What Residency Looks Like L: Christmas in the Hospital

Sometimes residency looks like Christmas night shifts at the children's hospital. Nobody wants to spend the holidays in the hospital, least of all parents and their kids, so everybody goes out of their way to make the experience less taxing and more cheerful. For instance, the lobbies, bulletin boards, and nursing stations are all decorated. Many staff are wearing red and green, Christmas scrubs, santa hats, reindeer antlers, or jingle bells. Remember the discarded sweater I found while cleaning my workroom a couple weeks ago? (Here's a refresher.) I've decorated it with "ugly sweater" pins: a wreath, stocking, Christmas tree, and snowman. My socks were a present from my dad. (Hi, Dad!) Finally, the cafeteria cooked a full holiday dinner: turkey and ham, mashed potatoes and gravy, stuffing, and carrots. (The green beans were boiled well past edibility, so I passed on those.) When I tried to pay for it with meal cards, the cashier waved me off with a family coupon. Now I'm listening to Dear Husband's Pianonoise Christmas Radio program while monitoring my patients and reading a book on the history of spirometry and race. When I get off in a couple of nights, DH will drive us to visit his family to celebrate. Merry Christmas!

Older

Newer

What I got for Xmas this year: TIXXX

Tickets #1: Dear Husband and I treated ourselves to a fancy dinner and then a show at Heinz Hall: Händel's Messiah. The Mendelssohn Choir and the Pittsburgh Symphony Orchestra have been performing this work together for years, and it shows. I teared up a couple of times before intermission from the beauty of the music. Some of the conductor's choices of what to leave in and what to cut were a little eccentric, but we really enjoyed the whole production, and especially the counter-tenor who sung the alto parts so effortlessly.

Tickets #2: The next week we treated ourselves to Randy Rainbow's first touring show. He sang along to some of his videos, took questions from the audience, and then released his latest comedic mashup. It was okay, but I've already watched most if not all of his YouTube videos. I was hoping to hear him sing something else--Broadway, maybe--while others in the audience laughed (again) at the jokes. It wasn't amazing, but I'm not sorry we went.

Tickets #3: The next weekend we extended our range to John Waters' "Holier & Dirtier," a stand-up routine hosted in Pittsburgh by the Andy Warhol Museum. Apparently he's been touring for a couple of years and always stops here. Acquaintances of ours happened to be seated across the hall from each other, and they had attended the first two years, but the jokes were too similar, so they waited a couple years to buy tickets again. It was definitely R-rated and sometimes offensive content, but now we can say we've seen this Baltimore icon in person.

What Residency Looks Like XLIX: Holiday Glow

Sometimes residency looks like a little plastic tree perched on a computer tower in a hospital workroom that glows and changes colors to the strains of instrumental holiday music, bringing a little cheer to an overnight shift.

Older

Newer

Editor's Note: Back in the same workroom two and a half weeks later, I again felt the need to sacrifice innumberable bleach wipes to my desire not to contract acute gastroenteritis from the counter or keyboard.

A good little tree

Dear Husband (DH) and I cut down a Christmas tree every year. We like the way they look and smell, it supports a local business, and the jaunt has become a tradition in our household. Intern year I found us a family-run farm not too far from the city. I think we had a good experience. Second year I nearly lost my cell phone in the university gym beforehand, causing us to start late and arrive at dusk, in the freezing rain. We opted for a pre-cut tree at the same farm that time. This year was supposed to be different but may have been worse, because we again got started late, and while waiting for DH to return from the gas station with the cash needed to pay for the tree that I had cut down in the dark by myself, the proprietor mentioned that his son sources "their" pre-cut trees from another farm--and, presumably, marks them up 200%. I decided we won't be back, as they're already making enough money to put an addition on their home. Although we will miss the fun of tramping around to pick out the tree, next year I think we'll buy a cheaper one closer to town that benefits a Scout troop or our co-op grocery store.

Things lost during this tree-hunting trip: time, daylight, us (missed a turn), patience, the teamwork experience of sawing together, our naivete about pre-cut trees, an earring.

When we finally got the tree home, we put on Haendel's Messiah while we set it up in the bay window in our upstairs front room, where our comfy chairs and laptops are. Unsure how our new cat Rosie "The Huntress" would handle having a live tree in her space, we decided only to hang unbreakable ornaments. With plenty made of wood, yarn, straw, plastic, cloth, and beads--plus lights, garland, and a dozen candy canes--it is a very festive addition to our study. The tree is still standing, and we enjoy it every night with a steaming mug of our favorite hot beverages. Merry Christmas!

Editor's Note: You might appreciate this entry from the Were We Ever That Young? machine.

You might be a senior resident if... (#2)

...lunch is a large chocolate milkshake because these electronic devices keep you so busy you don't make it to lunch/lecture, where the interns are eating/learning.

Editor's Note: What Residency Looks Like XXXXVIII

Older

Newer

You might be a senior resident if... (#1)

...if before the end of your first long call, you bust out a pair of gloves and a canister of anti-septic wipes to clean the workroom. Yield: one pair of scissors, 4 unclaimed water bottles, 38 cents in loose change, 3 spare pager batteries, one chunky sweater, 3 staplers, an old meal ticket, and an inch of papers left over from old patients and residents.

Editor's Note: aka What Residency Looks Like XXXXVII

Older

Newer

Cooking with Frau Doktor Doctor

When Dear Husband and Frau Doktor Doctor tied the knot more than a decade ago, they agreed to share the cooking duties 50/50. Neither having the energy to create a new meal from scratch every night, they developed the habit of cooking one large batch per week each and then enjoying the leftovers. Then cancer and intern year happened, and one or the other of them took over 100% of the kitchen duties. This weekend FrDrDr decided to (re)apply herself in the kitchen preparing one old dish and one new one: lentil loaf and carrot souffle, with a side of fresh spinach. What followed was predictably unpredictable, a comedy of errors. (See also Halloween 2017 and, especially, Canadian meat pie.) You can follow along in ten eleven easy steps!


1. While writing your shopping list, discover that you can no longer find the blog post with your lentil loaf recipe. Search the internet for it in vain. Discover another copy in your college cookbook.

2. Back from the grocery store, pull up a movie to watch. Pre-heat the oven to 350 degrees and butter a 2-quart dish.

3. Wash, peel, and chop the 2lbs of carrots narrower than the recipe suggests. Boil for three times as long as recommended to finally soften them. Realize the oven doesn't need to be on yet; turn it off.

4. Meanwhile, pour 1 cup milk, grate 3/4 cup cheese, mince 1/3 cup onion, and measure 1 cup of bread crumbs instead of saltine crackers, which you haven't kept in the house since the time you had gastroenteritis and discovered an entire box infested with stored product pests.

5. Also in the meanwhile, realize you should start boiling 1 cup of lentils so that the dishes will come out of the oven at the same time. Turn on oven again.

6. Strain the carrots and puree in a little food processor a little at a time. Add 1 tablespoon butter to the mixture. Laugh when the recipe reminds you to "whisk" the milk into the puree. Realize belatedly that if you had included even a tablespoon of the boiling water, the carrots might have at least started out smooth.

7. Add cheese, onion, some salt, 1/4 teaspoon mixed Turkish spice (no cayenne), and 1/4 teaspoon black pepper. Give up on the whisk entirely when you get to the part about whisking three frothy eggs into the batch. A spoon does the trick nicely. Pop in oven to bake for 45 minutes until it just starts to pull away from the sides of the dish.

8. Meanwhile, dish out some of the lentils to be mashed. Mix with 1 cup oats, 1 egg, 1/3 cup ketchup, 1/3 cup BBQ sauce, and some onion. Forget the celery in the jar of water in the fridge that you promised yourself you would use up.

9. Pat into buttered loaf pan and top with a stripe of ketchup. Wonder that the loaf looks so small. Pop into oven. Only 30 minutes until dinner!

10. While cleaning up the kitchen, discover the rest of the lentils still in the pot on the stove. Mash them, pull out the pan so you can mix them in with the rest of the as-yet unset loaf, and apply another stripe of ketchup.

11. Two hours and one feature-length movie later, remove both dishes from the oven and enjoy!

Despite increasing the sauce, the lentil loaf is STILL too dry to stick together; I may start pureeing some of the beans to encourage more cohesion. Both DH and I liked the carrot souffle, although it could have used a little kick--maybe I'll add red pepper flakes to the next batch. When the directions say one hour cook time, they must mean AFTER everything has been chopped and measured. Nevertheless, we decided this recipe is a keeper to pull out every once in a while--or when romaine lettuce has been exiled for yet another health scare.


Editor's Note: If you liked these recipes, you might also enjoy this easy party recipe or this versatile main dish. 

M R Swans. C M Wings?

It was 50 degrees and raining steadily when my flight out of Newark International Airport was cancelled for high winds. My aunt and I were an hour from home and still 30 minutes from Newark, so she turned the car around while I called United Airlines and my chief resident. The airline was so backed up that it couldn’t put me another another aircraft until almost 24 hours later. Unfortunately, that meant that another resident had to work my emergency room shift on Tuesday. I was granted an extra day of vacation, and I thoroughly squandered it by sleeping past 8am, going for an hour-long walk in a chilly but beautiful park, and goofing off on my laptop writing blog posts like this one.

This is the Musconetcong River near Hackettstown, NJ, on land once occupied by the Lenape. The park now includes ball fields and paths along the river and the fish hatchery canals, where two swans joined the mallard ducks and Canada geese. I booked this solo trip to visit cousins right after my grandfather’s memorial in Charlotte and the shooting at Tree of Life synagogue in Pittsburgh happened on the same day. Having swapped shifts with a colleague, I discovered I had a 3-day weekend and decided to spend it with family I hadn’t seen in a long while. We traipsed through Princeton’s campus and the Princeton Art Museum, watched football and played games, decorated the Christmas tree, ate pie for breakfast, watched my cousin's kid make an awesome header goal in his last soccer match of the year, and generally caught up with each other’s lives. I’m really glad I made the trip.

p.s.--I hadn't realized I had made the title joke before: see M R Fish. C M Gills?

Art Potpourri at Princeton University

While visiting my cousins in New Jersey, we spent a very enjoyable hour at the Princeton University Art Museum ogling the variety of their collection. For grownups visiting alone, it could easily take 2 hours or more, but we had two eleven-year-old girls in tow, and their attention spans were just not that long--especially with the prospect of ice cream on the schedule. I was really impressed by the quality and diversity of pieces on display, which the chatty docent who met us at the door told us represented only 10% of their holdings.

On the left is a gorgeous old stained-glass window in the Arts & Crafts style of William Morris, and on the right a contemporary mobile sculpture that undulates sinuously on a timer. Below is "After Vespers," a charming portrait by Lord Leighton Frederic (1871). My poor little cell phone doesn't do the rich oil colors justice. Below that is a delightful sculpture by Jacques Lipchitz of an acrobat on a circus horse (1914). It reminded me of the Ringling Circus Museum that Dear Husband and I saw in Sarasota earlier this year. (Click to see yours truly doing "acrobatics" on horseback!)

The ancient Chinese grave guardian on the left was one of a group of figures that captivated my interest. I had never seen anything like these composite clay statues with horns, scales, fur, claws, wings, and snouts. Next to it is a photo of one of several ancient Greek mosaics with a stunning variety of colors and inventive geometric and nature-inspired shapes. Below is one of several pieces of Native American artwork included in a temporary exhibit on nature in American art. This is wampum made out of quahog clam-shell beads recognizing that the museum is located on lands that used to belong to the Lenape. The symbols are a broken peace pipe, a turtle, a tomahawk, and a cross.

This provocative piece is part painting, part sculpture. Created by Valerie Hegarty, "Fallen Bierstadt" (2007) reimagines Bridal Veil Falls in Yosemite Park as a classic, pristine landscape destroyed by fire and human intrusion. I would love to see so many natural wonders like Yosemite  or Yellowstone, but I worry that I will be one more human trampling on nature, and getting there via fossil-fueled airplane and car, thereby contributing to global warming and nature's destruction. 

Above are images from the Princeton Art Museum's medieval religious collection. Some of the art was hung in a standard, relatively minimalist gallery, while the rest occupied a room with gorgeous stained-glass windows and carved stone columns and "sheep gates" from a cathedral (right). On the left, Andrea Rico de Candia painted "Virgin of the Passion" on the island of Crete in the second half of the 15th century. It combines traditional Byzantine motifs like Mary's facial features and her "showing the way" by pointing to the Christ child with newer ideas like both Greek and Latin inscriptions and what the placard described as a frightened Jesus, losing a sandal as he hurriedly turns to look over his shoulder.

Said ice cream turned out to be delicious at The Bent Spoon, a neat little shop that has dairy-free options. Palmer Square was decorated for Small-Business Saturday, and these three ladies were singing Christmas carols in Victorian outfits. God bless them for their exertions in the cold. After stimulating the local economy, we went home for Rutgers football, take-out from an Asian fusion restaurant, and a rousing game of Forbidden Island. (If you've never played cooperative team games like Forbidden Island or Flash Point, I really recommend them!) Sunday morning we worshipped at a sleepy rural clapboard church before heading off for the next thing (my aunt and uncle's house).

TSPGH: Robot Repair Shop

Already tickled from having had the time to peruse the "cabinets of curiosities" from the Carnegie Museums, imagine my delight at continuing along the concourse to discover this installation from Western Pennsylvanian artist Tobey Fraley (1980- ). Okay, to be perfectly honest, at first I thought it was a robot-repair shop that hadn't opened for the day yet. Wait, what? Then I recognized the distinctive round robot bodies from a statue at the Children's Hospital of Pittsburgh from when I interviewed three years ago (post and pic here). Fraley had originally made the diorama for a 2011 public art campaign. It came to the airport in 2015 and, just to keep things interesting, he changes things up sometimes. It is "Still the world's only in-airport repair shop!" I tried to capture just few of the neat little details, such as the authentic "PA State Inspection" sign hanging in the back (below, left), the La Brea Waterproofing Tar, and the Eclipse Oil: "As dark as the night is long." (below, right). Pittsburgh, you continue to surprise me.

Editor's Note: Other Pittsburgh posts you might like: these murals, this summer festival, or this local-history group.

That's So Pittsburgh: Carnegie Museums at the Airport

Waking up more than an hour before my alarm with a sore throat and driving through the rain to the airport to stand in a briskly moving security line for my "personal massage" was palliated by discovering not one but two new (to me) installations at the airport. This one is a collection of "cabinets of curiosities" with either three-dimensional objects or a rotation of images that become clear when you stand in front of them chosen from the collections of the Andy Warhol Museum, Carnegie Science Center, and/or Carnegie Art and Natural History Museums by select famous and not-so-famous people. The mixture of old and new, simple wood and high-tech screens, "names" like Rick Sebak and ordinary Yinzers like a museum security guard is so Pittsburgh.

Editor's Note: You might also like this unusual view of St. Paul's cathedral, a pop-up museum within a museum, or some of the other sights at the Pittsburgh International Airport. You can find Part 2 here.

What Residency Looks Like XXXXVI: Happy Holidays

Sometimes residency looks like spending yet another Thanksgiving in the hospital taking care of patients who aren't having very good holidays either. This shift involved two conscious sedations while Plastic Surgery stitched kids up, one sedation for Ortho to set a broken arm, and one laceration repair under local nerve block that I performed myself. During the day, football games could be heard on a variety of devices, and at night someone put on Christmas songs. My attending bought me Starbucks to drink while I caught up with my notes. When I commiserated with one family on having ended up in the emergency room, she replied that she was just glad we were here to help. These can be happy holidays after all.

Older

Newer

Into the Earth--Literally!

Dear Husband and I recently went on the daytrip of a lifetime. He sometimes accompanies a soprano and/or her studio of adult learners. To make things more interesting than just working through a book of songs, she organizes a theme. The last three years comprised the trio Wind, Water, and Earth, and to properly close out a year devote to Earth, she wanted to give a concert underground…in a cave! So a group of us carpooled halfway across Pennsylvania to Lincoln Caverns, a roadside curiosity since they were discovered when the highway was built about 1930. There was a shallow layer of snow over everything up in the Laurel Highlands We enjoyed brown bag lunches while she described the program for "Into the Earth" to us. At first she thought singing in a cave would be like performing in a dry, echoing cathedral, but in fact when she scouted out the location, she realized it would be more intimate, warm (52 degrees year-round!), and damp. These are limestone caves carved out over millennia by water, which continues to drip. So the cave itself would be a performer, too. She chose healing music, such as a Gregorian chant "Illuminare Domine" that reads, "God, illuminate those / who remain in darkness. / Direct their steps in the way of peace, / Oh God of all humanity." So fitting.

   

After lunch we wandered the gift shop, which tempted us with magnets, photo frames, agates, polished stones, and various bat memorabilia. The Lincoln Caverns had thousands of bats until the white-nose fungus nearly wiped them out 8 years ago. On our tour we saw only two, sleeping snuggled up to each other. What is remarkable is that the entrance they use to get in and out of the ground is only as large as a quarter! We hiked up the hill and used a ramp and then some stairs down into the second, performance cave. Our guide, Leigh, is an experienced caver and showered us with a wealth of historical and geological facts. One thing I learned is a bad dad joke:

Q. When a stalactite grows into a stalagmite, what do you call’ em?
A. A column.

Another thing I learned is that although the original proprietors had installed steel beams to reinforce the cave for fear of falling rocks, the only thing that has ever fallen in this cave is water. Even neater, at one point we were 95 feet under ground, and there were still teeny little tree roots working their way through the rock. How's that for perseverance?

Some of the minerals make amazing formations like curtains, or slabs of bacon, or pearl buttons, or popcorn. One kind fluoresces under black light (above left) and then holds the light for a second or two after you turn it out. We saw a pool of water that looked very shallow but in fact is more than 2 feet deep—we tossed in pennies to make wishes—and another pool in the deepest part of the walkable cave that looked very deep but what only about 6 inches in depth (below).

We took a very quick tour through the second cave, where DH and E”J”D were waiting for us. He balanced a battery-powered keyboard on his lap for the accompanied pieces. Some of them involved audience participation. And at one point, Leigh turned off the lights so we could experience total darkness. After it was all sung and done, we piled back into the cars to eat delicious Italian dinner at a restaurant in the little town where “J”’s partner had grown up. Then it was home again, home again, jiggety jog.

What Residency Looks Like XXXXV: Dying a Good Death

GoComics appears to have changed their permissions, because I can no longer save a comic to my laptop as an image file in order to be uploaded elsewhere. So go look at this Pearls Before Swine strip about Old Man Johnson coming home from the hospital to die and come back to read the rest of the post. I thought of it after a recent Morbidity & Mortality Conference by my Internal Medicine residency program. Due to M&M rules, I cannot share the case that was discussed, but I can muse about one of the themes that came up.

What is "a good death"? Americans have said time and again that they want to die at home, surrounded by their loved ones. However, most of them will die in an institution such as a nursing facility or a hospital. Usually this is because they are too sick at the end of their lives to be outside medical care. It is hard to tell whether this pneumonia will be the one that finally kills an elderly person, or whether they will walk (or roll) out of the hospital or skilled nursing facility in a week or two. So we treat every pneumonia until it becomes the last one. That's the one that looks like futile care and wasted healthcare resources.

It is even harder not to start the momentum of modern medicine: who would not give CPR to an older gentleman enjoying dinner at a restaurant with his family? But as bioethicist Elizabeth Reis shared, she now realizes she should have stopped those well-meaning strangers from trying to save her father's life. Only the night before he had told his family he didn't want heroic measures, but that is precisely what he got when he suffered cardiac arrest. After five days in the ICU, she realized her father couldn't have the life he wanted, so she belatedly arranged his death. I think we as a society are so unused to seeing what a natural death looks like that sometimes we don't recognize it when it is staring us in the face.

Those are the two extremes: the rare one of dying quietly at home and the more common one of expiring amid the impersonal clutter of ICU machinery. My residency program spends a lot of time talking about how to get comfortable helping patients and family choose either to avoid the machines or that it's okay to turn them off, all in the name of enabling them to realize their dream (and ours) that they die somewhere else. Taking care of patients who die can be emotionally and physically exhausting. If that death happens in the hospital, it is also financially expensive. There are a lot of reasons--individual and social, spiritual and selfish--for wanting deaths like Old Man Johnson's to occur at home.

But I worry that learning how to give patients opportunities, permission even, to say, "No" to invasive interventions such as dialysis, intubation, and feeding tubes biases us against the ones who do want everything done, even if we (and usually they) know they are going to die anyway. The old man who would rather bleed to death on blood thinners than risk a debilitating but not deadly stroke. The middle-aged man who wants to stay in the hospital on dialysis because it keeps him alive enough to see (and say goodbye to) his family, even if he will be discharged through the morgue. The woman who agrees to be admitted every time she is sick, because she knows her husband would not forgive himself if they agreed to the comfort measures that would shorten her life of suffering. It's not a choice if we insist they choose what we think is best.

Image credit Paul VanDerWerf
(Flickr), since I can't find my
copy of Miss Rumphius (this
YouTube version has sound
effects and rhymes)

This M&M case helped me to identify an area of discomfort in my medical practice and, by naming it, sit with it until it became a little more comfortable. It is not unlike the discomforts that feminism asks us to accommodate, in the name of agreeing that women have the right to make choices different than our own. I do believe there is such a thing as "a good death." I imagine that I want mine to occur in the distant future, quietly. I think of taking my last breath while sitting in a comfy armchair looking out on a garden of lupines on the coast of Maine. Other people have other, equally valid definitions--like Old Man Johnson, his arsenal, and his lighted cigarette.

"I don't think he's going to go quietly." In fact, it looks like he's going to go out with a BANG...at home. And somehow that needs to be okay.



Older

Newer

That's So Pittsburgh: Armistice Day at the Heinz Archive

In honor of the 100th anniversary of the armistice that ended World War I, the local British Heritage group Britsburgh displayed objects housed in the Archive at the Heinz History Center. There were scrapbooks and photographs from a variety of individuals and organizations, including a Captain Paul Howe from Beaver County, and even one from General John J. Pershing himself. I asked the curator how they had come into possession of that one, and she said she would have to get back to me. For his part, Howe had collected snippets from newspapers, his decommissioning papers, wallet-sized photographs, and menus from various officer dinners he attended in France. On the poppy strewn tables, there were also maps, a duty roster, and a little booklet of cartoons used to sell Liberty Bonds by a bank. The glass-enclosed reading room, boxes of documents, and gloves for handling them made me seriously nostalgic for the long quiet hours I have spent tracking down a hunch or curiously pondering over the remains of someone else's life.

After looking at the exhibit, we sat in some rocking chairs and enjoyed part of this mural of Pittsburgh, "The Visible City" (1992-1993) by local artist Douglas Cooper. His memories are in color water paints, while most of the image is rendered in charcoal. The more than 70 panels reaching 4 or 5 stories tall


Editor's Note: You know what else is so Pittsburgh? The Pirates Parrot and the St. Paul summer organ series.

Happy Halloween 2018!

Considering the amount of grief I give Dear Husband on the regular for his terrible, awful, no good puns, you'd think I would have more class than to choose punny Halloween costumes. Well, you'd be wrong. If I wear a costume in the hospital or clinic, it needs to be work appropriate, and I've decided punny is the way to go. Last year I taped candy Smarties to my slacks and went as a "Smarty Pants." This year my internet search yielded the following gem: bunny ears and a feather duster = "Dust Bunny." I already had the ears, and DH humored me by purchasing a handheld Swiffer. When I asked what he would be, he facetiously answered, "a vacuum cleaner." Ha! Challenge accepted. We stuffed a small pillow in a drawstring backpack like a canister, hooked together some vacuum parts to make a hose, and added the end of an old computer cord for a plug. DH went so far as to look up a YouTube video of vacuum cleaner sounds on his phone to put in his breast pocket as the finishing touch.

The perks of being an Elite Yelp!er include invitations to special events, such as the Ghostly Gallery costume party hosted by the Carnegie Museums of Art and Natural History. The night had an inauspicious start: I came home from clinic early but with enough time to create Dear Husband's costume. We headed out the door and managed to secure parking that was close and free...only to discover that we were 1 hour early...the museum was closed for hosting a separate private event...and I had forgotten to bring my photo ID. So we hopped back in the car and drove home. I had just enough time to finish my clinic notes, but by the time we arrived at the museum again, the free parking was all gone, and there were long lines both to get into the parking lot and into the museum.  

We waited in the COLD for at about 20 minutes before we could even get in the door, have our IDs scanned, receive our wristbands, get checked in, make a donation, and hang up my coat.

Finally, we were free to roam through the museum halls, enjoying DJed music and free samples of food and drink from local vendors. We sampled hard apple cider, savory flatbread, dessert crepes, chocolate milk, pork sliders, banana pepper bruschetta, pumpkin gelato, popcorn, deviled eggs, fancy juices, cookie dough, soda/cocktails, mini danishes, red velvet cupcakes, and the aroma of cooking waffles, because we just couldn't eat anything more.

The people-watching was excellent: an older man dressed as Fred Rogers and his wife wearing a red trolley costume; any number of witches and spiderwebs and an enormous evil Jack'o'lantern; Prince resplendent in purple; foods such as a banana and a hamburger; a school of Finding Nemo clownfish hats; two Grammar Police; several Harry Potter get-ups; Snow White and Prince Charming; an AED; and not one but two jelly fish made from umbrellas with tendrils--one of whom had rope lights and was accompanied by a woman in a light-up starfish onesie. Below is our action pose. We left tired but happy and sated. I hope they invite us next year!