Life reassessment

The main reason I haven't been fencing recently is that my wife and I have been re-examining out lives, in an effort to simplify. If you have been following this blog, you will have seen that my son is autistic. My wife and I recently attended a 4-day parent training for an autism therapy program called Relationship Development Intervention (RDI), developed by a man called Dr. Steve Gutstein.
RDI is the first therapy system that actually seems to treat autism. The most common therapy system for autism is called ABA, or Applied Behavioral Analysis. ABA tends to use behaviorist theories to get kids to behave well (no rocking or head banging, or whatever) by rewarding them for positive behaviors (sit in the chair for 5 minutes and I'll give you a cookie...) It turns out this does not teach the kids to think for themselves, so they still freak out if faced with a new situation. Dr. Gutstein actually thinks that ABA only teaches the kids to be more autistic.
RDI, on the other hand, attempts to recreate the parent-child, master-apprentice relationship, so that the kid can learn how to deal with new situations, by seeing their parents do it. You can read all about it (including a paper that should be published soon, that demonstrates autistic kids getting better - that is no longer testing as autistic) here.

Anyway, part of the process is to see what can go from your lives to make way for time with your child. We got rid of basically everything for a while (hence the no fencing) to see what we could really do without, and what we needed. Time for ourselves (as adults), especially exercise, was definitely a needful thing. I have also learned that there is an fencing group starting up at the gym for the university that the hospital I work at is a part of. They also meet at a time shortly after I get out of work. I'm really hoping this works out.

I passed!

WooHoo! I passed my national certification exam! I was a little nervous there. I know I usually do well on multiple choice exams, but the questions were tricky, and the testing environment less than perfect. Anyway, I'm now Keith Anderson, APRN,BC, NP. That's: Advanced Practice Registered Nurse, Board Certified. What a mouthful. Thats nothing... If I include all the degrees as well, its: Keith Anderson, APRN,BC, NP, BA, BSN, MSN.

Ain't I a little full of myself this evening?

Bibilical interpretation?

Earlier this week, I heard a story on NPR about a Baptist preacher from Kansas called Fred Phelps, (the link is to a Wikipedia article on the man) who preaches that homosexuality is an abomination, that everyone in the US is going to hell, and that sodomy should be a capital offence. Thats right, if two men or two women have sex, or even (in some states) if a married couple engage in oral sex, they are "guilty" of sodomy, and Fred wants them put to death. In the spirit of equality, I'll provide a link to his website, but be warned - Fred and friends refuse to use anything but the derogatory term "fag" to describe homosexuals, and the language on the website can get pretty extreme. If you want more information, check out his website here. There are links to plenty of anti-Fred websites at the bottom of the Wikipedia article.

My usual response to anyone that rabid is to quote the "open Letter to Dr. Laura:"

Dear Dr. Laura, Thank you for doing so much to educate people regarding God's Law. I have learned a great deal from your show, and I try to share that knowledge with as many people as I can. When someone tries to defend the homosexual lifestyle, for example, I simply remind him that Leviticus 18:22 clearly states it to be an abomination. End of debate. I do need some advice from you, however, regarding some of the specific laws and how to best follow them.

a) When I burn a bull on the altar as a sacrifice, I know it creates a pleasing odor for the Lord (Lev 1:9). The problem is my neighbors. They claim the odor is not pleasing to them. Should I smite them?

b) I would like to sell my daughter into slavery, as sanctioned in Exodus 21:7. In this day and age, what do you think would be a fair price for her?

c) I know that I am allowed no contact with a woman while she is in her period of menstrual uncleanliness (Lev 15:19-24). The problem is, how do I tell? I have tried asking, but most women take offense.

d) Lev. 25:44 states that I may indeed possess slaves, both male and female, provided they are purchased from neighboring nations. A friend of mine claims that this applies to Mexicans, but not Canadians. Can you clarify? Why can't I own Canadians?

e) I have a neighbor who insists on working on the Sabbath. Exodus 35:2 clearly states he should be put to death. Am I morally obligated to kill him myself?

f) A friend of mine feels that even though eating shellfish is an Abomination (Lev 11:10), it is a lesser abomination than homosexuality. I don't agree. Can you settle this?

g) Lev 21:20 states that I may not approach the altar of God if I have a defect in my sight. I have to admit that I wear reading glasses. Does my vision have to be 20/20, or is there some wiggle room here?

h) Most of my male friends get their hair trimmed, including the hair around their temples, even though this is expressly forbidden by Lev 19:27. How should they die?

i) I know from Lev 11:6-8 that touching the skin of a dead pig makes me unclean, but may I still play football if I wear gloves?

j) My uncle has a farm. He violates Lev 19:19 by planting two different crops in the same field, as does his wife by wearing garments made of two different kinds of thread (cotton/polyester blend). He also tends to curse and blaspheme a lot. Is it really necessary that we go to all the trouble of getting the whole town together to stone them? (Lev 24:10-16) Couldn't we just burn them to death at a private family affair like we do with people who sleep with their in-laws? (Lev. 20:14)

I know you have studied these things extensively, so I am confident you can help. Thank you again for reminding us that God's word is eternal and unchanging. Your devoted disciple and adoring fan.

I've always wondered how people who are so rabid about the bible being the absolute word of God can on the one hand have no problem with the idea of stoning someone to death for sodomy, yet have no problem eating pork or shellfish, and would never consider selling their willful daughters into slavery...

All things in moderation...

Certification test done

Well, that was brutal. The questions were about as hard as I expected, but glare from the fluorescent lights combined with the black text on a white screen for 2 1/2 hours gave me a pounder of a headache. That and the Fort Knox-like security (sign in, sign out, empty your pockets into this locker, give me 2 forms of ID....) makes a body feel a little paranoid.

Its over now. Just a 2 week or so wait for the results.

National Certification test today

Well, if you've actually read this blog (don't worry, I probably wouldn't either...), you will know that I'm a nurse practitioner working in orthopedics. Today I have to take a test through the ANCC to be nationally certified. This is useful to me for several reasons:

1. It will allow me to apply for a Universal Provider Identification Number (UPIN) that will allow me to bill Medicare if I ever work in the outpatient setting.
2. If I ever move to another state, it may be required to work as a nurse practitioner.
3. My boss says I need to have it.

It is also a major pain. I haven't been in school for over 5 years, an this test is entirely on "what the book says to do" rather than on "what actually works in real life." I've been in practice long enough that the later is what I actually use. I've also worked in ortho for 5 years - I've had to really study to be able to remember what serology test turns positive first in hepatitis B infection (Hep B surface antigen), or that acute myelogenous leukemia (AML) is the most common leukemia in adults. I deal with bones and joints. Not primary care. Wish me luck.