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<title>DebRiSS</title><link>http://www.pileofdebris.com/index.html</link><description>Hot News&#x21;</description><dc:language>en</dc:language><dc:creator>shamel@gmail.com</dc:creator><dc:rights>Copyright 2008 Andy Shamel</dc:rights><dc:date>2008-07-30T21:22:08-04:00</dc:date><admin:generatorAgent rdf:resource="http://www.realmacsoftware.com/" />
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<lastBuildDate>Wed, 30 Jul 2008 21:24:11 -0400</lastBuildDate><item><title>CPE Eats your Brain</title><dc:creator>shamel@gmail.com</dc:creator><category>CPE</category><dc:date>2008-07-30T21:22:08-04:00</dc:date><link>http://www.pileofdebris.com/files/e64cc6e4df7bb1108a7bc3d6588c50c0-16.html#unique-entry-id-16</link><guid isPermaLink="true">http://www.pileofdebris.com/files/e64cc6e4df7bb1108a7bc3d6588c50c0-16.html#unique-entry-id-16</guid><content:encoded><![CDATA[Hey everybody!    CPE has a way of devouring one&rsquo;s gray stuff.    As such, there has been no updating for some time, and for that I&rsquo;m sorry, or at least would be if thinking were possible right now!!


I have a passel of lovely photograms that I&rsquo;ll put up soon, taken from the Philly Art museum and my recent (and necessarily reviviatory) trip to the NYC.


I love you all, and hope to write something more soon!


Peace.]]></content:encoded></item><item><title>Just like Gaul</title><dc:creator>shamel@gmail.com</dc:creator><category>Theology</category><dc:date>2008-07-21T19:23:07-04:00</dc:date><link>http://www.pileofdebris.com/files/6bbd9fc4341684c212c2c96122a11f2e-15.html#unique-entry-id-15</link><guid isPermaLink="true">http://www.pileofdebris.com/files/6bbd9fc4341684c212c2c96122a11f2e-15.html#unique-entry-id-15</guid><content:encoded><![CDATA[So, now that I&rsquo;m seven weeks into CPE, and am starting (ha) to run out of steam, I heard something today that has reframed what it is that I&rsquo;m doing here.    In a discussion on grief and the presence (or non-presence) of God, one of my colleagues in the program made the observation that for many of our patients, we the chaplains are the only concrete symbol of <a href="http://picasaweb.google.com/shamel/ThePhiladelphiaZoo/photo?...  This is not to suggest that we all have giant messiah complexes or that we each believe that we are Christ come again, but rather that if we are to take the Christian message seriously, and actually think about what baptism means, then we have to realize that God is acting through us to be with these people.  

...So, thinking about my work in such a way, that I am privileged to relate to these patients strictly and explicitly on those terms, as a potential instrument of God&rsquo;s love in their lives (that, indeed, is the whole work of the chaplain), I am somewhat <a href="http://picasaweb.google.com/shamel/ThePhiladelphiaZoo/photo?...  But it does mean that I have a new appreciation for the work here, and it&rsquo;s something I&rsquo;m happy to be doing, even if I don&rsquo;t exactly enjoy it.


...authkey=kikCxMhXneQ#5225615296494869442"></a>The novel is a retelling, indeed somewhat of a &ldquo;this is how it really happened&rdquo; version, of the Greco-Roman myth of <a href=&rdquo;http://en.wikipedia.org/wiki/Cupid_and_psyche&rdquo;>Cupid and Psyche</a>, form the perspective of the oldest sister.  ...  If those comments can be excised from the manuscript (and they usually can without any real damage to either the content or quality of the book), then the insights he has into some of the primary forces of human nature are remarkable.  

...The photograms above presented repesent the following animals: The Hippo, the Giant Elephant Shrew (whose nose and legs are of prodigious, even absurd length), the More Reasonably Sized (though markedly tank-like) Elephant Shrew, the Elephant, the Coati, the Meercat, and the Harvest Mouse (who would kill you as soon as look at you).
]]></content:encoded></item><item><title>Turning Cards Sideways</title><dc:creator>shamel@gmail.com</dc:creator><category>Nerddom</category><dc:date>2008-07-14T22:39:36-04:00</dc:date><link>http://www.pileofdebris.com/files/43d35b3a999cd373ef961488a943a936-14.html#unique-entry-id-14</link><guid isPermaLink="true">http://www.pileofdebris.com/files/43d35b3a999cd373ef961488a943a936-14.html#unique-entry-id-14</guid><content:encoded><![CDATA[There was a big music festival here, sponsored by WXPN, the public radio station that plays rock music.  ...  They play it all the time at the coffee shop I go to before and after CPE.  ...  I lost most of my interest in the event when I realized that Dar Williams had played the night before... alas.


...For those of you who are not so familiar with the ins and outs of nerd culture, Magic is a game played with vividly illustrated collectible cards that pits one player against another in the context of a magical battle.    The game itself is like a combination of poker, chess, and Lord of the Rings, except not actually like any of thos things at all.    In any event, it&rsquo;s a great game, and is generally played by the wide spectrum of geekery that roam ungoverend and ungovernable across this great land of ours. 


...Going to the tournament was in many ways like coming to a certain kind of spritiual home: everybody I knew was there: the skinny pale nerds, the giant be-t-shirted nerds, the bored girlfriends waiting for their boyfriends to be done, the really brilliant girlfriends who learned to play and are now better than their boyfriends, the random old guy, the handful of 13 year olds who hardly know how to play, the pinch of 14 year olds who kick my ass, the hipster geeks who think they&rsquo;re cooler than all the rest... ahhh, the gang was all there.  ...  It was mosly just nice to see all the same people I&rsquo;ve seen at every other magic tournament I&rsquo;ve played in (they just had different faces...)
]]></content:encoded></item><item><title>CPE is Hard</title><dc:creator>shamel@gmail.com</dc:creator><category>CPE</category><dc:date>2008-07-11T21:55:49-04:00</dc:date><link>http://www.pileofdebris.com/files/5082257a9d5aaf100006c1a01ed67d7d-13.html#unique-entry-id-13</link><guid isPermaLink="true">http://www.pileofdebris.com/files/5082257a9d5aaf100006c1a01ed67d7d-13.html#unique-entry-id-13</guid><content:encoded><![CDATA[First off, I just want to thank everybody for their well-wishing and prayers, that goes for folks who have done CPE and for those who haven&rsquo;t.  

...As I&rsquo;ve told lots of you, part of the program is doing overnight on-call shifts at the hospital.    This means I get to stay at the hospital all night, making myself available for pages and traumas in the ER.    A lot of the time, the night is quiet (n.b., we never say the q-word; it&rsquo;s bad luck!)

...The only baptisms we really get to do is for babies who aren&rsquo;t going to make it.  ...  I won&rsquo;t get into the details here in this ever-so-public forum, but you can rest assured that intense and spiritual joy was not the primary emotion in operation.  

...On the hospital shows, like Scubs and House, eventually there&rsquo;s an episode about how everpresent death is in a hospital.  ...  The night after I stood with a man while his wife died, I came home and listened to Sufjan Stevens&rsquo; version of Come Thou Fount of Every Blessing.  ]]></content:encoded></item><item><title>Telemetry what?</title><dc:creator>shamel@gmail.com</dc:creator><category>CPE</category><dc:date>2008-07-07T21:21:53-04:00</dc:date><link>http://www.pileofdebris.com/files/501d7547de5a8198d83f0abc753282d9-12.html#unique-entry-id-12</link><guid isPermaLink="true">http://www.pileofdebris.com/files/501d7547de5a8198d83f0abc753282d9-12.html#unique-entry-id-12</guid><content:encoded><![CDATA[So, I realize that I haen&rsquo;t said a whole lot in my recent posts about how CPE itself is going, as opposed to my various adventures.  

...As most of you know, I&rsquo;m an introvert-type, and so having intense interaction with el publico day in and day out for eight hours per day (in or out, it makes no matter) is enough to leave me good for little more than last night&rsquo;s Daily Show and some snoozing.    Piled on top of that is the fact that most of that interaction falls into one of two categories: talking with patients (often about less than happy things) and intense self-examination with the group.  


...A good deal of our &ldquo;classtime&rdquo; is spent in what really amounts to group therapy + professional development, as we analyze interactions we&rsquo;ve had, and all of the psychology that went into our decisions.    I&rsquo;m learning a lot in these &ldquo;clinicals&rdquo; about what makes me tick, and how I react to stressful situations. ...  In learning how I respond to a variety of intense interpersonal situations, I am learning how best to deal with them when they do crop up. 

...It&rsquo;s always nice to hear that they or their family have appreciated my being with them, and it&rsquo;s even better to see them go home healthy.


...One paitent who had been at Thomas Jefferson for some weeks had had frequent visits from his lady friend, and his nurses could tell just exactly how much fun they were having of a night by the readings on the remote heartrate monitors.  ]]></content:encoded></item><item><title>In-Dependence Day</title><dc:creator>shamel@gmail.com</dc:creator><category>Tourism</category><dc:date>2008-07-04T13:52:18-04:00</dc:date><link>http://www.pileofdebris.com/files/f476c76ddd27b2fb0d078636693d46b3-11.html#unique-entry-id-11</link><guid isPermaLink="true">http://www.pileofdebris.com/files/f476c76ddd27b2fb0d078636693d46b3-11.html#unique-entry-id-11</guid><content:encoded><![CDATA[Last weekend, I took the exciting and reportedly dangerous <a href=&rdquo;http://www.apexbus.com/&ldquo;>Chinatown Bus</a> from Philadelphia to New York.    For those of you who don&rsquo;t know, the Chinese crminal syndicates use the cover of a cheap busline to traffick heroin, tiny shoes, and the latest prophecies fresh in from China, authorized by Beijing&rsquo;s Ministry for Lying to Americans, for use in fortune cookies.    For the mere price of twenty dollars roundtrip, and the sure knowledge that you are participating in a criminal endeavor, you can get almost anywhere on the eastern seabord in approximately two hours.  

...It is a representation of the dark Goddess <a href=http://www.wikipedia.org/wiki/Starbucks>Kaph&eacute;</a>, imported from the New World.  

...</a>In typical fashion, European colonial powers not only enslaved the inhabitants of this island paradise, but they crystalized its panoramic views and took them back to their dreary and icy homes in the European Wastlands.  

...After our sojourn amongst the beautiful art, Harry and I made our way to meet Master Dan Chamberlin of the New York Chamberlins, and then made haste to the Tambasco household, where we played an excellent roleplaying game called <a href=&rdquo;http://www.lumpley.com/games/dogsources.html&rdquo;>Dogs in the Vineyard</a>.  

...The next day, after settling the island of <a href=&rdquo;http://en.wikipedia.org/wiki/Settlers_of_Catan&rdquo;>Catan</a>, The <a href=files/danmickbrandi.jpg>native New Yorkers</a> helped Harry and me find our way to a rain-soaked barbecue in Brooklyn.


...John the Divine (which is HUGE), then spent a couple of hours in the surprisingly disappointing <a href=&rdquo;http://en.wikipedia.org/wiki/Strand_Bookstore&rdquo;>Strand bookstore</a> in Union Square, then jumped my bus back to Philadelphia.  ]]></content:encoded></item><item><title>And the photo-graphery continues&#x21;</title><dc:creator>shamel@gmail.com</dc:creator><category>Photo-Graphery</category><dc:date>2008-06-21T10:57:18-04:00</dc:date><link>http://www.pileofdebris.com/files/a7940a7e1b686e0985bdb420f7779229-10.html#unique-entry-id-10</link><guid isPermaLink="true">http://www.pileofdebris.com/files/a7940a7e1b686e0985bdb420f7779229-10.html#unique-entry-id-10</guid><content:encoded><![CDATA[There is not much news to report from the CPE front, except to say that CPE is engaging, rewarding, important, and amazingly exhausting.    For those of you who know me well, you know also that I am of the introverted persuasion.  ...  And so, at the end of the day, I am nothing if not drained.    I&rsquo;m learning a lot, and am very glad to be here, but nevertheless, I&rsquo;m looking forward to being able to rest for real when it&rsquo;s all over!


...It&rsquo;s in one of the aforementioned &ldquo;reconstructed rooms,&rdquo; and is a very nice, and peaceful place to sit.  

...I like the way that the face looks like it is just leaving the picture, as if it has somewhere to be.


...See how the way the glass on the left is cut so it looks like an angel wing for the figure on the right?  

...The brick walls in the pieces on the right and left look strangely modern; they almost remind me of World War II imagery, like concentration camps or something.  ]]></content:encoded></item><item><title>Now with magical photo-graphic imagery&#x21;</title><dc:creator>shamel@gmail.com</dc:creator><category>Tourism</category><dc:date>2008-06-17T10:48:28-04:00</dc:date><link>http://www.pileofdebris.com/files/06de6f65bd30cb25c6e4a240a001933d-9.html#unique-entry-id-9</link><guid isPermaLink="true">http://www.pileofdebris.com/files/06de6f65bd30cb25c6e4a240a001933d-9.html#unique-entry-id-9</guid><content:encoded><![CDATA[Through the magic of the sorcerously ingenious French invention, the camer&agrave; digit&agrave;l, I was able this past weekend to capture images of what the natives call La Ciudad del Amor de Hermanos.  

...According to local lore, running up and down them repeatedly transforms you into a speech-impeded, but willfully determined pugilist.  

...What I enjoyed most about the place the first time I visited was the collection of little rooms hidden away between the galleries.   Each is setup using recovered artifacts and art from a particular period, sometimes going so far as to include actual wall panelling, ceiling decorations, and even fireplaces.    They help to give an impression of what the art might have looked like in it&rsquo;s &ldquo;natural habitat.&rdquo;


...Following his death, the city had him bronzed, and placed next to the stairs that so changed his life.


...There was once a law on the book stating that no building in the city could be taller than his head.    Eventually, the red-hot steam engine of capitalism and progress trampled that law into the dirt, but at least they had the decency to put those buildings behind Penn&rsquo;s back.
]]></content:encoded></item><item><title>&#x2026;and we&#x27;re back&#x21;</title><dc:creator>shamel@gmail.com</dc:creator><category>CPE</category><dc:date>2008-06-14T16:38:06-04:00</dc:date><link>http://www.pileofdebris.com/files/6fd9268dd3a1e67ea7ea33df5f8003b2-7.html#unique-entry-id-7</link><guid isPermaLink="true">http://www.pileofdebris.com/files/6fd9268dd3a1e67ea7ea33df5f8003b2-7.html#unique-entry-id-7</guid><content:encoded><![CDATA[For those of you wondering about such, no, it did not in the end have anything to do with a previous encounter the poor laptop had with a reckless young bottle of <a href=&rdquo;http://www.stpetersbrewery.co.uk/&ldquo;>St Peter&rsquo;s</a> English Ale. ...  So, while fixing the hard drive issue, the good people at Apple made so bold as to fix everyting else (for a not-small donation to their cause on my part).    So, here we are, fresh of screen, newborn of hard drive, and almost entirely lacking in any sense of how properly to behave as a laptop.  

...It turns out that a poor man had been mugged, and so I spent hte rest of the morning with his wife while we waited to find out how he was doing.  

...It&rsquo;s not that complicated a procedure, and generally speaking they&rsquo;re ahppy to see us, but nonetheless, all the intorverts out there can probably agree with me on the existential terror involved in such a project.  ...  Likewise, I&rsquo;m getting to know the nursing staff on my floors, which is good, since even if the patients come and go, the nurses remain.    The other day I gave my opinion on a birdesmaid&rsquo;s dress one of them was looking at on the interwebs that she was going to have to wear at a wedding (of all places!).  

...The jury is still out on this one, but I&rsquo;m afraid my dedication to Le Guin will probably win out over my actual thoughts on the book. ]]></content:encoded></item><item><title>First Day of CPE</title><dc:creator>shamel@gmail.com</dc:creator><category>CPE</category><dc:date>2008-06-02T22:50:55-04:00</dc:date><link>http://www.pileofdebris.com/files/a4309712a8f94c33aaf2a008dd0204d9-6.html#unique-entry-id-6</link><guid isPermaLink="true">http://www.pileofdebris.com/files/a4309712a8f94c33aaf2a008dd0204d9-6.html#unique-entry-id-6</guid><content:encoded><![CDATA[The last few, since arriving here on thursday, I have allowed myself the luxury of late nights and mornings, which effectively kept me on California time.  ...  Soo... this morning, I woke up at 6:00, which to my jet-plane-travel-addled body felt much more like 3:00, and so embarked on my first day of CPE with not precisely all cylinders firing&hellip;


...I&rsquo;m glad that they have done away with the &ldquo;old style&rdquo; CPE programs that, as Joe (our supervisor) put it, pushed you over the edge and then tried to catch you.    I get the idea that there was little in the way of support, and a lot in the way of tough situations with patients, families, etc.  ...  Now, in the sensitive and much more excellent 21st century, we have a more supportive and encouraging atmosphere in which to deal with probably more of the previously mentioned patients and families.  


...Generally, the program goes from 8:30am to 4:30pm, but 10 nights out of the summer we have to stay over, from 4:45pm to 7:45am.    There&rsquo;s an on-call room that we can use to try to catch some of the ever-ephemeral and coquettish Z&rsquo;s that taunt us with their promises of rest, but, by all accounts, flee (and justly so) when the Duty Pager goes off.    During the on-call overnights, the duty chaplain is the sole pastoral presence for the whole hostpital, especially for the ER (or ED [emergency department] as they prefer to be called).  ]]></content:encoded></item><item><title>A day in Philly</title><dc:creator>shamel@gmail.com</dc:creator><category>Tourism</category><dc:date>2008-05-31T18:11:14-04:00</dc:date><link>http://www.pileofdebris.com/files/415ac749005226bfb2851c09db0f3aee-5.html#unique-entry-id-5</link><guid isPermaLink="true">http://www.pileofdebris.com/files/415ac749005226bfb2851c09db0f3aee-5.html#unique-entry-id-5</guid><content:encoded><![CDATA[Ok, most of a day.


I must say, the Philadelphia Museum of Art is amazing.    Beside the excellent collection of painitngs, scattered througout the museum there are little rooms tucked away set up, furnieshed, and panelled according to a particular period&rsquo;s decor.    So there&rsquo;s a room that was moved out of a 16th century English house, and one taken from a 17th century Italian villa, and several more.    It&rsquo;s really quite excellent.    You get to see the pieces of art in their &ldquo;natural habitat&rdquo; as it were.


I only made a cursory sweep through the mueseum, though, because I know that I&rsquo;ll be back again, and soon, too.]]></content:encoded></item><item><title>Shadowing</title><dc:creator>shamel@gmail.com</dc:creator><category>CPE</category><dc:date>2008-05-31T09:30:11-04:00</dc:date><link>http://www.pileofdebris.com/files/76ceedaf475806b4c841a4d1d4e50326-4.html#unique-entry-id-4</link><guid isPermaLink="true">http://www.pileofdebris.com/files/76ceedaf475806b4c841a4d1d4e50326-4.html#unique-entry-id-4</guid><content:encoded><![CDATA[So last night I got to follow a fellow-shaplain around the hospital to see what he does of an evening.  ...  The hospital is spread out over several buildings, and so there is a great distance to be covered if one is called to the Neurology building from the CPE office.  


As it turns out, last night the two most important things going on were happening in the same room.    Two hispanic males with very large families were being taken off life support, and it wasn't until they were moved from the one room into separate rooms that anyone outside the families could keep them all straight.


...The families were very, very distraught, and to see such pain is to know that there is nothing anyone can do.    As the chaplains, there was even less we could do, since the families were really large enough to take care of themselves.  

...I'll probably have my first on-call this week, which means  staying at the hospital from 4:45pm to 7:45am.  

...I think I'll hit up the Philadelphia Museum of Art since it's supposed to rain.]]></content:encoded></item><item><title>In Swarthmore</title><dc:creator>shamel@gmail.com</dc:creator><category>CPE</category><dc:date>2008-05-30T13:17:53-04:00</dc:date><link>http://www.pileofdebris.com/files/f7a0efdc8978952d8a9ec2c462bfe5a2-3.html#unique-entry-id-3</link><guid isPermaLink="true">http://www.pileofdebris.com/files/f7a0efdc8978952d8a9ec2c462bfe5a2-3.html#unique-entry-id-3</guid><content:encoded><![CDATA[It would appear that the time has come to keep one of the much-fabled and well-beloved w'blogs, or whatever the young people call them.


After nine hours of air travel (that would be a "direct" flight from San Diego, by way of Austin and Orlando), I arrived safe at the Philadelphia airport.    Amazingly, all three landings were early by 20 minutes or more, which allowed we small faithful band of thru-fliers to stretch our legs and go off in hunter-gatherer bands to find sustenance beyond the meager provisionings of the Southwest Airlines flight crew.  

...And so, after filling Carol and Randy (my wonderful godmother and the priest who baptized me) in on my general doings and thinkings, and catching a brief glimpse of the Stewart and the Colbert, I slept.


And now, on this last friday before the CPE begins, I'm getting ready to roll into Philly for my shadowing orientation.    Having not spent much time in the world of hospitals (I've spent way more time in the hospitals of television than of the real world, thank you Dr. ...  I have some reassurance in that many others have gone before me in the world of CPE, but I nevertheless am a bit nervous.    Hopefully some of that will be resolved after tonight, when I actually get to see what this whole business looks like.
]]></content:encoded></item></channel>
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