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melted smoosh

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between high school and college, I spent a memorable gap year in gorgeous British Columbia, at Capernwray Harbour Bible Centre on Thetis Island. here are some highlights!

Christmas as a grownup

the sea, myself, and I

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whine and cheese (2024 edition)

it's about time for a good old airing of the grievances. while we have ever so much for which to give thanks, sometimes we need the catharsis of enumerating our woes, big and small. (you can read the 2023 edition here.) _________________________________________ first up, potty training. I buckled down and trained Greta and Cecilia both around age 2 1/2, and it went fairly well (I'm a big fan of waiting until the kid is practically ready to train themselves). Elizabeth turned 2 1/2 near the end of the school year, and logically it seemed like a great time to buckle down -- we wouldn't be driving around to after school sports and activities and we'd have more time at home. I kept waiting for the day when I'd wake up full of excitement and motivation to strip off the diaper and chase a naked toddler around the house. and ... shockingly ... that day never came. then we were preparing for our trip to Seattle in July and it definitely didn't seem like the right time

eight months

dear Victoria, sometimes I scoop you up and can't stop myself from squishing your little body right into my chest, and nuzzling my face into your neck until you squeal with giggles. you are just so darn cute! you can spend up to an hour scooting around the family room playing with various toys -- recently you've started to be interested in baby dolls and the Fisher Price doll house. you mostly army crawl, but sometimes you pull yourself forward when you're sitting, too, and a few times you've been able to launch forward an inch or so from a bona fide crawling position. you can stand supported for a little while, but you're not close to pulling up by yourself yet. we had another wonderful report from the orthopedic surgeon this month. both hips remain in place. your left hip has what they call a "delayed ossification center", meaning that it's still primarily cartilage since the hip socket didn't form properly to begin with, but the doctor said tha

what's good for the goose {my first foray into therapy}

sitting outside the new independent coffee shop that opened in the neighborhood this summer as a physician assistant with an undergraduate minor in psychology, I've always been fascinated by the connection between the mind and the body. that interest serves me well in my chosen specialty of primary care/internal medicine, as mental health comes to bear so frequently on physical, or somatic, complaints like fatigue, upset stomach, and dizziness. in any given day, I'll typically have one or two appointments that are scheduled specifically so someone can address their anxiety or depression, and it often comes up as a subject of conversation during routine physicals. I have probably recommended therapy to my patients literally thousands of times, whether it's to deal with an isolated situational stress or grief, or more pervasive issues like OCD, chronic insomnia, bipolar disorder, depression, or borderline personality disorder. when we're discussing starting antidepressant