrible accident about a month ago, and is slowly dying from his injuries. I was told on Friday that he needs to be euthanized; he will not recover from his wounds. We have done everything we can to try and fix the damage, but there is about a 99% chance that I will have to make that painful decision soon. While I know it will be the kind and compassionate thing to do for him, I have to come to terms about it myself.
This is why I am posting on the Ear Disorders Board and writing this Blog at 3 AM. I can't sleep and there is a sad rain outside. It even got my face wet...
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8 Comments:
I'm sorry about your Herman! I will pray for you and your family as you go through this journey.
Meanwhile I LOVE your blogs, they're entertaining and it's neat to see things from the doc's perspective.
I'm so sorry about Herman. You and he will be in our family's prayers. Losing a beloved pet is so difficult, and even more difficult when you have such a heart-wrenching decision in front of yo.
Hi Dr. Moser. I am also sorry about your dog Herman. I've been there, in similar circumstances, and it is a tough, tough situation.
Dr. Moser I apologize if this is an intrusion, but I am new at WebMD. I tried to post a question on your board, but I had trouble registering. (I am probably doing it wrong.)
I am in distress for one of my children.
I am hoping you might assist in suggestions - not diagnosis.
Thomas is 16 yrs. old and otherwise healthy as far as I know.
(6ft, 150 lbs., bright and athletic. A nice kid.) Thomas had the flu in January. Then he had something else mid-February with tinnitus, fever, ears popping, eyes runny, sinus pressure,
joints achy, etc.
In March he flew to Italy from Canada on a school-based tour, back March 21.
Easter Monday, April 9th:
Sudden onset of constant dizziness (he has to walk along walls or hold on to a shoulder for balance), intermitent vertigo independent of movement lasting from a minute to an hour at a time, moderate steady pain in both ears, tinnitus in both ears (buzzing), no discharge or redness evident. Eyes: prescription checked - unchanged. Vision somewhat blurred farther, not nearer. Slight double vision farther. Can read. Hurts to read. Letters have a weird 3D effect.
Headache began on third day: constant, in front. Not throbbing. Pain moderate. A migraine sufferer.
THis is not the same. No throbbing. No aura.
So. Emergency room CT scan results Friday morning - ok.
MRI results Wednesday 18th of April - ok. Evoked potentials for ears and eyes Friday April 20th - ok. Waiting for results of blood and CSF taken Friday, too.
NO ENT brought in yet and it is now heading into the 25th of April. Waiting for ENG to be ordered. No other tests done to date.
No antibiotics tried, no antivirals tried. Any thoughts would be most welcome. Son growing weary now with lumbar puncture headache on top of other headache, tinnitus, ear pain. He finds he gets a bad reaction to elevator rides and also to sudden loud noise (weird 'flinch' feeling in ears.) What do you think? Hoping to hear, and I thank you in advance for any thoughts you might share,
Diane
Hi Diane,
I'm sorry you had difficulty registering. Dr. Moser really can't answer you here in the comments, so I have a couple of suggestions for you.
First, with regard to registration for the site -- try going through registration again, making sure that your password is at least 8 characters in length with one number somewhere in it. Usually that is the biggest barrier to registration. If you still have difficulty please feel free to send an email to this address and we will be happy to work with you toward troubleshooting the process.
You are also most welcome to use our symptom checker and medical reference resources as a starting point -- try a search on the terms "ear pain" or "vertigo" as a starting point.
Thank you for your understanding.
I'm sorry to hear about Herman. That is the most difficult decision I think. I will definatly be thinking about you and your family!
I'm so sorry about the decision you'll have to make with Herman. We had to put my childhood dog to sleep several months ago and as hard as that was, when we buried her it almost looked as if she had a smile on her face and I knew we had made the right decision. My thoughts are with you and Herman.
Thank you everyone. Herman is still lying behind me. I am still struggling with the euthanasia decision and appreciate your kind comments very, very much. I am trying a new approach to his wound management. I will keep you posted..
I will post another Blog soon. Sadly, Herman will need to be euthanized today. His wounds were just too extensive for his little body to heal.
I know this is the compassionate thing to do for him...but it still sucks. I was able to get another month of his love and companionship...I would have liked more.
I am truly touched by all of your kind words....you helped heal ME this time.
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