"Some calls it madness...I calls it HiDeeHo." - Cab Calloway
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Thursday, May 13, 2004


DOB: 02/25/97
CLINIC DATE: 05/13/04

Morgan presents to clinic today for a well child exam. Mom accompanies her to the exam room today and voices concerns about Morgan's gait, intoeing in particular, and Morgan agrees. Morgan also shows me a verruca plantaris on the left foot. No one else in the household has one.

Her appetite and activity level are normal. She lives with Mom and Mom's boyfriend. They are moving soon. She attends Clarendon Elementary School, first grade, and enjoys school. She is active in gymnastics and swimming. There are no safety issues in the household.

She is 4 feet 1 inch tall, weighs 50 pounds, blood pressure 90/62, pulse 98, respiratory rate 18 breaths per minute. She is an alert and interactive child in no acute distress. Vision and hearing are intact and normal. Tympanic membranes are within normal limits, without erythema or effusion. Funduscopic exam shows no abnormalities. Dentition is deciduous, and she is missing 2 teeth at the present time. Oropharynx has moist, pink mucous membranes and no lesions. Neck has no lymphadenopathy. Heart has regular rate and rhythm. The lungs sound clear. Abdomen is soft, nontender and nondistended, with no palpable masses or hepatosplenomegaly. Bowel sounds present x 4 quadrants. Musculoskeletal exam demonstrates bilateral pes planus and slight intoeing with gait, but otherwise strength and mobility seem intact. Deep tendon reflexes are 2+ in all joints tested. GU exam shows Tanner stage I female.

When asked to ambulate in the room, Morgan self-corrects her intoeing well and demonstrates minimal genu varum with slightly adducted left hip posture.

IMPRESSION: Healthy 7-year-old female.

PLAN: Return in 1 year or as needed. No immunizations are needed.

So. There you go. I'm pretty sure her note would go something like that.

Dr. Fehr, bless his heart, claims he has templates for the transcriptionists to use, but I heard him dictating in the hall and MAN oh MAN is he a motormouth. I can imagine the MT doing Morgan's note grumbling about this. I hope her note is good for at least 30 lines. Transcriptionist solidarity!

PS: New post at FMAS. I gave myself a stat check and am satisfied.

posted by Julie Neff  # 5/13/2004 09:02:00 PM

Tuesday, May 11, 2004


As a corollary to Josh's post about Morgan and David, I feel I must offer some commentary.

When I say David is a spaz, I mean that in the sense that he's the kind of kid who cannot stand on the top row of bleachers during a concert without falling off. At least four times.

From what I know, and from what I've been told, he's...quite a character.

I agree with Josh's assessment that he looks like a mini-Emeril. Which is again, not at all surprising.

Maybe next she'll bring home a younger version of Tyler Florence. That would be something.

posted by Julie Neff  # 5/11/2004 07:49:00 PM


This story about Mexican tuna fisherman bribing US government inspectors to look the other way when they net dolphins is disturbing. Not surprising, but disturbing.

There goes another cheap, high-quality protein source.

posted by Julie Neff  # 5/11/2004 07:42:00 PM


At last, success! I have my photos arranged properly in albums. If you have a Symantec firewall, you won't be able to see the thumbnails, but click on the titles and you will see.

Kettle Moraine State Forest

Vernon Marsh

Lapham Peak

Beulah Bog (there are only 2 in here, but more are coming)

Again, I consider these MY places; not because they belong to me, but because I belong to them. These are places I will miss terribly when we move out of state, and so I'd like to start keeping a record now.

posted by Julie Neff  # 5/11/2004 12:44:00 PM


Happy 21st birthday, Ryan! Thanks for drawing me a tattoo. I swear, brownies coming your way soon...as soon as we move, matter of fact. We'll initiate our new oven with YOUR brownies. Aren't you special?

posted by Julie Neff  # 5/11/2004 07:09:00 AM

Monday, May 10, 2004


Notes of the day:

1. I didn't know this, but there are ravens at Lapham Peak. I saw them today. None of them quoth anything at me, but they were HUGE and rather vocal, which is how I knew they were ravens and not just outsized crows. That and the shape of their tails - pointed, not rounded.

2. I could comfortably live on berries in various forms - particularly thrown in the blender with a little honey and flax and maybe a touch of soy milk or juice. The strawberries have been excellent since February, and I've been going through half a pound of them a day, augmented with blueberries and raspberries. Mmm...healthy.

3. Viewing ravens and slurping berry slush will not cure sunburn. Man, it just gets worse and worse. Hey ho for an aloe plant!

posted by Julie Neff  # 5/10/2004 01:50:00 PM

Sunday, May 09, 2004


Nice alliteration, eh? That's what Mo gave me for Mother's Day. The pinch pot, made in art class and glazed a hellaciously bright metallic purple, was attached to a yellow pipe cleaner for a handle. It looks kind of like a censer. Oh, and a handful of lilacs snatched from a neighbor's yard. Also purple. The petunias were planted in a cut off milk carton.

On the topic of absolutely nothing, Mo is coming along nicely with her swimming. Just this past Friday, she jumped in on her own in the deep end and kept on swimming. That's a million times better than even a week ago. I guess my drill sergeant technique is more effective than the coaxing and wheedling previously attempted. She's still a little otter on her back.

On the topic of even more nothing, I have the most godsawful sunburn on my back. I will never ever learn. DO NOT read a book outside in the sun that you know lulls you to sleep (Fellowship of the Ring, Tom Bombadil chapter) unless you too want a bright red epidermis. I must just be begging for melanoma. This is the initiatory sunburn of '04, though, so I must make a note. There are many yet more to come this season. Oh, save your chastising of my poor health habits for something IMPORTANT. It'd be just my luck to never catch a cold, never get bronchitis or pneumonia, never get strep again, never hurt my back or break a bone, never get an STD, never succumb to the family history of various other heart, lung, colon, liver and dementia disease, but then get a square-foot patch of cancer on my back due to my own stupidity.

As regards me otherwise? Oh, fine. Just fine. Still loathe and despise scales. Still loathe and despise a lot of things. Counting down the week until we move to what we have affectionately dubbed "Place." Not "the place" or "our place," but just "Place."

I got to see Josh's passport picture from many and many a year ago - he was but a lad of 17 or 18 at the time. Heehee. Skater hair and etc. Still damn cute, though.

Josh is, matter of fact, finishing school for the semester soon soon soon. And damn does he need a break. Who would have thought getting a MLS would be so stressful?

I had a strange dream about him a few nights ago. I dreamt I was a child about Morgan's age or maybe a little older, and Josh was his concurrent age, 12 or 13 (I've seen pictures of him at that age). He was my reading buddy. You know, when junior high kids come to help younger kids with their reading, or to introduce them to lit that's advanced for those who want it - I was a reading buddy, Mo had a sixth-grade reading buddy when she was in kindergarten. What do you think reading buddy dream 13-year-old Josh was suggesting I read? Comics. He was quizzing me on various sci-fi and fantasy works I had claimed to have read. He then gave me an old X-Men and told me I'd like it. Go figure.

posted by Julie Neff  # 5/09/2004 07:47:00 PM


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