What's Wrong with People?

This week I have witnessed an unusual amount of weird, random, and inappropriate things around town. Call me crazy, but there are just some things that I feel aren't appropriate, especially when one reaches a certain age. I took care of a patient the other day whose mother has an eyebrow piercing. This woman has to be at least fourty and I think it looks ridiculous. It would be one thing if she was a funky, hip woman with tattoos and other piercings, but she's far from it (think short, fat, bleach blonde hair, in front of a trailer). Maybe I'm being judgemental, but sometimes as an adult you have to realize some fashion trends have age limits, especially when you're a mom! The craziest thing is that I was talking to one of the doctors I work with about this woman and the minute I said "she has an eyebrow piercing", the doc knew exactly who I was talking about, probably because she's in the ER all the time. This of course brings up another inappropriate thing that happens way too often these days- the use of the ER as your doctor. It's called an EMERGENCY room for a reason. I shouldn't see anyone often enough that I know your name, medical history, allergies, kids names, pets, and where you went on vacation this summer! And unfortunately there are plenty of patients that I can say this about! Trying to educate people about how this is not what the ER is meant for is a waste of time and effort, they just don't get it. Trust me, I've tried. Even when we screen people out (ie tell them we aren't going to treat them unless they pay because their problem isn't an emergency), they still keep coming back for the same type problems. Now there are a few patients that I see on a fairly regular basis because they are accident prone or just have bad luck. Those people I don't mind because they actually have a reason to be in the ER. I did have a pretty interesting patient that bears mentioning because it''s not something I see every day- I guess he fits in the weird category. He was using a sledge hammer to nail in a large metal nail (I think of it like a railroad steak thing), when it shattered. Part of the nail head went through his pants, into his leg making a cut, travelled though his leg, came out, made another cut, and lodged in his leg. It was kind or cool. Since it was metal it showed up really well on x-ray, making it really easy to locate. I was able remove it pretty easily and it ended up being over 1cm long and about 1/2 cm wide. I let him keep it because he said his friends would never believe him. It was the highlight of my day. I know, I'm weird.
The next thing I witnessed was less inappropriate, and more just plain dangerous! I was on the interstate behind this car, when I noticed this man has his arm hanging out the window. I don't mean resting it out the window, it was hanging down beside the car. What if a car had swerved into his lane going 70 mph?!?! His arm would have been smashed or even ripped off! Some people are just stupid and I think he deserves a sign!
Okay, I'm done ranting for now. I work 5 days this week though, so I'm sure I'll witness a few more stupid and inappropriate things!

BIG News

Last week I made a decision that is both the most important and difficult decision that I have had to make in my life so far. I decided to quit my current job and accept an offer to work in the ER at the Johnson City Medical Center. I offically turned in my letter of resignation on Monday. That's right folks, I'm coming "home". I will start the new job either the beginning of December or January, depending on when they can fill my current position. It was a really hard choice for me. I really like the people I work and am liked and trusted at my current job. But I'm also starting to get bored and the potential for growth and networking is limited. I realized that the easy and comfortable thing is not always the right thing. Sometimes you have to take a chance and choose the hard thing. I guess the reason this decision was so difficult for me is due to the personal side of it all. I worry how this will affect my relationship with my boyfriend. I know that I have to trust that if we're supposed to be together things will work out regardless of where we are. But saying it and believing it are two different things.
I am at peace about my decision though. I'm starting to get excited about the new job and all that comes with it. I must admit though that I'm a bit stressed out about selling my house, finding a new one, moving and all that entails. For now though, I'm just going to take it one day at a time. Otherwise, I might have nervous breakdown!!!!!

Stuck with the Funk

Yesterday I stuck myself with a dirty needle at work. I was doing an I&D of an abscess that I know was full of MRSA (ie bad bacteria). I had injected the area with Lidocaine, cut into it, and was expressing a lot of pus. (for non-medical people, basically I was cutting open a pus pocket to drain the infection, I do this a lot in the ER and enjoy it probably more that I should) I went back to grab the needle to flush the area and numb it some more, and that's when I stuck myself. And it wasn't just a little poke in the glove, I stuck it bad enough that I pulled my hand back in pain and it instantly started bleeding. There was also a clear puncture hole in the glove. I probable shouldn't have, but I finished the procedure before I did anything about it. Needle sticks are pretty much going to happen to you at some point when you work in healthcare. It actually wasn't the first time I've stuck myself. It happens sometimes when I'm suturing kids up and they thrash about, but I never really worry about catching anything. Even with this stick, I wasn't worried about HIV or Hepatitis or anything like that. I'm concerned about catching MRSA from the stick.
Since this all happened at work, I had to go through the whole process of signing in as a patient and doing the worker's comp thing. Then I had to have blood drawn. It was freezing cold in the ER and I'm a hard stick anyway, whic meant my veins were pretty much nonexistant. So in order to get blood, I got stuck an additional 3 times. The 3rd time being in my wrist, which is really painful, but it was the only visible vein and they needed blood. When they finally did get a vein, it took like 5 minutes to fill the 3 tubes because the vein was so small and I was bleeding so slowly. On top of all of that, I had to get a tetanus shot since I haven't had one in 10 years. That means that my arm is horribly sore today and I can barely move it. So, yeah it was an "exciting" day at work. At least now if I catch "the funk" (as a patient of mine called it yesterday), I have an offical record of it and my employer will be responsible for paying for any complications. Hopefully it will be okay. I pretty much know it will be and that the chances of catching anything are very low, but still MRSA is the one thing I worry about catching at work. I don't worry about getting all the other diseases that we see, but I do worry that I will pick this up. We see some really bad infections of the stuff and once people get it, sometimes they have a hard time getting rid of it. It affects people from all walks of life too. One of our nurses even got it and had to be hospitalized for it. So keep your fingers crossed that I don't get the funk!

(my finger is where I stuck myself, and the other 3 photos are my blood draw sites. it's not real clear, but I have a pretty good size bruise on my wrist)

25

So I've been 25 for almost 2 weeks now, and I've decided that it's not too bad. In fact, it even has a few perks. My car insurance went down $33, which is fantastic! It's crazy that with the passing of one day, the insurance company suddenly decides that I have become a more competent driver. I'm not complaining about it, I just think it's interesting. It seems that to a lot of people 25 sounds much older than 24, because now when patients at work ask how old I am and I say 25, that for some reason sits better with them. Another thing that came with turning 25 was having to renew my driver's license, which I almost forgot to do. I realized it several weeks before my birthday and had planned to go to the office the week prior to my b-day, because I wanted to take a new picture. However, I kind of forgot about it and realized on Friday at 7pm, that I never made it to the DMV and it expired the next day! So, instead of panicing, I simple logged on to tn.gov and renewed it online. It's a bit crazy that you can do that over the internet, but I was very glad that I could. I am stuck with the same picture for the next 5 years though, unless I want to pay for another one.
My tattoo is healing nicely, and I like it alot. Which is a good thing, seeing as how it's there for life! I decided turning 25 was a good occasion to get another tattoo. Since I got the first one in Paris with my college roomie, I couldn't just pick a random day to get the next one. I've wanted a second one for a while (it's true what they say, they are addicting), but was waiting for the perfect time to get it. In case anyone was wondering, it hurt a lot! Actually it wasn't so much pain, as it was a very intense stinging. Fortunately, it didn't last too long, and there were frequent pauses.
Turning 25 also got me thinking about some of my past birthdays. I must say I remember some really random things. Like I remember my 4th birthday party very well. It was a Rainbow Bright Party that I had with my friend Erika, who has the exact same birthday as I do and lived down the street from me growing up. She blew out the candles before her mom counted to 3, so her mom relit them and I got to blow them out all by myself. I know, very random, but also very vivid for some reason. Turning 10 stands out too, maybe because I finally hit "double digits" and as a kid that's a big deal. I had a "carnival" themed party with 3 of my friends. I don't remember a lot of what we did, but it ranks up there on the birthday list for some reason. Maybe because we didn't have parties every year, so when we did, it seemed really special. There are also a couple of birthdays that I remember, and wish I didn't. My 22nd is one of those. I didn't celebrate my 21st in the "traditional" way because I had just started PA school in Nashville and didn't really know anyone well enough to celebrate it with. So instead, I celebrated my 22nd birthday with the help of a couple of my PA friends. I had a little too much fun, and I hope to never feel like that again. Puking in the parking garage was definitely the low point of the evening. The next day wasn't too much fun either! Unfortunately, my 25th birthday makes the list of ones I'd rather forget as well. My whole birthday experience ended up being good, but the actual day of wasn't too great. (check out my facebook note for more on that) Fortunately I have wonderful friends and family who helped me get through it and tried to make my birthday experience a positive one.

Thinkin'

Tomorrow I turn 25 and it's putting me in a bit of a reflective mood. I guess because it's one of those ages that I consider a bit of a milestone. There's certain things that in my head I always thought would have happened by this point in time. A lot them are a reality. I have my master's degree, a job that I like, and I bought my first house a year ago. I have wonderful friends and a boyfriend who I love. But then there are a few things that have happened yet. I know 25 is by no means old, but in a way to me it is. I guess I figured I'd be married by now and maybe even thinking about starting a family. I try and focus on the things that I do have and be content with that. But sometimes I'm not. Maybe it's because a close friend just got engaged and my college roomie is pregnant. Maybe because I'm in the process of making some hard decisions about my job and the future. Sometimes growing up and dealing with life can be so complicated.
On a lighter subject, I've decided to get another tattoo to mark my 25 years. I'm getting it tonight with my friend Ashley, who is also getting one. I'll post pictures once it's done!

Picture Time

The past few couple of weeks have been busy ones for me, so rather than just ramble on about what I've been up to, I decided to just post some pictures. Hope you enjoy them!

These first photos are from Philadelphia. I spent 6 days there for the National Physician Assistant Conference. It was interesting for the most part. I learned a few things and got to hangout with Alicia (see previous post) and her husband. I also got to see one of my friends from college who is in his last semester of PA school. I took most of these as I walked the 9 blocks to and from the conference center every day.The Skyline
City Hall

Sites along my morning walk

*Warning* If you have a weak stomach, scroll past this next photo quickly!Alicia and I took a procedure class and one of the stations involved doing lumbar punctures (spinal taps), which we practiced on chickens. Supposedly it's just like doing one on an infant. The first two chickens that came out of the cooler had "feet" but no head, but the third one as you can see from the photo, certainly did! The doctor that pulled it out was like "wow this is too much, we can't use this one, we have to put it back in the cooler". It was after all 9am and this isn't exactly what you want to see at that time of the day! Of course, later the chicken again emerged from the cooler for her photo op. It's kind of one of those things you know you probably shouldn't take a picture of, but you just can't miss out on a prime opportunity.

When I left Philly, I flew back to Nashville to meet up with Valerie, Leah, and Jennifer for our second annual trip to the lake. We spent the weekend catching up, relaxing, riding around in the boat, and catching some rays. It was great to hang out with the girls and just enjoy being together. These are just a few of the many photos that we took.

Cooling off in the lake

Hanging out in the dockValerie, Leah, Me, and JenniferVal, Me, and Leah

Weekend Adventures

I had a fabulous 4 day weekend, which made going back to work yesterday even harder than normal. Thursday evening I drove to Johnson City, had dinner with the family, and quickly got caught up on the latest news around town. Friday morning I got up at 5:30 (I can't remember the last time I got up that early!) to fly out of the TRI airport to Richmond, VA to visit my best friend and college roomie. I found tickets for way cheaper than the cost of gas and plus I love to fly! I hadn't seen Alicia since September 2005, when I was in her wedding.

We have stayed in touch through e-mail and phone calls, but nothing beats a visit. From the minute she picked me up from the airport, we talked nonstop the whole weekend. It was like we just saw each other last week. I am truely blessed to have her as a friend. In the three years that we lived together, we never once had a fight. We get each other in a way that it hard to put into words. I had a wonderful time, and we vowed that we would try and be better about visiting. I was very sad to say goodbye Sunday afternoon. However, I will get to see her next week because we are both going to Philly for the National Physician Assistant Conference. We didn't realize we were both going when we planned our weekend visit, so we are getting two visits back to back!

I had left my car at my parents house while I was gone, and I returned on Sunday night to find that some stupid punks had taken a baseball bat and smashed my passenger side mirror. Why do people have to do things like that?!?!?! I was so mad. They broke the glass, the plastic cover, and the wire that supplies the motor was cut (my mirrors fold in completely to the side of the car, so that all has to be replaced.) Plus they put a nice scratch all down the side of the car. They also busted the mirror on another one of our cars.

I have pictures I will add to this post later, but for now I have to get ready for work.
Only one more day this week and then I am off for 12 days!!!!!!!!!

A post with out a picture of Kaley just wouldn't be complete. She's just so darn cute, I had to put one in of her. I took this one right before I left on Monday morning to Drive back to Chattanooga. And for all of you who keep up with my personal life and are curious about Jason, here's a picture I took of us the other day while we were hanging out.

Full Moon

It really is true what they say about things in the ER being worse when it's a full moon. At least it was tonight. The afternoon was great, just a few easy patients and a good staff. Then at about 7:30 the flood gates opened and all hell broke loose. At one point 17 people signed in within 30 minutes. That has to be some kind of record! To make matters worse, we were short staffed. It was all a bunch of nonsense crap too. I did stitch up this really awesome lip laceration though; it was the highlight of my night. Yeah I know, I'm twisted.
I still have 3 shifts to go this week too. I have the weekend off and my sisters are coming to visit, so that will be fun. I can't really complain about having to work 4 days in a row though, because I did it to myself. It was worth it have Saturday and Sunday off. My boyfriend's birthday (yes you did read that right) was Saturday so we went out to dinner, saw a movie, and hung out downtown with some of his friends. If you haven't seen Blades of Glory and are in need of a laugh, I highly recommend it. I laughed so hard! Sunday we spent the day out on the lake. It was so nice. I am so ready for summer and warm weather. I'm a lovely shade of pink after 6 hours in the sun! Not too bad though, and I did wear sunscreen.

Easter Photos

Hope everyone had a great Easter, I know I did. It was nice to hang out with th family and see everyone. I also got to see 2 of my best friends that I didn't know were going to be intown until the last minute. Surprises like that are always welcomed. We managed to take a family for the first time in forever (thanks Chip), so I decided I'd post it for all to behold. Seriously I can't remember the last time all 7 of us (well 8 with Kaley) had our picture taken. It's been at least 3 years because Kaley wasn't in the last one.

It was quite cold at home and it even snowed on Saturday. (yes you did read that right, it says snow!) It's April and I'm ready for spring and summer. 2 weekends ago I was out on the lake in my bathing suit. I've already had my first good burn for the season. If I had any doubts about wishing it was still cold, they are gone after this recent cold snap. Bring on the sun! Enjoy the pics.

Never Ending Weekend

This has been one of the longest weekends ever. Work has sucked the past 2 days and I still have one more shift to go before I get a couple of days off. Patients have been obnoxious, it's been busy, and my allergies are out of control. I have had several really interesting cases this week, but today I'm just hoping for slow and boring! Yes, I know, I'm whining.
In other news, I'm looking forward to going home to see my family next weekend for Easter. I haven't seen them since January and it will nice to be back "home" for a few days.

Tax Time

First, let me say that if I just finshed cleaning the bathroom (yes I'm aware that's midnight, but I'm not tired yet, so what's a girl to do?) and I inhailed way too many fumes from the cleaning supplies. So if this sounds like random jiberish, that's why. At least that's my excuse this time anyway!

So I finished doing my taxes today and offically filed them. It's nice to have that over with. I had been putting it off for quite a while. It really wasn't that bad though. I just had to make myself sit down with the huge stack of papers that is required to fill out all the forms and do it. And yes, I did it all myself. I did make a few phones calls to my dad just to verify that I had done things correctly and wasn't going to get in trouble with the government. I even did the whole itemized deduction thing this year. Now I can make plans for that refund check!

As for the picture, yeah it has nothing to do with this post at all, but I just wanted to include a picture and this is the one I chose. This photo is from Father's Day and it's the first picture of all 5 of us (plus Kaley) that we'd taken in a long time. For those of you who might can't tell who's who here's the order: me, Christine, Rebekah, Sarah, Kaley, and Elizabeth. (L to R)

Randomness

I haven't posted in a while mainly because my life has been pretty routine and there hasn't been much to comment on. I wouldn't want to deprive my "fans" for too long though, so I decided I'd slap some random things together to come up with a post. Work has been insane for the past month and it doesn't look like it's going to get better anytime soon. I saw 32 people in 12 hours the other day. I sewed 3 of them up, lanced a few of their abscesses, and x-rayed and splinted most of the rest of them, which makes for a really long shift. The flu is making a comeback, especially in kids, and the stomach virus that's been going around since Christmas is still hanging around. Surprisingly enough, I haven't anyone who's been afflicted with the Salmonella peanut butter yet. Of course, now that I've said that I'll probably see 20 people tomorrow that will swear it's the PB.
I borrowed the new Keith Urban CD from my friend Jenny yesterday, and I can't stop listening to it. You should check it out if you like, country and if you don't you should still give it a try. It has just the right balance of upbeat and slow songs, and they actually don't all sound the same. All things that are definitely a plus in my book. I also recently watched The Guardian, with Ashton Kutcher and Kevin Costner, and it's pretty good. It kept my attention and I'd probably watch it again.
I've been meaning to post these pictures for a while, but just haven't gotten around to it, so I thought I'd throw them in to spice up the post. So here they are:
Toby's not quite sure what to make of snow
The First (and only) Real Snow in Chatt. this Winter
Kaley's Christmas Photo (one of many takes!)
Toby with his Christmas deer, which he promptly destroyed

(her shirt says "I've been so good!")

Willow Springs Park, Johnson City

Kaley and I made strawberry cupcakes for her 3rd birthday and of course a taste-testing was in order!

Toby and Bo sitting next to each other and not barking-it's a small miracle

Three Cheers for Walmart!

Today the new Walmart in Ooltewah opened, and I couldn't be happier. It's exactly 1.2 miles from my house, which may actually be a little too convinent. In case you were wondering, yes I've already visited it. It's fantastic. The aisle are wide enough that 2 carts can fit down them with room to spare. Everything is bright, open, well labeled, and organized in a way that actually makes sense. The only down side of the new store is no self check out lanes. I was a bit bummed about that since that's how I prefer to checkout.
I know that a lot of people out there hate Walmart, but I love it. It's capitalism at it's best. When a Walmart opens, it provided lots of jobs and enriches the local economy. I've heard the rumors that they don't always treat their employees well, but lets face it, there are plenty of companies that treat their employees like crap. Not that I think that's okay, I'm just saying. I love that I can get everything with one stop at a good price. I also think it's great that they honor advertisements from other stores. Plus there's the whole open 24 hours thing, which means when I get off work at 2am I can go grocery shopping if I want. Walmart can offer things and prices that no one else can because of their widespread success. For example their $4 generic prescription plan for people without insurance. How great is that?!?!? Because of this Walmart can drive market forces and help to lower the costs of medication across the board. It's exactly what healthcare needs. There's also talk of Walmart starting clinics in their stores which I'm personally all for. So Walmart will continue to get my business for now, at least until they open a Super Target in Ooltewah! :)

Monday....Finally

I thought Monday was never going to get here. I worked all this weekend and it felt like one big hellish shift. I think we treated every single person in this blasted city this weekend. At one point I saw 20 people in 6 hours, which is pretty impressive in the ER world. I'm just glad it's over. This past week I worked 72 hours so I plan on enjoying my days off. I had forgotten how bad the winter months are in the ER. It was like this last year when I first started and really didn't get better until April. The rooms stay full all the time and the waiting room is packed. It doesn't even die down in the middle of the night when normal people are sleeping. I must say that yesterday people were at least nice, even the ones that had been waiting forever. Saturday was another story, it was like people were competiting to see who could be the most hateful. It was a close race let me tell you. Oh well, as one of the nurses I work with says, they can only do it to you for 12 hours!

2007

Happy New Year!!!!!!! Here's to great things in 2007.

Merry Christmas

It's offically Christmas Eve, and I am off of work for 3 days! I'm going to crash for a few hours and then get up and drive to Johnson City so I can make it there in time to go to church with my family. Hope everyone has a very Merry Christmas!

Hair Cut

So I got my hair cut this weekend. It was no little trim either. I cut 9 1/2 inches off to donate to Beautiful Lengths. For those of you who have seen the link on my blog and wondered what it is, this is a program started by Pantene this summer to provide free wigs to women with cancer.
I had been planning to donate for a while now, but when one of my best friend's mom was diagnosed with breast cancer at the beginning of November, it became a little more personal. For me, it's a choice to cut my hair, for her it's not. So for anyone who might have some extra hair to spare (minimum donation is 8 inches), I encourage you to check out this site and considering donating. There are several similar groups that provides wigs for people with various conditions such as Locks of Love that provides wigs for kids with alopecia. I donated my hair to them in college (they require at least 10 inches).

Okay, here they are. In order to appease the masses, I'm posting pictures of myself with my hair cut.
I realize that by a lot of people's standards my hair is not that short, but for me it is. Especially since it was down to my butt before I cut it. I think the last time my hair was this short, I was in middle school.I like having short hair, although I'm still ending up with extra conditioner in my hand when I wash it! Guess, I'm still getting use to it. I also realized that's rather difficult to take a picture of yourself when you live alone!

Photo Op

Pictures always seem to be a hit and they allow others to see bits of our lives that sometimes can't be put into words. I personally love pictures: taking them, putting them in frames, scrapbooking with them, you name it. Some of my friends might say it's a bit of an obsession given the massive amount of albums and frames that have, but I think it's just a healthy habit. I finally got around to uploading some of my pictures off of my digital camera and onto my computer so I thought I'd post some of them for your viewing pleasure.



My sisters came to visit me in Chattanooga a couple of time this fall and on one of those trips, we ventured to the park. We had been shopping and this was the "bribe" that I promised to Kaley for being sweet while we were out. She loves being outside, so this worked out well. As you can tell, she loves the camera and is almost always willing to strike a pose.

My friend Mark, who I've known practically my whole life, got married this August (finally) in Nashville. It was a lot of fun to see some of the gang from high school/youth group. It definitely brought back some memories.

At the beginning of November, Leah and I flew to DC to surprise Jennifer for her 25th birthday. She had NO idea that we were coming, and her reaction was priceless. We had a lot of fun just hanging out and catching up.

Leah's Aunt has this awesome lake house in Alabama, where we spent the weekend this past September. It was the first time the 4 of us had all been together in a very long time. It was good to reconnect and enjoy the fellowship. Even after all these years we're still the best of friends.

Christmas Time

As I am sure you are all aware, today is December 1st, which to me means the offical start of the Christmas season. I know a lot of people put up trees and start playing Christmas music the day after Thanksgiving, but for me 25 days of the season are plenty so I hold off until December starts. I plan to get my tree today and decorate it. I'm excited about having a real tree this year. It seems like such a small thing, but I love that Christmas tree smell and due to fire codes in my apartment last year I couldn't have a real one and had to settle for pine sent from a candle. Not quite the same effect. So if the real tree causes a fire this year, I'll just have to count on the home owner's insurance because I'm having one. I personally don't see them as that big of a fire hazard. My family always has a real tree and we have left the lights on more times than I can possibly count and so far no fire. I must say the Christmas tree all ablaze does create an image that makes me chuckle a little. I know, I have a twisted sense of humor.
Christmas is probably my favorite holiday. I think I really realized this last year when I had to work and didn't get to celebrate with my family. I really missed the traditions that my family has. None of them are that big of a deal, just things like certain foods we always eat on Christmas Eve, the Christmas morning photo in which we all look like we just rolled out of bed (last years photo wins for the best in that category), going to my Granny's on Christmas day, the birthday cake we have for Jesus, and a few other little things. I even missed the Christmas breakfast casserole that I don't really like, but eat every year because it's tradition. The thing I missed the most was going to church on Christmas Eve. There's something about singing Silent Night with the lights out and candles lit, that makes me realize the true meaning of Christmas. I think this year Christmas means a little more to me because I missed out last year. In a way I'm glad I worked last year because it made me realize that for it really isn't about the presents and all that. It's the family traditions and being together that makes the holiday for me.

Mexico Pictures

Hope everyone enjoys the pictures and that you get a small taste of what I did while in Mexico. I can't wait to go back and next time hope to be able to speak more than a few phrases of Spanish.
The Hospital Where We Worked

Hard at Work in the OR

A Satisfied Patient Post-Op

The View from the Hospital

Off to Sleep

Isn't He Cute?!?!

Part of the Team in Front of the Hotel

We Were About 20 kilometers from Guatemala

Out the Plane Window Near Mexico City

Open Wide

Around Tapachula

Around Tapachula

"Scrub Buddies" Me and Maria

Cleft Lip Repair Post-Op

If I'd Paid More Attention in Plant Systematics, I'd Know this Flower's Name, but since I Didn't I Just Know it's Pretty :)

Tapachula and the Pacific Ocean from the Air