Day 4 – Bad Start, Problem Solved, Bad Luck, Some Fun, and Finally Good Luck

Written yesterday, but no connection to post, so a day late.

Future posts may also be delayed as I get to more places with limited WiFi.

Today started off fine. I woke up, a bit confused why it was so dark but then remembered my watch is still set to Eastern Time. That was only part of it. Anyone who has spent much time travelling even with a time zone will soon realize that the sun rises earlier on the eastern edge and rises later on the western edge. Conversely sunset is reversed. So not only was I one time zone off, I was rather west in it anyway. I stayed at the Texas Welcome Center along I-40. Most states have their welcome center within a few miles of the border. Not Texas, it’s in Amarillo, about halfway through the state. I suppose that way they only have to build one. That said, it was pretty decent.

I got off an early start and hit the border of New Mexico fairly early. I stopped at their welcome center which is literally right next to the border. However, since I was off to an early start, I decided to get of at Exit 0 in Texas. No, that’s not a typo. It’s right on the border and in fact the merge ramp ends within yards of the New Mexico border. I guess I was going nowhere. (To quote Harry Chapin, “anywhere is a better place to be.”)

Soon after that though the trip hit a snag. My check-engine light came on. Fortunately in my experience with Subarus it’s almost always an O2 sensor so I wasn’t worried. I got off at the next exit with a large enough town and waited for O’Reilly’s Auto Parts to open so I could borrow their OBD2 reader (foolishly I didn’t bring one with me). Sure enough, O2 sensor readings. They claim they can’t clear the codes with theirs so I nursed it until a large town outside of Albuquerque where there was a Walmart. There I picked up a decent reader, reset the sensors and I was off. I also got some Cataclean, I product I’ve had some success with. I used it down the road when my tank was empty enough. So that problem solved.

At this point between my stops and a few “for fun” detours checking out where some frontage roads went (two dead ended, one rejoined the Interstage) I was a bit behind schedule so decided to make for Chaco Canyon National Historical Park. This was probably the first place I visited with my dad years ago. Back then we didn’t have Google. We had AAA Trip-Tiks.

Well, let me go on an aside about Google Maps. One reason I’m not a fan of online maps is because it’s hard to see the big picture, like statewide. This means it’s possible for the online map to take you a way you may want to know and you don’t realize it until too late. This happened to my wife recently in New Jersey (which seems to be particularly bad). Let’s just say in that case there was NO logical reason for Google Maps to suggest anything other than I-95. But it did.

Today, I had a similar problem and it led me to a bit of bad luck. I was following the directions when it suggested I turn off the main road I was on onto a side road. I figured this was a bit strange, but whatever. Well, I should have been thinking more about the speed limit because I got nabbed. Ayup. I suppose I can call it bad luck, but it’s my own damn fault for speeding, regardless of where the map sent me. That said, I’m not even sure if it’ll be a problem (other than the fine) because it was technically on Tribal Land. We’ll see.

But then the fun began. Google Maps continued to take me down slow backroads. I was very careful to follow the speed limit here, despite numerous cars passing me. That said, my general sense of direction was telling me, “this might be the shortest route, but is it the BEST route?” But as they say, in for a penny in for a pound.

So I was thinking right up until Google Maps told me to turn right onto a dirt road. Now, a saner, more cautious person would have continued straight until Google Maps could suggest another route. I am not that person.

Now to be fair, the Subaru of course has all-wheel drive, decent ground clearance, and while I can’t say I have lots of off-road experience, I’m pretty comfortable taking it along roads like this.

Let me just say… it was FUN… bombing along a dirt road in the desert, pausing for the one stray cow. Only a few spots had me worried because they had some rough rocks poking up, but managed those (admittedly I ended up skidding a bit over one rather than steering around.)

I will add too Google Maps said 6.3 miles of unpaved road. Google Maps is a big fat liar. It was about 12 miles.

One of two ways into Chaco Canyon. It was sporting.

BUT, at the end was Chaco Canyon. So it worked. And I had fun.

As I drove in, I saw the sign I was dreading. “Campsite Full”. Actually that’s not entirely true. In the spirit of little planning, I hadn’t confirmed if there even was camping. (If there weren’t there were fallback plans). So I went into the Visitors Center to get a pass (got a season pass as I’m pretty sure it’ll be cheaper in the long run) and asked about nearby camping. He asked what I had. “A car, maybe a tent.” “Well if no-one shows up to take the Accessible spot by 4:00 PM, we release that to general camping.” I checked my watch and realized that was only 45 minutes away. So I filled some water bottles (that was the only thing that really had me nervous on the dirt road, if the car had issues I only had soda for hydration) and then went back inside, watched the 25 minute video on Chaco Canyon, wandered around a bit, setup to use their wifi and then, claimed the site. It does feel a bit weird using an Accessible site, but since they run on reservations followed by first-come, first-served, I assume they figure it’s better to rent it out than not.

After parking I did a short hike up to a viewpoint (where I did get some cell access for a bit) and then came back to my campsite, made a cold dinner of PB&J and set up the tent. I’m writing this in Word to later paste into WordPress because I have no service here.

Fajada Butte from a viewpoint accessed via a trail from the campground at Chaco Canyon.

In about 30 minutes I’ll join the Ranger led talk at the campfire and relax.

That’s the journey of today. I have more thoughts, but I think I’ll end up posting those as separate side posts.

One more thing to add, my new phone apparently does do great night shots with a full Moon

Day 3 – An Unplanned but Fruitful Side Trip and More

Took two sleep breaks last night, the last one at Buc-ees. It’s an interesting place and exactly what I expected. I did splurge and get a breakfast burrito. It started out well, with brisket I think, but by the end, well it wasn’t worth it in my opinion.

Was making some good time when a sign with the distinctive brown and white of the National Park Service caught my eye (side note, does that brown have a special name? I’ll have to find out!): George Washington Carver National Monument.

I’ve always been interested in him, if only because I love peanuts and a good PB&J (which I did make myself later in the day). So I figured why not.

Sadly, Google Maps was NOT helpful here. It couldn’t give me directions. It simply suggested what I assume came from the website. Normally I wouldn’t care, but on the way I almost missed a turn because I only saw the sign in time.

To say the monument is off the beaten path is an understatement. It’s literally a back road off a back road off a side road from the Interstate. That said, I’d say it’s worth the stop!

George Washington Carver National Monument building

So, while not on any of my bucket lists, I’m glad I took the detour.

My next stop led to another unexpected stop. I stopped in Tulsa to take a photo of a place that shares the name of a friend. (sorry, I’d share, but not currently uploaded to my cloud account). While there I decided to put in my contacts. I had been driving all morning with my glasses and figured it was time. Well, my left contact had other ideas and is currently somewhere in my car. Fortunately there was a Lenscrafters not far out of my way so an unplanned stop there got me a replacement for the sinister lens that left me.

From there, a few stops at roadside attractions, but nothing of note.

For the end of the day I decided to make a “run for it” and get to Texas before getting gas. It was close. I wouldn’t say I was on fumes, but my tank was empty and my bladder overfull! But I made Texas.

Next was a few stops trying to find a place to eat and here I am at Backstreet 200 in I believe Panhandle Texas.

I do need to figure out how to get my phone to correctly upload photos over a data connection and not wait for a Wi-Fi one.

That said, I have to say, been thinking a lot about my Dad today. My Mom and Dad probably introduced my wanderlust before I even had memories. This included a trip across country including apparently an unfinished section of I-80 through Colorado where my Mom had to drive while fearing she’d drive over the edge into the Colorado River.

But the first cross-country trip (or nearly we didn’t make the Pacific) that I actually recall was with my Dad, his then girlfriend and her daughter. We took much this same route, especially the last 1000 miles or so. I’ve been this way via car at least twice since then, but that was the first time. I’ll have more thoughts on the matter in the future I’m sure.

But enough for now. Time to eat.

Day 2 – a Side Trip and a Nope Trip

Going without a fixed plan or schedule has its advantages and disadvantages. I experienced both today.

After two overnight stops to sleep, I was well on my way. I had really only one goal today: to make it to the St. Louis Gateway Arch and ride it to the top. The first time I went west, with my dad, his girlfriend and her daughter we arrived after it had closed, so we only saw it from the outside. The past couple of times I was passing through St. Louis, either I again arrived too late or was on too tight of a schedule to stop.

Back to the Arch in a moment.

As I said, there are advantages to no fixed schedule or plan. When I see something that interests me, I can go see it. Today was that day: the Air Force Museum or more accurately: National Museum of the United States Air Force. A quick glance at my phone for the map showed I could give myself about 2 hours there and still make the Gateway Arch. I’ve wanted to visit this museum for years because of my interest in aerospace and because it has a few unique exhibits.

I ended up spending a bit more time here than planned, and far less than I would have liked.

There are three HUGE hangers full of aircraft and some missiles and more. It was well worth the visit. And the cost was in my budget: $0

When I got back to my car I panicked at first thinking I had miscalculated the time and I’d arrive in St. Louis too late. Then I remembered it’s in the Central Time Zone and I in fact had an hour and twenty minutes to spare.

So I set out. I had to make one stop for gas (well two, turns out the first place was actually closed, despite the signs still advertising it being open!, so that set me back 10 minutes.

Finally I arrived close to the Arch, only to discover Google Maps assumed I could simply park in the middle of a street. It took me about another 10 minutes to find legitimate parking.

So between the one gas station and parking, I was down to an hour before closing, which was 6:00 PM.

As I walked down the ramp to the entrance I saw a sign: Last tram runs one hour before closing. It was 5:00 PM. I rushed to the desk hoping against hope I’d sneak in under the window.

Well dear reader, I am sorry to say I was foiled again. The last tram of the day had left. I actually was nearly in tears.

That said, I was able so console myself with the fact that apparently tickets had sold out hours previously. So arriving 10 or 20 minutes earlier would have made no difference, and in fact arriving 3 hours earlier wouldn’t have made a difference.

I did spend some time in the museum itself and took some photos, so it wasn’t a complete waste.

And then headed west.

I’m typing this from a Mexican restaurant somewhere on I-44. I’ll remember the name later.

All in all, a day with some plusses and minuses. Next, find a place to sleep for the night and then figure out my plans for tomorrow and how many miles I want to put in.

Day 1 – Off to a Late Start

Well, things didn’t “go as planned“. Turns out the car wasn’t ready until after 7:00 PM and at that point I figured I’d do another night and dinner with the family and get a start the next day. But, paradoxically, I decided to NOT try to get an early start. Or rather I told myself, if I wake up at like 4:00 AM, I’ll leave then, otherwise, I’ll take my time. So, sometime around 12:30 PM I was finally off.

This was of course after stepping in some cat vomit I had to clean up. Then nearly falling down the last steps into the garage. And then, I must have left a door ajar for too long, but a weak battery I had to jump. Was the Universe trying to tell me something? If so, I wasn’t listening.

I decided for a few reasons to take a trip through the Southern Tier of New York with a stop or two along the way. Well it was more of a “roll-by” of SUNY Cortland, my wife’s alma mater. I had only been there once so I sort of wanted to see it again and take a photo or two. But given I know nothing about the campus and it was cold out, simply took photos from the phone mounted in the car.

From there it was backroads to I-86. Which is where I am now, at a Burger King in Seneca nation. I’m real close to a casino and tempted, but I think I’ll get more miles under my belt tonight.

I’d post some photos, but so far they haven’t synched to my cloud account. I’ll work on that.

So, 8+ hours into my journey I still haven’t left New York yet, but… I’m ok with that. I’m really trying to relax and so far it’s mostly working.

Freeing Myself

If all goes as “planned”, sometime this afternoon I’ll hop in the Subaru and head “west”.

Why the scare quotes and what is the plan?

Well the plan is sort of no plan. I have some goals, but not a strict schedule. This includes even when I’m leaving.

But let me back up a bit.

I’ve kept mum for various reasons, but now I’ll give the details on the PA program I accepted an offer to attend. I’m proud to say that on May 27th, I will be starting my orientation with my fellow PA-S1 (that’s the lingo for first year PA students) at the Christiana Delaware campus of Arcadia University. I already met a few of them at the open house a few months ago, but on the 27th I’ll meet the rest. On 28th, we buckle down and start classes. I mention specifically the Christiana campus because Arcadia is one of the few (may be only) schools to run to simultaneous programs in a parallel manner. The other cohort of PA-S1s will be at the main campus in Glenside, PA (outside of Philadelphia).

Now, the savvy reader who is hip to their geography have probably figured out that I won’t be easily commuting on a daily basis between Delaware and upstate New York. The solution is that I’ll be renting a place for most of the duration of my time in PA school. This is an unfortunate added expense to deal with. So, one of the things I have planned before the 27th is to sign a lease (I have an apartment complex picked out already).

So what to do between now and then?

The biggest step was putting in notice with my current employer; Albany Medical Center. May 8th will be my last official shift as a full-time equivalent. I am looking to continue in a position where I’ll be able to pick up a few shifts over my rare breaks but that’s just to keep my skills sharp and for the enjoyment of it.

In the meantime, I’ve decided to take a bunch of my banked vacation days and travel a bit.

The original plan was to start yesterday morning right after my shift. A delay in my car repairs and because they really needed techs last night, I moved my start to later today (after I pick up the car and pack it.) The goal, to see some of the country, visit some national parks, hike, relax, etc.

Those who know me well would understand when I say that at times I can be a control freak, even over myself (perhaps a better way might be “self-disciplined”?) If I set a goal, I do my best to meet it, or often to exceed it. This can be good if I’m setting a goal to study or exercise. But it can also add stress when I’m attempting to reach a goal I set for no specific reason.

As I planned my trip, I initially set out specific goals for each day’s travels etc. Very quickly I realized how unappealing that was becoming and how rigid it would be (as shown by the fact that I’ll already be leaving probably 32 hours behind schedule!)

So I decided, since my next 2 years will be rigorously scheduled for the most part to turn my vacation into a loose set of goals with a loose timeline.

The biggest goal, get to the Grand Canyon and ideally do an overnight or two in it. And visit Bryce and Zion canyons.

After that, we’ll see. I’ll probably head north, but who knows how far. I’ll probably check out a few more national parks. Eventually I’ll have to head back east in order to make my May 1st scheduled PA shift. So how long will I spend “out west”. We’ll see.

I’ll post updates as I see fit. But no promises. Again I want to relax for a change.

mRNA Vaccines

I was planning on writing a more detailed post, complete with images and citations, but I’ll be honest, I don’t have the energy or time right now, so this will be simpler than I’d like.

One of the claims some people have made about the mRNA based Covid vaccines is that they alter your DNA. This basically isn’t possible. But I want to delve a bit into why.

We’ll start with something often called the Central Law or Dogma of Molecular Biology. I’m going to paraphrase it at first: Information passes from DNA to RNA to Proteins and never in the opposite direction. I’ll explain why this is mostly true and why it is vitally important to understand when it comes to the mRNA based proteins. But first, some definitions.

We’re all probably familiar with DNA, the double-helix first observed and described by Rosalind Franklin and later better described by Francis Crick and James Watson. This is where genetic information is stored. In computers, we think of data as stored as bits, 1s and 0s. DNA is similar, each “lattice” in the ladder is made up of a pair of AT (Adenine/Thymine) or GC (Guanine/Cytosine) molecules know as base pairs. Whereas in computers we’re often dealing with bytes which is a group of 8 bits, DNA is grouped as three base pairs at time.

Image courtesy of Wikipedia.

But what’s the purpose of these three base pairs? I’m going to overly simplify, but an entire strand of them makes up a chromosome. (Humans have 46, 22 “identical” strands and then a set of XX or XY strands. Identical is in quotes because sometimes when replicated, errors can creep in creating a mutation. And of course some people have more than 2 of each, such as Trisomy 21, aka Down Syndrome, or even XXY, or can be missing one of the pair, such as X0. But that’s beyond this post.)

But three base pairs together can encode later for amino acids. Amino acids make up proteins.

Within each chromosome are multiple genes. Genes are what make you look like you and be human. You have genes for example that control your blood type, hair color, and more.

That said, two things can happen to DNA: Replication and transcription.

Replication is necessary when a cell divides and basically the entire chromosome is duplicated so each cell has a copy. This is extremely interesting in and of itself, but again, beyond the scope of this article.

What we care about here is transcription. This is when part of the chromosome, specifically a specific gene is accessed in order to make a protein. This can get fairly complex and honestly, we’re learning new details about how genes can be activated and used all the time. (For example, so called “Junk DNA”, i.e. areas that don’t encode for genes, turns out that can be very important too and it’s not junk.)

So, before I can get into why mRNA vaccines can’t alter your DNA, let’s dive into a bit more how a protein is made and how this related to vaccines.

An important detail to keep in mind here is that in what are called eukaryotic cells (which is what makes up almost all multicellular creatures, including you) chromosomes are within the nucleus of the cell. It’s difficult for anything to get in or out. Basically there’s a wall around them with closely guarded gates.

That said, the nucleus receives a signal that a particular protein is needed. So, the particular chromosome, which is normally very tightly wound unwinds at the location of the gene needed for that protein. Then a special enzyme (and they are different between eukaryotic and prokaryotic cells i.e. single cell bacteria and the like) called RNA Polymerase that starts to “walk” the gene and create what’s known as Messenger RNA or mRNA (see we’d get to this eventually).

When it’s done reading, this new strand of mRNA leaves the nucleus and goes into the cytoplasm of the body of the cell. There, “molecular machines” known as ribosomes will latch onto it. These actually come in two sizes, large and small. You have millions of these in each of your cells. When a piece of mRNA is floating around a large and small ribosome will clamp to the “start” end and start to read it. As they read it three base pairs at a time, they will attach the amino acid that matches that 3 base pair encoding. This amino acid is brought to the ribosome unit via something known as Transfer RNA or tRNA. Once the end of the mRNA is read, the ribosomes come apart and the mRNA may be read again or destroyed. (I won’t get into the signaling factors that control this, but the key part is eventually all mRNA gets destroyed and its base pairs typically used for other purposes.)

The created protein may undergo other transformations and be moved to other locations within the cell, to the surface of the cell, or even ejected from the cell.

And that his how a protein is made. Notice the direction matches what I said above DNA->RNA->Protein. It’s one way.

But what keeps it from going the other way? That’s really the question here.

Let’s start by stating up front that your DNA DOES in fact contain genes that apparently came from viruses. So that central law obviously has an exception. But what makes that exception?

Specifically it’s an enzyme known as Reverse Transcriptase. Humans sort of have a form of this, but it’s used for a very specific (controlling telomere length during replication). There are a few other weird things that could do something like this, but basically for the mRNA Covid vaccines they don’t. The simplistic reason is that the mRNA vaccines don’t include the encoding that is required for Reverse Transcriptase to start its work. It’s sort of like a guard asking for the password to get into a military base. If you don’t have it, you’re not getting in.

Moreover, an mRNA vaccine encodes for a specific protein or proteins. That’s it. It doesn’t contain enzymes like Reverse Transcriptase, nor do the mRNA segments contain the encoding to allow for any form of reverse transcriptase. Even if somehow DNA was formed from them, it would then have to make its way into the nucleus (which is very difficult to do) AND the be incorporated into an existing chromosome. This just beyond the point of believability.

But, let’s say somehow it DOES happen. You know what the most likely result is? Nothing. Your body has no reason to activate such a gene. It would sit there like other inactive genes doing nothing.

So, for those who read this far, or who skipped the end, your cells and the mRNA vaccine for Covid simply does NOT possess the mechanisms to incorporate the the vaccine into your cells and even if it did, the net result if anything would be nothing.

The Next Decade

This past week I visited an open house at the PA school I’ll be attending starting in late May. It definitely made things feel very real. It almost reminded me that I’ll be the oldest there by far. This gives me a feeling of cognitive dissonance.

On one hand, often when I’m at work, or when I was taking classes, I feel very young, often decades younger than my chronological age. One of the best compliments I received from a fellow tech was, “Greg, you run the techs in their 20s into the ground.” The tech saying it was herself in her 20s.

And the idea of going back to college makes me feel pretty young.

That said, the reality is, I’m entering a career that while will probably last me the rest of my working life. But I at most probably only have a decade in it or so.

I’ll be 57 when I enter school. I’ll be in the didactic phase for 12 months.

That makes me 58 when I finish the first half and start my 12 month clinical phase.

This means I’ll be 59 when I graduate and take my PANCE (the certifying exam that officially makes me a PA and allows me to practice as one.)

Many people plan on retiring at 65. I have never really had that as a goal. I figured I’d want to keep busy beyond that, even if I ended up working at a more relaxed pace.

But the real limit may come when I’m 69. PAs have to basically take an exam every 10 years. The honest truth, as I approach that date, I’ll have to give it some thought if it’ll all be worth it. Perhaps it’ll be the sign to retire. But also, working in the ED (as is my current plan) requires a certain physicality that at 70, I’m not sure I want to deal with. And while PAs can make lateral moves, I’m not sure what other specialties I’d enjoy.

So, we’ll see. Do I make it the full 10 before retiring? Do I re-up? I can guarantee I won’t be re-upping when I’m 79! (Unless someone discovers the fountain of youth!).

So if I have one regret about my approach PA career, is perhaps I should have done it decades ago.

But in the meantime, I’m going to enjoy the living hell out of the time I’ll have for it

ED Teching vs My Future – A Step Forward?

Over the coming weeks I’ll probably cut back on my hours as an ED Tech. And I have mixed feelings about that. The main reason being is I’m picking up some IT consulting work that pays a lot better and well, I’ll be honest, the money will help pay for me being in PA school.

Originally I had two goals when I tried to get a job as a tech in the local Emergency Department. The first was to gain the Patient Contact Experience that most PA schools require in order to apply. The second was to confirm whether I really wanted to be in Emergency Medicine. I was able to confirm the second goal fairly quickly.

As for the hours, every school had different requirements, from as few as 200 hours to as many as 1000 hours. Of course the minimum is different from the average and most schools only accepted students who were closer to the average number of patient contact experience hours.

I was able to quickly surpass the 1000 hour minimum within the first 6 months or so of me working in ED (this despite being in theory only a .6 FTE). Obviously that wasn’t enough for my first cycle (and most likely other factors). By the time I applied for the second cycle, I was at over 3,000 hours. I’m now at over 4,000, probably 4,500 hours and odds are I’ll be at close to 5,000 by the time I leave the job. (Edit: I looked through my old pay stubs, and turns out I’m actually over 5,000 hours now, so probably will be over 5,500 by the time I leave.)

In his book, Outliers, Malcom Gladwell cites a “10,000 hour” maxim which basically states to become an expert at something, one needs to spend approximately 10,000 hours of training for it. If it’s accurate, there’s a lot of question about the accuracy of this rule, then I suppose I’m half-way to being an expert. That said, I’m not really sure what being an expert tech means.

However, looking back, I definitely think my extra time in the ED as a tech was well worth it. I’m a far better tech (at least in my mind) than I was 1 year ago, let alone 2 years ago. (Though strictly speaking 2 years ago I was just off orientation). And that extra experience I think will go a long way to helping me in PA school.

Partly it’s a matter of confidence. Partly it’s a matter of skill. I appreciate that my place of employment is a teaching hospital and encourages a team approach. I’ve been in cardiac codes where the attending will run through what we’ve tried and ask, “anyone have any suggestions.” And they truly mean anyone, even a tech can speak up if they feel inclined. In other situations I’ve offered advice and had it accepted. I’ve actually had nurses and providers ask for my input or to help with some more advanced procedures.

I find I really enjoy doing the ED Tech work. And it’s made me both want more and not want more. I’ll be taking a two year gap (other than perhaps some per diem work) from working in an ED while I get my PA degree. Once I have that and pass the certifying exam, I’ll be a PA-C and be able to do a lot more in the ED than I do now. I’m excited about that!

But, I also look at the downside: being a tech, when my shift is over, I do about a 5 minute hand-off and I’m done. There’s no paperwork. There’s also no paperwork during the shift. It’s pretty much all hand’s on. Once I’m a PA-C, it won’t be that easy. When my shift officially ends, I’ll be responsible for paperwork and doing a more extensive hand-over. And, of course during the shift, I’ll be responsible for discharge paperwork and a lot of non-hands on work. I’m…. at best ambivalent about that. But, I suppose it comes with the terrority.

That said, I’m still excited about the next few years!

A Thought on My PA Journey

When leaving work last night, after a long 16 hour shift, a thought crossed my mind. Even if somehow I don’t succeed at PA school (not something I’m actually too worried about, and not really the point of this post), the last 3 years have been worth it. Almost exactly three years ago I was busy getting the paperwork done to start taking classes at the local community college. The first three classes I signed up for were Biology 1, Intro to Psychology, and Anatomy and Physiology I. I was nervous and excited. It wasn’t easy balancing my work and school schedule, but fortunately my consulting job gave me flexibility. Within the first week I realized how much I enjoyed being back in the classroom. I was in my element. I love learning. And I loved specifically learning these topics, especially Anatomy and Physiology. In fact, besides A&P, I really enjoyed Organic Chemistry (a sentence I never thought I’d write or say) and Biochemistry and Genetics. I’m actually thrilled most schools required these in order to apply, since by the time I had finished them, I had a much fuller understanding of how things happen inside our bodies. It’s been a thrill learning these topics.

As I’ve mentioned in the past however, taking classes was the easy part. I simply had to sign up. Getting the required hands on experience took some effort. But I quickly realized I was where I needed and wanted to be. This is evidenced in part by the fact that in 2023 I worked over 2200 hours in the Emergency Department (on top of my consulting work and taking classes) and in 2024, over 2400 hours. I’ve commented before that my IT consulting pays a lot better, and honestly has better hours. But I love what I do in the ED.

The stories I tell (some say bore) others are often the more interesting ones, but even the nights where nothing interesting happens and it’s mostly handing out blankets, performing ECGs and the like are fulfilling. For every shift I do CPR on a patient (and this week for some reason was a busy one, 4 out of 5 shifts I performed CPR compressions on a patient) there’s probably 10 where I’m only going ECGs and finding nothing noteworthy. And I’m OK with that. It’s still patient contact. It’s still making connections with another human being.

Despite biking and hiking less in the last 3 years than I’d have liked, I honestly have been busier and more fulfilled than I have been in years.

I know if I had done nothing but IT for the past 3 years, I would have been richer financially, but been less rich in terms of fulfillment.

The past 3 years have reinvigorated me and made me feel younger. It’s been worth it.

I can’t wait to see what the coming years bring!

So my advice to folks in the new year, especially those later in life like me, branch out. Be brave. Do something different. You don’t have to be drastic like me and change careers, but take a class, start a new hobby or something. It’ll be worth it.

Happy New Year!

2025 A Year in Preview

In keeping up my tradition of setting some goals (not resolutions) for the new year, here’s my hopes for the coming year.

  • Succeed at PA school – I managed the goal of getting in. Now the next goal is actually succeeding! I know it’s not going to be easy and I think I’m prepared. As I’ve said to others, come May, my full-time job will be being a student. I haven’t had that “job” in 35 years! So this should be interesting!
  • Travel – I want to get in at least one road trip before school starts. I don’t have details yet, but I hope to figure this out soon.
  • See Friends/Make New Ones – One detail about PA school is that I’ll be 4-5 hours from home. So I’ll be relocating for the next two years (the first year is all classroom room, the second is clinical rotations). So I hope to see some of my local friends, and make new friends among my classmates.
  • Biking – Yes, I definitely hope to get some in. I’ll be bringing my bike with me to school. It’ll just be a matter of finding time to do it. Fortunately I won’t be working night shift, which means I’ll be awake during the day.
  • Get our new septic system – Yes, again a goal.
  • Several projects around the house – this will be limited by the amount of time I have between now and May. So we’ll see.
  • That’s about it. Honestly, as long as I succeed at my primary goal, I’ll be happy and content.

In the meantime, check out how I did last year.