An oldie but a goodie...

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New Year's Eve, My Last Day in B-town

I have a family I have been taking care of since 2001. They are from Iraq and I have seen them through so much. They were basically brand new refugees that came through Jordan when I first started seeing them. There are six in the family, including a child who was a newborn in 2001. The mother had *severe* PTSD, to the point of mental status changes and total incapacity. I had never seen real, acute post traumatic stress outside of psych rotations in med school and it was scary seeing it on my own. At my current practice, DSHS wasn't able to provide an interpreter and, although the community mental health system exists as a theoretical safety net, in practice it was just impossible to get her in. Multiple times, through the father and son who spoke a little English, I told them outright that they needed to get into a community health clinic, that I didn't think I had the resources I needed to treat them. I even called and made appointments, printed out information on refugee su...
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20 miles

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205 miles, Seattle to Portland, July 12-13, 2008

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I keep telling people it was the most fun I'd had in months. 9500 riders on a 2 day tour to Portland supported by the Cascade Bicycle Club . I'd never done any long rides like this before, but I've always wanted to. There is no better way to see a place than on a bike. And there are no friendlier people than a bicyclists on a tour. Matt , Greg, Fil and I did the ride over 2 days, stopping to camp in Centralia. Fil had done it last year and I when I was driving him back up and was impressed by how much fun everyone seemed to have. This year, I remember thinking about 2 hours into the ride how incredible it was and that there was no question I'd be back next year. It's too bad the photos turned out like crap. My camera died just before the ride and no one else brought one so I just got a couple disposables. $40 for about 40 crappy pictures. Awesome. Parents, please talk to your kids about Chamois Butter before it's too late. Crossing the Columbia River... (Did I m...
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