Friday, April 29, 2011

Little-Girl Fairytales to Loving Reels


I've already begun to tell you about my sweet, slow, inspired romance with the Maritimes. Like falling in love though, completely drunk and high with passion -grand flames bursting and snapping about with enlightened joy, yet a slow glowing smolder beneath, comfortingly reassuring that this love won't die.

Perhaps today, we're all entitled to a little princess-love fantasy, in celebration of the marriage of the lovely Kate Middleton to Prince William, now Duke and Duchess of Cambridge. That stunning wedding gown of creamy lace and satin, those stolen glances, shy smiles, balcony kisses and general merriment... it's our collective little-girl fairytale! And it was beautiful, the sentiment simple and good -to have happiness aired all day long in the news, on the net, in papers, on the radio -just for a moment to share in that dream, and suspend some of the more complicated challenges of our various realities. So in this spirit, I share with you, my love for this East Coast province.

Today was a glowing, glorious day for me in medicine -small joys make it all wonderful: all by myself, I locally anesthetized, excised a skin nevus (or "mole") and sutured lovingly, delicately and with undivided attention a woman's inner thigh. Time flew as I practiced the artful technique of my supervisor, under his supervision, earning his praise, the patient's praise and my own satisfaction. I will be a surgeon. Hopefully an obstetrician, but certainly a surgeon of sorts. Today made it so obvious to me, I had to laugh that I ever thought I could ever be anything else!

Earlier this week, on the afternoon I had off, I was treated to the experience of the stunning, understated beauty of Nova Scotia's South Shore, visiting Bridgewater, Lunenberg and Mahone Bay. Listening to Celtic reels (Nova Scotian though) and other Canadian musical artists to get us into the free, local spirit, driving along a mesmerizing coastline, the sun gradually peeping through the clouds, finally breaking and bathing the Atlantic waters in that infinity sky-blue, brightly coloured little cottages and fishermen's homes (and sometimes mansions -who said fishermen were poor ;), docks, churches, friendly, smiling faces, little shops, golf courses, lighthouses and harbours (including the home of the Bluenose -the large sailboat on the back of the Canadian dime... though it wasn't there yet, so we settled for the Caledonia).

We passed little brooks and streams, pebbled streets called "Kissing Bridge Rd", smiling faces, and inhaled big wafts of salty sea air filled with the promise of summery days, tourists and ice cream. We had a scrumptuous lunch of homemade fishburgers, chips and Nanaimo bars at Lahave Bakery, amidst old newspaper clippings, wood-cottage-like warmth, British and communist flags, hanging guitars and corners filled with old books. The day ended with a visit to Greenfield -and the most serene cottage on one of the two lakes, cozily nestled in a forest of fragrant pine, birch and soon-to-bud leafy trees. I was recounted stories of community wide feasts of planked salmon over large fires, and starry nights over the lake, family time and love -a little Maritime Eden.

Then after my final 24-hour call, instead of taking the usual post-call day of rest after a night of 3.5 hours of sleep, I spent the day gallavanting about Halifax. Starting bright and early with the Maritime Museum of the Atlantic -nothing like a healthy dose of history, monuments, anecdotes, tales of sinking ships, treasure hunters, privateers, Canadian naval stories, hundreds of ship and sailboat models, real artifacts from the Titanic, lighthouse magnifying glass, old paintings, film clips and diary entries of the 1917 Halifax Explosion to provide a little context, to this captivating, unique and beautiful province and region. This was followed by a delightful lunch at McKelvie's: seafood chowder, fresh lobster roll, rasberry zinger mocktail and mini-carrot cake dessert, topped with lemon cream, burnt coconut shavings and a chocolate drizzle -at long last, a "very Maritime", seafood experience!

I really got walking after that, unfazed by the rain, determined to make the most of my one day in the Maritime capital -truly felt like a cross between Ottawa and Quebec city -small city town, lots of character, right on the coast (a harbour town indeed... or as my father used to call it, "a sailor town", though less so now than 20 years ago, probably!), plenty of university students wandering or rushing about, buses and cars milled about in traffic, but only on the few 'main roads', with a downtown core only a few blocks long by a few blocks wide. Still, distinctly a city, albeit not a typical one. Dinner theatre, musical theatre, banks, high rises, restaurants, bars and pubs, a few Starbucks, local cafe franchises, eccentric little shops, parks, statues and monuments, residential streets with those typical, brightly coloured, gabled Maritime homes -prettier areas and less pretty areas. Overall, entirely endearing. Walking along Barrington St and up Spring Garden, I began with a visit to the IWK children's and women's hospital, one of the Dalhousie teaching sites, skirting past the main Dalhousie campus... the same university that graduated many a bright Canadian scientist, lawyer, doctor... including the late CD Howe, the politician responsible for the funding of the Avro Arrow project.

Then a lovely stroll through the Public Gardens -one of Canada's oldest and probably prettiest Victorian-style gardens, with little man-made ponds, picture-book walking bridges, ducks, Renaissance-style, goddess-like statues, gazebos, gardens-yet-to-be-flower-filled, magnolias already abloom with young blossoms, people young and old, taking rest on the park benches, or jogging along the trails, and a beautiful empty stage, with rows of empty benches below (perhaps for summer performances of opera or theatre or fiddle-playing? I'll bet this is wedding-central in the summer!). I made my way up to the Citadel, full of history and great views of the coast and the city from above, walking along the top of high stone walls, old canons with some kind of army training happening down below. Meandered my way back to where I started, popping into Starbucks to juice up my phone, over a long-craved green tea soy latte, and into strange little shops full of imported Indian jewlery and knick-knacks, or tarot cards, scented candles, rocks and Celtic folk books, or the most fantastic used book store I've seen in a while, where I purchased a second hand copy of Robertson Davies "Tempest Lost" and some other book on the peaceful coexistence of diverse religious groups in medieval Spain. Quickly flitted into the gift shop of the art museum to pick up some stationary (I'm such a sucker for stationary and the most beautiful and interesting ones always come from museum gift shops! would have liked to see the actual museum, but it was closing in 10 minutes!)... and then a lazy drive back.

We came home after eating a decadent serving of "garlic fingers" -like pizza, but garlic butter instead of tomato sauce, topped with mozzarella, cheddar, banana peppers, which you then dip generously dip into the side order of "donair sauce" (really like a sweet garlic cream... mmmm), at the local pizzeria in town. Early night to bed (much needed)! Definitely "burned the wick at both ends", but well-worth it!

P.S. all the photos of the food, except for the garlic fingers + donair, are all dishes that I have cooked / baked since being here... various seafood concoctions of salmon, scallops and shrimp, pasta with a hearty sauce, asperagus omelet with canned salmon mixed with dill, lemon and mayo, and of course my "specialty" (after being taught by my college roommate, followed by my own modifications) chocolate chip cookies... yes, be impressed ;)

Wednesday, April 13, 2011

Hidden Gem: Nova Scotia, Seafood delight and Shaving to Save!

So this is also about my thoughts on family medicine, but in short, although I was sincerely hoping to have my mind changed about family medicine in this new setting, I am learning quickly that even in the best possible situation, the bread and butter of family medicine is not for me!

I do however find myself madly in love with this Nova Scotian countryside coast-town, where I am currently doing the second half of my rural family medicine core rotation. The first half was in a small Quebec town, close to the Ontario border -it was... adequate. The best part was assisting in a delivery that became complicated, with failed vantouse and having to go to C-section done by a general surgeon and beautifully finished with a clean subcuticular stitch as opposed to the tackyness of clips. It was a cute little town, a nice little hospital, simple, friendly farmland folk -I probably would have loved it if I was doing obstetrics or surgery... I just don't get excited by the typical family medicine run-of-the-mill type issues.

I thought I was into "women's health" -their "whole bodies, not just their vaginas and pregnancies", but actually, I only get excited when I get to do procedures... PAPs, deliveries, etc. The rest is rather unfulfilling (though I do enjoy the mental health stuff, in all fairness). I did learn a lot though. And am continuing to learn away through 24-hour calls and busy days here in this little Maritime town. My supervisor here is truly amazing -so passionate, really loves to teach, very hospitable and fun, so I am enjoying the experience of medicine more generally here, as well as the experience of Nova Scotia.

So when I was post-call yesterday, I got to do a little exploring of this place, and really I am in love. This little town is right on the coast, beautiful Atlantic ocean all around, cute non-cookie-cutter homes (pretty architecture, very different from the French Canadian of home, or the tackiness of some of big city Ontario buildings) with lots of forest and garden space, and there are actually little brooks that bubble and run between properties in some places!

There are 4 churches within 4 blocks right in the heart of town, whose bells chime every hour on the hour, and beautiful old mansions have been converted into doctors' offices on the main street. Lovely parks with old fashioned street lamps lining the paths, and benches right on the banks of the blue Atlantic are just a few steps away from where I'm staying.

And just a few minutes drive away, there are beautiful white, sandy beaches -hidden gems -pristine, uncommercialized, with forest along the banks, sea shells and sand dollars on the shores, and giant rocks to pick your way through and stand on so you get the best view of the waves crashing up against them... the lady I'm staying with took me there around sunset yesterday evening. It was gorgeous, and we were literally the only people on the whole beach!

Also, the people are also so friendly here, non-pretentious, genuine... all the cars stop if you want to cross the road, if you make eye contact with someone, they will absolutely say 'hello' (I often smile at strangers when i'm walking about and usually, the best I get in return is a reciprocal smile, let alone a "hi")...

It's like the beauty of British Columbia without the pretention and granola... very real and grounding with the gentle, soothing waves kissing the sands of this little Canadian province. I'm such an East Coast girl (though I've only been to the Maritimes once before for a road trip when I was 10... a pilgrimage to the home of Anne of Green Gables in PEI ;) But really, this place is full of that ethereal spiritual kind of romance that I love, as well as a very peaceful and enjoyable solitude. I love it. Also one can get great seafood here.

Case in point, I bought salmon at the grocery store and baked it up very nicely at home, for the first time ever, and honestly, it was the best salmon I've ever had in my life -really! Here it is below:

Purple Pebble's Salmon Concoction

Heat oven to 425F. Line pan with aluminum. Wash salmon filet and lay on aluminum. Mix crushed garlic, lemon juice, capers, dill, chives and onion salt in a bowl. Sprinkle some lemon juice onto salmon filet, followed by some lemon pepper. Pour mixture onto salmon liberally. Dot with butter. Close up aluminum foil around salmon, leaving a little opening on top (keeping the moisture in, but not letting it get too mushy when it cooks in the oven). Pop in the oven for 15-17 minutes. Let each forkful melt in your mouth (as it surely will). Repeat :)

And finally, I am so proud of my little sister who "shaved to save" last weekend, along with 2 of her friends to raise awareness about the socio-cultural reality that people undergoing cancer chemotherapy have to live, donating her hair to make wigs for people with cancer, and raising nearly $7000 in just 1 week for the Children's Wish Foundation. She was right when she said "but if I shave it all off, more people will donate, and they will donate more!" So courageous, such a great cause! Check out the awesome short link below to witness this beautiful act of love:

http://www.youtube.com/watch?v=7TNrzxtpc_k