Well the first two days have been pretty anti-climatic. The rotation isn't really ward-based as I had hoped. It's more like a preceptor-based rotation that happens to have Residents as First Assist or Surgeon at one of the four hospitals we work at. Yes, that's four hospitals to go to for surgeries and to call on patients every morning. Kind of difficult when I have no car and it's fourteen degrees outside. My fellow MSIII student has been kind enough to give me rides so far. And there's absolutely no orientation or Resident teaching, so it feels like flying by the seat of your pants. We do get some didactics, but they seem vastly inferior to the ER lectures from last month.
All the surgeries so far have been gallbladder related. I stayed up late last night studying surgery on the biliary tract for a long open cholecystectomy this morning. Usually gallbladder removal is done with scopes through small incisions, but this patient had enormous stones that had to be manually removed in the bile ducts and all the way up into the liver. It took hours using tiny balloons and mesh cages to fish them out. My job thusfar has been holding retractors, suctioning and a little stapling. I've only rounded on one patient so far. The good thing is that we only have to write short SOAP (progress) notes instead of H&Ps. If we have 8am surgeries, that means days start around 6:30am in order to have enough time to see patients and write notes.
One of the reasons I'm not doing more in the OR is that we have an extra student in our normally two student service. He's off schedule so he's got one more week with us. That means he's been able to help us figure where we're supposed to be and what we're supposed to be doing. But it also means that we have three students trying to scrub in on a limited number of surgeries.
The surgeons themselves seem ok. A little ornery, but certainly not arrogant. So far the teaching has been mediocre, but I hope that it improves as we get up to speed and the third student heads out. I'm holding onto my hope that things will improve after the first week like they did with Peds last month.
Tonight I hope to study some Peds for my test on Monday. At least I have a full weekend to prepare. That also means there won't be too much time to miss the family. Who knows, maybe I'll even get motivated to work out a bit.
Tuesday, January 30, 2007
Saturday, January 27, 2007
Peds down, halfway thru Toledo confinement
I finished the Pediatric ER rotation on Wednesday. Tuesday was my last shift in the ER. It was busy and the time passed quickly. Nothing too unusual, but good learning cases. At the end, my Attending gave me a glowing evaluation. I'm not sure how the Doc that actually pens my evaluation for the entire rotation will use it, but it sure felt good. I had had this Attending for most of my shifts, but he had always just checked off "performing as expected" on my daily log sheets. The paragraph or so he wrote was my first real feedback on my performance.
Wednesday I was coming down with a cold so I didn't do a procedural shift in the ER like I had intended. My only required duty was some mock codes with three other students on a $40k doll. A second year ER Resident instructed us while a tech handled the computer operation for the doll. This doll could be male or female. It breathed, cried, opened its eyes, bled, had heart and lung sounds, fractures and much more. We did scenarios like head injuries where the doll had one blown pupil and chest injuries with a tension pneumothorax and cardiac tamponade. Of course, we also had the AMI with ECG readout where we had to intubate (RSI) and run an ACLS code.
Pig lab a week or so prior was similar, but a first year Resident and I performed several procedures on a live (anesthetized) pig before it was put to sleep. It was a little weird (and smelly) but a great experience. I put in an IO line, did an LDP, pleuracentesis, cardiocentesis, chest tube and cricothyroidotomy. One procedure shift wouldn't have come close to that experience.
Interesting cases in the last two weeks included sickle cell crisis, respiratory distress, croup, an ovarian cyst that turned out to be GC, Candida and UTI, sunflower shell impaction, lots of fractures and lacerations. I sutured a bunch, did a digital block, stapled a scalp lac and helped set a couple fractures. And I had all the AOM, RSV, rotovirus, etc. that I would have been inundated with at a Pediatric office.
So was it worth leaving Phoenix, my family and all the comforts of home for this learning opportunity? Wow, that is still a tough question. I like to think so. It certainly gave me more exposure to Emergency Medicine than most MSIII students get. For a single student interested in ER, you could do a lot worse that St. Vincent's. The Attendings, Residents and fellow students were great: nice, interested in teaching and without any arrogance.
Now that I'm home though, I'm not looking forward to flying back to Toledo tomorrow for surgery. It's been a great couple of days with the boys and Becky - and the dogs. I didn't think I would appreciate the sunshine this much. Seventy degrees and sunny in the middle of January is pretty darn nice! I drank too much red wine last night ending my month of celibacy and sobriety. Tonight is Gray's Anatomy catch-up. Tomorrow I have just enough time for a lazy morning, packing some khakis, dress shirts and ties so I can look like a proper surgeon, and then it's off to the airport.
I hope I can get through the remainder of my Pediatrics book on the flights back. I have to take my rotation test in the next week or so. And at this point, I feel more prepared for an ER test. Time to hit the books.
Wednesday I was coming down with a cold so I didn't do a procedural shift in the ER like I had intended. My only required duty was some mock codes with three other students on a $40k doll. A second year ER Resident instructed us while a tech handled the computer operation for the doll. This doll could be male or female. It breathed, cried, opened its eyes, bled, had heart and lung sounds, fractures and much more. We did scenarios like head injuries where the doll had one blown pupil and chest injuries with a tension pneumothorax and cardiac tamponade. Of course, we also had the AMI with ECG readout where we had to intubate (RSI) and run an ACLS code.
Pig lab a week or so prior was similar, but a first year Resident and I performed several procedures on a live (anesthetized) pig before it was put to sleep. It was a little weird (and smelly) but a great experience. I put in an IO line, did an LDP, pleuracentesis, cardiocentesis, chest tube and cricothyroidotomy. One procedure shift wouldn't have come close to that experience.
Interesting cases in the last two weeks included sickle cell crisis, respiratory distress, croup, an ovarian cyst that turned out to be GC, Candida and UTI, sunflower shell impaction, lots of fractures and lacerations. I sutured a bunch, did a digital block, stapled a scalp lac and helped set a couple fractures. And I had all the AOM, RSV, rotovirus, etc. that I would have been inundated with at a Pediatric office.
So was it worth leaving Phoenix, my family and all the comforts of home for this learning opportunity? Wow, that is still a tough question. I like to think so. It certainly gave me more exposure to Emergency Medicine than most MSIII students get. For a single student interested in ER, you could do a lot worse that St. Vincent's. The Attendings, Residents and fellow students were great: nice, interested in teaching and without any arrogance.
Now that I'm home though, I'm not looking forward to flying back to Toledo tomorrow for surgery. It's been a great couple of days with the boys and Becky - and the dogs. I didn't think I would appreciate the sunshine this much. Seventy degrees and sunny in the middle of January is pretty darn nice! I drank too much red wine last night ending my month of celibacy and sobriety. Tonight is Gray's Anatomy catch-up. Tomorrow I have just enough time for a lazy morning, packing some khakis, dress shirts and ties so I can look like a proper surgeon, and then it's off to the airport.
I hope I can get through the remainder of my Pediatrics book on the flights back. I have to take my rotation test in the next week or so. And at this point, I feel more prepared for an ER test. Time to hit the books.
Saturday, January 13, 2007
Peds ER halfway point
Five of eleven shifts down, one of two EMS rides down and two weeks of didactics completed. I still haven't done any procedural shifts, but I hope to fit in one or two i n next two weeks. I'm also finally beginning to get study time in. I've been reading a couple hours a day for the last few after realizing that I'm getting more training in ER than Peds.
If I'm going to pass the shelf test in a few weeks, I'm going to have to learn most of the Peds material on my own.
As for cases, I've seen a lot of interesting stuff. Here's a sampling:
Status epilepticus
Febrile seizure
Crohn's Dz
Physical abuse
Refractory SVT (finally cardioverted with defib)
Diaphragmatic hernia w/ pulmonary hypoplasia
Lots of fractures and lacerations
Lots of Asthma, Pneumo and UTIs, but less Strep and Otitis Media than I expected.
I've had a chance to do casting, sutures, lots of physicals and observe a couple codes now. Surprisingly, my EMS ride day was boring. We had two real calls, one for tachycardia and one for syncope/drop-seizure. We also got called on a fire, but it was a non-event. At least the food was great. The firefighters and paramedics seem to be pretty good cooks.
As usual, this rotation has forced me to consider whether I would like, in this case, ER. Certainly the pay and time off are very attractive. Twelve to fourteen shifts a month of eight to twelve hours with no call for over two hundred a year. But you never see much of the patient, never get to do preventative medicine and don't get closure on many patients. The burnout rate is pretty high and you almost have to work in a hospital ER.
On the balance, ER doesn't surpass Family Practice. You don't make quite as much in FP, but have so much flexibility in your career: procedures, type of practice, location, patient population, etc. Plus you get to know the community and your patients much more. While many of the ER Residents and Attendings are pretty nice, I also identify with FP docs better. The surgical and IM specialists, even ER to a lesser degree, can be pretty high strung, arrogant and worn out.
The Residents switched over yesterday, so for tonight's shift I will be with ER Residents new to the Peds ER. Should be interesting.
If I'm going to pass the shelf test in a few weeks, I'm going to have to learn most of the Peds material on my own.
As for cases, I've seen a lot of interesting stuff. Here's a sampling:
Status epilepticus
Febrile seizure
Crohn's Dz
Physical abuse
Refractory SVT (finally cardioverted with defib)
Diaphragmatic hernia w/ pulmonary hypoplasia
Lots of fractures and lacerations
Lots of Asthma, Pneumo and UTIs, but less Strep and Otitis Media than I expected.
I've had a chance to do casting, sutures, lots of physicals and observe a couple codes now. Surprisingly, my EMS ride day was boring. We had two real calls, one for tachycardia and one for syncope/drop-seizure. We also got called on a fire, but it was a non-event. At least the food was great. The firefighters and paramedics seem to be pretty good cooks.
As usual, this rotation has forced me to consider whether I would like, in this case, ER. Certainly the pay and time off are very attractive. Twelve to fourteen shifts a month of eight to twelve hours with no call for over two hundred a year. But you never see much of the patient, never get to do preventative medicine and don't get closure on many patients. The burnout rate is pretty high and you almost have to work in a hospital ER.
On the balance, ER doesn't surpass Family Practice. You don't make quite as much in FP, but have so much flexibility in your career: procedures, type of practice, location, patient population, etc. Plus you get to know the community and your patients much more. While many of the ER Residents and Attendings are pretty nice, I also identify with FP docs better. The surgical and IM specialists, even ER to a lesser degree, can be pretty high strung, arrogant and worn out.
The Residents switched over yesterday, so for tonight's shift I will be with ER Residents new to the Peds ER. Should be interesting.
Today's Headlines
I had a chance to catch up on some news today, and a few issues got my attention.
I just have to mention that I'm surprisingly happy with the shake-up Speaker Pelosi is spear-heading in DC. I like the Government Guaranteed Loan plan that will be up for vote shortly. It sure would make it easier for middle to lower class medical students to choose primary care careers. Even more though, the Medicaid bill that just passed is much than the symbolic waste of paper the Republicans are trying to make it out as. It's their arguments that are wasted paper and air.
First, it will give our tax dollars the same buying power as individuals, corporations and other countries around the world have. Second, it will nail those Republicans with their hands in the Pharm cookie jar. Bravo to the New Demos, good move for American tax payers and great strategy for 2008.
Finally, on the Executive Branches' Stimson chastising Law firms for representing Guantanamo Bay detainees, so what? I think it's great that the firms' names are in public, so none of this representation in hiding. Let individual CEOs, Boards and Americans decide if they agree with Stimson. Law firms should be responsible for their actions. If they represent terrorists, child molesters, etc. they should do it openly. Stimson's actions are FAR, FAR less despicable than law firms who, in hiding, represent the worst of humanity in the name of fairness, then talk about how admirable they are.
It is far from admirable that they give away pro bono services to, at least in some cases, terrorists instead of good people who really need them: whistle blowers, single moms, etc. It would like Microsoft wanting to hide their giving PCs and software to the North Korean government in the name of fair education while our illiteracy rate here in the US climbs. It's almost as ridiculous as the 26,000 lawsuits filed against Merck for Vioxx. What a wasteful drain on the American economy at $200+ per hour per attorney. I bet we get ridiculed more for our legal practices around the world than our military actions. And there's no lameduck in legal greed.
I just have to mention that I'm surprisingly happy with the shake-up Speaker Pelosi is spear-heading in DC. I like the Government Guaranteed Loan plan that will be up for vote shortly. It sure would make it easier for middle to lower class medical students to choose primary care careers. Even more though, the Medicaid bill that just passed is much than the symbolic waste of paper the Republicans are trying to make it out as. It's their arguments that are wasted paper and air.
First, it will give our tax dollars the same buying power as individuals, corporations and other countries around the world have. Second, it will nail those Republicans with their hands in the Pharm cookie jar. Bravo to the New Demos, good move for American tax payers and great strategy for 2008.
Finally, on the Executive Branches' Stimson chastising Law firms for representing Guantanamo Bay detainees, so what? I think it's great that the firms' names are in public, so none of this representation in hiding. Let individual CEOs, Boards and Americans decide if they agree with Stimson. Law firms should be responsible for their actions. If they represent terrorists, child molesters, etc. they should do it openly. Stimson's actions are FAR, FAR less despicable than law firms who, in hiding, represent the worst of humanity in the name of fairness, then talk about how admirable they are.
It is far from admirable that they give away pro bono services to, at least in some cases, terrorists instead of good people who really need them: whistle blowers, single moms, etc. It would like Microsoft wanting to hide their giving PCs and software to the North Korean government in the name of fair education while our illiteracy rate here in the US climbs. It's almost as ridiculous as the 26,000 lawsuits filed against Merck for Vioxx. What a wasteful drain on the American economy at $200+ per hour per attorney. I bet we get ridiculed more for our legal practices around the world than our military actions. And there's no lameduck in legal greed.
Thursday, January 04, 2007
Made it to Toledo
Having lived in the Midwest for my first thirteen years, and spent some time here since then visiting relatives, I can see some attractive features of the area. But Toledo has none of these. As a fellow student from Athens, OH said; "Toledo has everything bad that goes along with being a big city, but none of the good." And she's an Ohio native. At least it's so cold, there's very little air pollution.
The trip here was horrible. First, the signs were confusing and I went through the wrong security gate, so I had a mile plus race around the airport hoping to get a standby seat on my flight. America West checked my bags to Toledo but couldn't find me a seat at the gate since the flight was oversold. No wonder I couldn't get a seat reserved online even a month ago. At the gate they finally decided to book me a flight with Continental that had one stop instead of two. It left an hour later, had a four hour lay-over in Cleveland, and still arrived a hour earlier than my original flight. Oh, and they gave me a free round trip ticket as compensation. That made up for several of the other little hassles like having to take a bus to another terminal, walking another mile and going through another security line.
Once I got to Toledo things got worse. The last leg of my original Delta flight, Cincinnati to Toledo, had been canceled. So my baggage was stuck in Cincinnati. However, my claim tickets were America West numbers. To sum up to confusion, I had American West bags in a Delta terminal but Continental was responsible for getting them to me now that I had flown in with them. And it wasn't easy finding anyone with a clue at 10pm in the little Toledo airport. Before taking a limo/taxi to the hospital I had assurances my baggage would be delivered to me the following day.
I finally made it to St. Vincent's hospital, picked up my housing information, badges and pager in the ER and headed for bed just after midnight. It had been a very stressful day. At least all the airport and airline personnel were nice. Even the majority of passengers were able to maintain a positive attitude.
Yesterday the bags arrived as promised. And nothing was broken or damaged! I went through my orientations, but then had the rest of the yesterday and today to wait around. I managed to get signed up for a couple extra shifts. So with 11 8-hour ER shifts, two EMS (ambulance) 8-hour shifts, two 8-hour procedure shifts and a bunch of didactics (from both the Peds and ER departments) my schedule is looking ok. Add in some Peds study time on my own and I hope to keep from getting too lonely and bored. There's nothing but crime in walking distance. I live in a 50-year old cell. And the place is almost vacant with only two other students in the "home away from home" dormitory.
The Admin said the place will be full in March, so I guess the storms are waiting for them this year. Toldeo hasn't had a snowflake so far this year. I just hope that doesn't mean I'm going to be grounded from one of my upcoming flights. At least I brought a bunch of pleasure and medical books. The free ticket will more than cover the overweight charge on my baggage and the shipping fee on the UPS box I shipped. As you can probably guess, I don't have a lot of practice packing for a two month trip to a different climate.
The people here are pretty nice considering. As my limo/taxi driver said; "if you don't drink and baseball season is over there isn't anything to do but work."
I finished a Sci-Fi book entitled Seeker yesterday about an Indiana Jones character in the far future. Very well written. I started Neverwhere today, but am not sure when I'll get it finished since I have to start studying Peds very soon. At least I finished one good pleasure book over the break.
The trip here was horrible. First, the signs were confusing and I went through the wrong security gate, so I had a mile plus race around the airport hoping to get a standby seat on my flight. America West checked my bags to Toledo but couldn't find me a seat at the gate since the flight was oversold. No wonder I couldn't get a seat reserved online even a month ago. At the gate they finally decided to book me a flight with Continental that had one stop instead of two. It left an hour later, had a four hour lay-over in Cleveland, and still arrived a hour earlier than my original flight. Oh, and they gave me a free round trip ticket as compensation. That made up for several of the other little hassles like having to take a bus to another terminal, walking another mile and going through another security line.
Once I got to Toledo things got worse. The last leg of my original Delta flight, Cincinnati to Toledo, had been canceled. So my baggage was stuck in Cincinnati. However, my claim tickets were America West numbers. To sum up to confusion, I had American West bags in a Delta terminal but Continental was responsible for getting them to me now that I had flown in with them. And it wasn't easy finding anyone with a clue at 10pm in the little Toledo airport. Before taking a limo/taxi to the hospital I had assurances my baggage would be delivered to me the following day.
I finally made it to St. Vincent's hospital, picked up my housing information, badges and pager in the ER and headed for bed just after midnight. It had been a very stressful day. At least all the airport and airline personnel were nice. Even the majority of passengers were able to maintain a positive attitude.
Yesterday the bags arrived as promised. And nothing was broken or damaged! I went through my orientations, but then had the rest of the yesterday and today to wait around. I managed to get signed up for a couple extra shifts. So with 11 8-hour ER shifts, two EMS (ambulance) 8-hour shifts, two 8-hour procedure shifts and a bunch of didactics (from both the Peds and ER departments) my schedule is looking ok. Add in some Peds study time on my own and I hope to keep from getting too lonely and bored. There's nothing but crime in walking distance. I live in a 50-year old cell. And the place is almost vacant with only two other students in the "home away from home" dormitory.
The Admin said the place will be full in March, so I guess the storms are waiting for them this year. Toldeo hasn't had a snowflake so far this year. I just hope that doesn't mean I'm going to be grounded from one of my upcoming flights. At least I brought a bunch of pleasure and medical books. The free ticket will more than cover the overweight charge on my baggage and the shipping fee on the UPS box I shipped. As you can probably guess, I don't have a lot of practice packing for a two month trip to a different climate.
The people here are pretty nice considering. As my limo/taxi driver said; "if you don't drink and baseball season is over there isn't anything to do but work."
I finished a Sci-Fi book entitled Seeker yesterday about an Indiana Jones character in the far future. Very well written. I started Neverwhere today, but am not sure when I'll get it finished since I have to start studying Peds very soon. At least I finished one good pleasure book over the break.
Holidays are over
Well the Holidays went pretty well after OB/Gyn ended without much fanfare. Nothing too exciting to report. I took the shelf test and passed just fine, but it was pretty hard. Glad I had a weekend to focus on it.
The first week of vacation was spent shopping for Xmas presents, putting up lights, decorating the house and running general errands. The Accord sure runs better after a tune-up.
It doesn't feel like I got much done. Certainly no studying. I made a concerted effort to not do any studying over the vacation to give myself a break. So for the first week I spent a lot of time with the family and relaxed. I really enjoyed red wine and rich food every night.
Xmas itself was a nice quiet affair. Christmas Eve the boys opened presents from Becky and I which included some cool Xbox/PC games, science kits and swimming stuff ("heart, mind and body"). The boys were thrilled with the games, but haven't touched the kits yet (but Connor's "Power House" will be incredibly useful for school science projects). The biggest disappointment was that Colton received two Nintendo DS games from my mom but no player. We explained that he would probably have enough money to save up for one on his own, and Connor, who is in on the know, suggested Santa might come to the rescue. There weren't tears, just a sad face.
Christmas morning that problem was solved by Santa. Connor received a cool remote plane/car that was given a rest only long enough to recharge the battery every 20-30 minutes. It's a cool design but the foam is light it's hard to control in the air. I was pretty sure the toy wouldn't survive day one. It did, but I think it won't be used too much once school starts. Connor would probably love a real remote plane with a rubber, but those are a few hundred dollars to start.
In the afternoon we had Tucker and his family over Christmas Day. The kids played together great. The meal was great. The wine was great. I love my new sunglasses and T-mobile MDA (after spending the better of a day installing about a dozen medical programs on it). It's so nice having one device now. Tucker and I didn't dwell too much on shop talk and the girls didn't bore us too much with endless discussion of their current fad - historical romance novels.
The second week was spent hosting family. First my Dad and step mom stayed over for a few days. I was too tired to play social coordinator, so I hope they weren't too disappointed with how little we actually did during their trip here. I met Tucker at school one afternoon and we figured out our MSIV rotation schedule. It was good to have two of us to look over reviews and compare Preceptors and hospitals. I changed a lot of my earlier selections and am pretty happy with the list I'm going to fax in for the computerized lottery today.
The advice we get from upperclassmen is have a relaxing fourth year and rest up for internship. So I have just two audition rotations scheduled, Ft. Collins and probably Ogden since I already know the Vancouver, WA area well. I'm still looking forward to Ft. Wayne in April but Becky has made it clear she's not crazy about the Midwest - and who can blame her?
Then my mom stayed over for New Year. She and the kids did a few fun things while I packed and got prepared for two months away. The boys and I also enjoyed playing Neverwinter Nights 2, but I think they went really crazy with Marvel Ultimate Alliance. They'll have teh game completed any day now. They cooperatively play different superheros and level them up to get new superpowers and outfits. Who knew Spiderman had such an extensive wardrobe? Lego Star Wars and Need For Speed: Carbon got high marks as well.
I certainly had a few second thoughts last week about this crazy schedule. Other than audition rotations next year, I don't plan to ever spend this much time away from the family again. I will miss the boys and Becky a lot. With Julie leaving as well, the dogs are going into a depression for sure.
The first week of vacation was spent shopping for Xmas presents, putting up lights, decorating the house and running general errands. The Accord sure runs better after a tune-up.
It doesn't feel like I got much done. Certainly no studying. I made a concerted effort to not do any studying over the vacation to give myself a break. So for the first week I spent a lot of time with the family and relaxed. I really enjoyed red wine and rich food every night.
Xmas itself was a nice quiet affair. Christmas Eve the boys opened presents from Becky and I which included some cool Xbox/PC games, science kits and swimming stuff ("heart, mind and body"). The boys were thrilled with the games, but haven't touched the kits yet (but Connor's "Power House" will be incredibly useful for school science projects). The biggest disappointment was that Colton received two Nintendo DS games from my mom but no player. We explained that he would probably have enough money to save up for one on his own, and Connor, who is in on the know, suggested Santa might come to the rescue. There weren't tears, just a sad face.
Christmas morning that problem was solved by Santa. Connor received a cool remote plane/car that was given a rest only long enough to recharge the battery every 20-30 minutes. It's a cool design but the foam is light it's hard to control in the air. I was pretty sure the toy wouldn't survive day one. It did, but I think it won't be used too much once school starts. Connor would probably love a real remote plane with a rubber, but those are a few hundred dollars to start.
In the afternoon we had Tucker and his family over Christmas Day. The kids played together great. The meal was great. The wine was great. I love my new sunglasses and T-mobile MDA (after spending the better of a day installing about a dozen medical programs on it). It's so nice having one device now. Tucker and I didn't dwell too much on shop talk and the girls didn't bore us too much with endless discussion of their current fad - historical romance novels.
The second week was spent hosting family. First my Dad and step mom stayed over for a few days. I was too tired to play social coordinator, so I hope they weren't too disappointed with how little we actually did during their trip here. I met Tucker at school one afternoon and we figured out our MSIV rotation schedule. It was good to have two of us to look over reviews and compare Preceptors and hospitals. I changed a lot of my earlier selections and am pretty happy with the list I'm going to fax in for the computerized lottery today.
The advice we get from upperclassmen is have a relaxing fourth year and rest up for internship. So I have just two audition rotations scheduled, Ft. Collins and probably Ogden since I already know the Vancouver, WA area well. I'm still looking forward to Ft. Wayne in April but Becky has made it clear she's not crazy about the Midwest - and who can blame her?
Then my mom stayed over for New Year. She and the kids did a few fun things while I packed and got prepared for two months away. The boys and I also enjoyed playing Neverwinter Nights 2, but I think they went really crazy with Marvel Ultimate Alliance. They'll have teh game completed any day now. They cooperatively play different superheros and level them up to get new superpowers and outfits. Who knew Spiderman had such an extensive wardrobe? Lego Star Wars and Need For Speed: Carbon got high marks as well.
I certainly had a few second thoughts last week about this crazy schedule. Other than audition rotations next year, I don't plan to ever spend this much time away from the family again. I will miss the boys and Becky a lot. With Julie leaving as well, the dogs are going into a depression for sure.
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