Showing posts with label coffee. Show all posts
Showing posts with label coffee. Show all posts

Thursday, February 9, 2012

Things I learned in graduate school, Part II

1.  Do not forget to eat food.

2.  Do not forget to eat food and then half a cup of coffee and a handful of Pringles for lunch.

3.  Do not forget to eat food, have coffee for lunch, and then take a full dose of antispasmotic.

4.  Do not forget to eat food, have coffee for lunch, take a full dose of anti-spasmotic and then nearly fall out of your chair from being high while your PI is explaining a complicated procedure to you which you will be expected to perform for the first time on your own the following day.

Friday, October 14, 2011

Crohn's versus Grad School: Episode I

A fascinating new trend is emerging in my diet.  To bestow some background, the morning hour at which I eat breakfast is determined by when my nausea wears off... typically 2-3 hours after I wake up*.  As a research assistant, I got to work at 7am, pecked at a breakfast item between 8-10am and was totally stable until a 1-2pm lunch.

As a grad student, I wake up at 6am, "study" etc. until class at 9am, and still not being settled enough to eat, just forgo the breakfast entirely (gasp!).  What happens next is cruel punishment.  My stomach thundering in acidy mobilization by noon, I sit down to consume (very slowly) a sandwich.

Halfway through -- BAM! -- nausea is back, bitch.  "How dare you starve me and then gluttonously bloat me with half a sandwich?!", blathers the Crohn's baby.  And with my tail between my legs I slough off to make a cup of tea.

Clearly, the solution is to bring a granola bar to class so that the Crohn's baby doesn't start the afternoon hating before the morning hating has even subsided.  And sugar being my least favorite thing in the morning (this is an artifact of colonoscopy prep), I have to find a granola bar that isn't composed of nuts and seeds but is also not drenched in sugar.  Where does one find such an elusive creation?

*Although the nausea is also bested by coffee, the Crohn's baby does not accept coffee without ample absorptive carbo load, and also if I'm handling animals or microscopic pieces of fragile tissue there is just no inviting the Caffeine Shakes.

Sunday, July 31, 2011

the traveling Crohn

The adventure, three days in, has already been packed with thrills, chills and hospital billz [yo].  On a mild Sunday evening in the Bay Area, I find myself with a moment to reflect on the first phase of this great adventure.

The back story is very important here.  I have never lived more than 1 hour away from my childhood home, in which 20 nigh consecutive years of my life were spent.  When I went to college, I was an hour south.  When I went to work, I was half an hour north.  Although I have traveled some, I have never done the "big move"; and the "big move" includes a three-bdrm apartment of stuff that I didn't have before getting married last year.  With that in mind, let us begin.

I had planned for Wednesday the 27th to by my final full day at work, giving me a little buffer room to wrap up final minutiae.  Come Monday evening, and after accepting that the newly deposited moving POD is probably too small for what we need, I receive word that someone very dear has been addicted to narcotics for the past three years and is now ready to seek support in deciding the next steps toward recovery.  As if I weren't stressed enough -- if you ask H.K., "freaking out" would be his word choice -- this was pretty much icing on the cake.  Or fondant, if we're going for the full-blanket "heavy and surprisingly not good" analogy, and I am.

Tuesday morning during a short tea with Boss Man, I announce that I will be finishing up everything today and that I will be leaving early to be able to devote some time to Loved NA before I disappear.  Emotions abound during good byes and I flee the lab and go directly to Loved NA's abode.  It is pertinent, here, that I have not eaten much/well in several days because nausea and evening Crohn's attacks have become frequent and increasingly more painful.  This made the evening spent with Loved NA et al much less fun than it could have been.  However, it was a productive evening and I was sure that I could leave knowing that Loved NA was in good hands and of good-ish mind.

H.K. has already spent Tuesday packing up his small business into the POD, and Wednesday morning brings my involvement.  We get the thing a bit less than halfway packed before retiring.  I spend the night in and out of the Thunder Dome (ya like that?).  Thursday morning is blur of half-consciousness and sore limbs (does it come as a surprise to anyone that I'm totally out of shape but still lifting boxes and furniture twice my size? no.).  Loved NA is over helping a bit while kept a close but friendly eye on.  My mother has come as well with a repeated strain injury in her wrist and still clambering to help so I am delegating her to very small items.  Bless their hearts, delegating is the last thing on this earth that I want to be doing.

Wednesday evening, happiness arrives in the form of Minister Man (*totally unaffiliated best bud who kindly got ordained solely to hitch H.K. and I).  At this point, my diet of saltines, broth and beans has rendered me Throughputless, and I indulge in salmon and rice.  Then, I die.  The next morning, H.K. and Minister Man take over the heavy lifting as my body is near useless.  Mid-morning, I get a call from Loved NA, whose "watcher" has been called away and who is in need of a safe place.  I drop what I'm doing (which in honesty is not much), and leave the boys with the packing burden for the next hour, the poor things**.

Eventually on Thursday evening, our lives sans the trash and recycling bins and a dragon flower plant are packed, the apartment is in better condition than we received it despite the gaping cement hole and Frankinsteinian counter in our kitchen.  Without the extensive help of Minister Man, my mother, my sister and Loved NA... there is no way in the world that this could have been accomplished in two days.  No friggin way.  H.K. and I spend the night at my parents, where I [again] indulge in foods which encourage peristalsis, and [again] spend the evening with the Thunder Pot in more excruciating pain than I have been in over two years.

Had we not planned on leaving at 330am the next morning, I would have woken H.K. and fled to the ER for morphine salvation.  Instead, and without any form of painkiller, I endured.  Because I am an idiot.  And then got up at 330am.  Because I am an idiot.  You betcha.

H.K. was kind enough to do the majority of the driving to the Bay Area (a 12 hr trek).  We arrived with ample time to greet and have dinner with his family, after which we made for the ER where I was plugged into saline and chugged a gallon of CT scan contrast (in apple juice, which I have never had but was surprisingly effective).  Four hours later, I had peed I'm pretty sure at least 20 times, was given a "negative" CT scan and prescribed oxycodone and a very acute steroid dose.  Come again?  Acute steroids and no inflammation?  Sorry bud, not going there.  The oxycodone will do me just fine until I get down to New Home Base and find a new Dr. GI with whom to discuss an actual treatment plan.

The weekend has been lovely so far, with morning swims in the heated outdoor pool directly on the Bay, breezy walks on the Bayside promenade, coffee to encourage the Throughput and relaxing games, all less than 10 min from the nearest Thunder Dome.  I'm starting to return to functional status.  H.K. is loving this mini-vacay.  Neither one of us are yet dreading next weekend when we drive down to L.A. to meet our moving POD.

** lest I have over-sold my impotency, please know that in reality I did a ton of work for this move.  just... the heavy lifting paled in comparison to H.K. and Minister Man.

Thursday, July 7, 2011

Crohn's Wins and Technician Survival

In the absurdity that has been my final month in my current lab, I have neglected several announcements.  But this afternoon, I finished collecting data for and writing the first draft of my last Home Lab manuscript, and now I have a few moments to breathe.

1.  My first CCFA Take Steps for Crohn's and Colitis walk was, for me, a big success.  We raised some big monies with the generous contributions of many friends and family, including some fellow Crohn bloggers!

2.  Operation Raga Detox has gone swimmingly, and I managed within 2 weeks to bury the Throughput deluge in its own audacity (too visual?).  This, my friends, means that I will be trying to work things out with Remicade for a while longer before throwing in the towel, ripping the shirt, or what have you.  I'm pretty much on the BRAT diet for now, and between that and neglecting all coffee and alcohol (I dare you to try this in PDX where happy hour is like breathing) things are churning at a tolerable pace in there.

3.  Also, until today I hadn't been on Facebook or read anything from my extensive blogroll in 2 weeks.  While that was its own version of nice, I'm ready for a break from the 10-12 hour days (weekends included) and the monotonous and yet never-dulling misery that has been waking up and going to work lately to bust my ass and attempt to ignore my chastising and mocking coworkers (again, thank goodness for my summer student slash REAL replacement).

4.  In news that I still can't seem to grasp, my boss wants to continue paying for my health insurance until the student coverage kicks in, instead of having me dry up my funds paying for COBRA continuation and then being without coverage for the month following, which was my ingenious plan.  This is why I break my butt for Home Lab.  My boss/mentor/surrogate uncle/guru/guide gives me fancy tea and healthcare.  The conversation went something like this.

Boss Man: So, when you talk to Payroll today, see what it would take to allow me to pay for your continued health coverage until your student plan kicks in.
Raga:  Haha... no.
Boss Man: Why not?
Raga: Well... because you're not firing me, and you're already paying for my Big Conference expenses even though I wont be here.
Boss Man: Oh nonsense.  You're going to be working on the manuscript revision and poster after you're gone anyway.  Think of it as salary.
Raga:  I don't think I can do that, even if Payroll will let you.
Boss Man:  Look, I wouldn't offer if I didn't have the money.  And frankly, I wouldn't have the money without the work you've done this year alone.  What you've helped to develop in your tenure here will carry several future grants.  Covering your health benefits for two months is but a small token of appreciation.
 Raga: *sob*... Alright, I will try to think of it that way.

Why am I leaving this lab again?

Oh yeah...

Friday, June 24, 2011

basic skillz

Insanely busy work days are days when you do not want to flaunt your laziness, allow me to take care of your sloppiness, undermine my mentorship or otherwise provoke me to break your face with my heel.

And yet, I am having to remind the same two people to refill a solution which they share with me when they use it up, or at least give me enough warning that I can make more myself before anything time-sensitive gets destroyed.  Here I am taking out the recycling because it's overflowing onto the floor and neither of my coworkers has thought to walk it down the hall so no one trips on it and dies.  Here I am doing these things because I have already mentioned at least two other reminder today, and if I mention any more they will instantaneously forget those previous.  Here I am doing these things because even though I am barely able to handle my own work load today, my coworkers cannot find a moment to get off of Facebook to earn their salaries.

Perhaps it's the coffee talking, but I feel like these are very basic skillz that I should not have to continuously remind people to improve... or develop.  If it were my place to give a verbal whooping, I'd be all over it; alas, I am mentoring/supervising my peers and so I must refrain.  

They tell me that in California, scientists are driven, enthusiastic and competitive in a supportive way.  I cannot express how much I yearn for this.

Can I get a "Rawr"?

Tuesday, June 14, 2011

stress management fail, Buffy and RagaDetox

A lot has gone down in the past 8 days.  Serious things like H.K. and Optimus Prius getting t-boned by a girl on her cell phone (H.K. is unharmed, O.P... not so much), bringing my young brother and his musician's gear home from college for the summer, sewage leaking underneath our kitchen which requires that H.K. and I live on the streets for several days this week, and family BBQ.  In addition, my boss has been away at a meeting and I have been left with Incompetence, Arrogance, a wonderful summer student, and the installation of and training on two new apparatus in the lab.

Smaller things that have gone down include an eye doc demanding that I expand the repertoire of my reading glasses to include computer-staring and T.V.-watching because my eyes have been blood red for a month now.  Never fear -- we ruled out iritis/uveitis, who were suspected based on prevalence in immunodeficient and Crohn's types.  Also on the list of less significant gripes is that while all of this was going on around me, I was also working on a manuscript, collecting data and taking care of my boss' mice, and cleaning up after Incompetence who continues to thoroughly live up to her name.

Needless to say, I died of tired on Sunday and have not yet recovered.  I need several days of incubating in my robe and watching Buffy the Vampire Slayer marathons... through closed burning eyeballs.

Either from the pain in my gut or eyes, or from the agonizing ordeal that is going to work every day lately, I have not been managing my stress smartly (enter the 5 cups of coffee and ~2 bottles of wine I consumed last week).  I have decided, therefore, to eliminate coffee and alcohol from my diet this week.  To some people, detox means flushing one's body with 8 cups a day of sunflower and stinging nettle teas and eating nothing but flax seed and green vegetables; RagaDetox just means no coffee or alcohol.

None of this sounds very remission-y.  But.  My boss is back in town, and things are beginning to look up... sort of.

Monday, June 6, 2011

of Crohn's and food cravings

When I was small -- and even during gymnastics when I had to carbo-load and be careful about protein and sugar balance -- I never had issues with food cravings.  That was an adult-onset thing.  Alternatively, it could have been a Prednisone-induced phenomenon.  Although it's well known that part of Prednisone Mania can include enhanced sweet tooth and weird food cravings during regimen, there seems to be no accessible record of either long term effects of these sort.  Then again, I haven't looked very scrupulously...

That I [and my medical journal of poo's and drugs] can recall, I started to have food cravings beginning after my first encounter with Prednisone when I was 16 (notice that I categorize 16 as "adult-onset").  Since then, I've only ever not had some degree of craving when I was nauseous.  Usually this is just a sweet tooth, but in my later years it has become refined to sushi, curries and Teriyaki chicken burgers*.  I have also expatiated on my inability to ignore food after a run to the grocery store, when the fridge and cupboards are replenished with veritable goodness.

In the past month, however, my cravings have subsided -- even in the [natural or coffee-induced] absence of nausea!  This is very uncharacteristic and, so far as I can surmise, unprovoked.  Am I just getting old?  Am I evolving from a stress-eater to a stress-starver?


*as an aside, why doesn't Google know how to spell Teriyaki?

Thursday, May 19, 2011

Food of the Day: i drink coffee for my liver

I have trouble justifying my typical 2-4 cups of coffee a week.  No matter how diluted with rice milk, whether regular or decaf, there is no denying the less-than-ideal effect of the acids on my tummeh.

However, my average 36 oz of coffee a week has other benefits.

First of all, it magically suppresses nausea.  Secondly, it helps me to stave off hepatic cancer and chronic liver disease (Johnson et al 2011*).  And as anyone who has ever taken steroids or 6MP or been on chemo/biologic therapy knows, this is a handy dandy organ.  Specifically, Dr. Johnson and colleagues report that of their coffee-drinking cohort participants, those who drank 3+ cups of coffee per day on average had a 44% reduced risk of develpping hepatocellular carcinoma compared to those who never drank coffee.  As clinical studies go, 44% is a pretty big deal.

There are other reasons to drink coffee, such as its recent implication in protecting against prostate cancer, and the age-old [read: 6-year old] claim that coffee can protect lymphocytes from toxin-induced DNA damage (Steinkellner et al 2005; Bichler et al 2007).  Suffice to say, there is ample support for moderate coffee consumption.

Folks, I needed an excuse to get my French roast fix.  Or Brazillian roast, or fair trade Guatemalan... really, it's whatever is being served at Journal Club.

ResearchBlogging.org
* Johnson S, Koh WP, Wang R, Govindarajan S, Yu MC, & Yuan JM (2011). Coffee consumption and reduced risk of hepatocellular carcinoma: findings from the Singapore Chinese Health Study. Cancer causes & control : CCC, 22 (3), 503-10 PMID: 21258859