Wednesday, October 26, 2011

Take 2 Poems and Call Me in the Morning

This year I am taking a reflective writing course. It is to get us to think about ourselves, our patients, and the field of medicine. It is called Take 2 Poems and Call Me in the Morning..As such we have creative license in our work and some of the things I write are fabricated while others are not. Here is an example of a piece I did when asked to write about illness that effected me directly and my experiences and feelings toward it. WARNING: The following deals with issues not suitable for all readers.


According to Wikipedia Illness, sometimes referred to as ill-health or ailment, is a state of poor health. Illness is sometimes considered another word for disease. Others maintain that fine distinctions exist. Illness does not exist in my family. Unless you consider the cessation of life an illness. I am not referring to my great grandparents dying of old age, having lived long fulfilled lives with stories of a different time. I mean death according to Wikipedia: permanent termination of the biological functions that sustain a living being.
It started almost before I can remember. I was just 3 and my grandmother, my “meme,” had an issue with her diabetes and went in for a check. The technician did not read her chart fully and injected her with something she was deathly allergic to, which would not have been that big of a deal if meme did not have a DNR. Meme was gone in a blink of an eye. Her 5 children and 5 grandchildren at the time survived her. And all I can remember is how happy I was to play with my cousins while all of the family argued. At 4 I was slightly more cognoscente when my aunt Yvonne was in a car accident. Hit by a drunk driver, instantly taking the life of my uncle steve. My in-utero cousin sara did not make it either. Steve and sara were gone in the blink of an eye. My older cousin shawn burst his spleen and had massive internal bleed including an epidural bleed. My younger cousin bud broke both his legs and hips. This was the first time I felt fear in a hospital. Seeing the older boy plugged into machines, his screaming scared me. The tubes left nothing untouched and it felt invasive. I did not like it. At age 12, in a passing moment my uncle joe was hit by a drunk driver. He died instantly of a severed aorta, and if that was not enough, his trunk was engulfed in flames. Joe was gone in the blink of an eye. At 17, my 8-year-old cousin Joseph was riding in the car on his way home, when the car was hit by a man driving high on medication. Joseph was gone in a blink of an eye. Kinda. He was an empty vessel, the apparent loss of a soul but they called him a vegetable, “Like a carrot or more like broccoli?” I remember his baby brother Jeremy asking. My aunt was upset that they took too long to get to his final diagnosis, so she couldn’t have his heart donated. But she did donate all of his organs.
Death is a disease that runs in my family. Or maybe it’s just bad luck. At first, there is this numbing pain that overtakes all senses. Then there is the heart pain of grief. But it is quickly quieted by the void, the absence of one who was previously there. Death has become normal to me. Some think this is bizarre, sad, upsetting. I know every one of my family member’s post-life wishes, parts to be donated, where they want to rest, box or ash. My immediate family is the only segment that has not been directly touched. I cannot imagine losing a parent or a child. I have, however, definitely become overly sensitized to people’s word choices though: Accident, passed or passing of, vegetable, gone in a blink of an eye, sorry for your loss. Do any of these words actually encompass what happens? Of course not. But death is an illness that has defiantly changed me. Memories, people, the moments in which you are alive are of the utmost value to me. The people in my family that have died live on in memories, in stories, and are constantly with me in my life moments, and that is the best treatment plan for death.

Monday, October 24, 2011

Slytherin! Think about it.....


Who wants to be a Gryffindor anyways?! Lol – 
 UWSOM is so worried about people falling in-between the cracks that I am pretty sure I have somewhere between 6-10 advisors. I have a program director and a 3rd year coordinator, 3 clinical medicine advisors, an academic/”House” advisor, and a “college” advisor. My college is “Snake River College” and is headed by a pediatrician. But he is over in Seattle and other than emails/video chat I won’t really interact with him until I am in Seattle next year. However I have a House/Academic advisor here in Spokane.   We are encourage to the take the "House" theme as far as we want.... and of course my group is for it all the way.  We are currently nameless or House of Dr. Harper. But it is a small family like group. We have house colors of hunter green and slate gray. The mascot is a large German shepherd named Boomer. We have not picked an official name but  we all agree Slytherin should be redeemed and has medical connotation (think about it) with their mascot; we also like C.S. Lewis’s school “Magdelin.”  So who wants to be a Gryffindor anyways?! On the same lines, we meet with these groups for functional purposes, deciding clerkships, rotations, etc, as well as social: eating, pumpkin carving, etc.  We discuss are stressors and positives, as well as our futures. One of which is always, "What do you want to di with your MD?" My results for my specialty interest quiz according to the American association of medical colleges career in medicine quiz came back a little surprising.
Specialty Probability
Orthopaedic Surgery 31 %
Dermatology 21 %
Surgery-General 16 %
Emergency Medicine 13 %
Pathology-Anatomic and Clinical 12 %
Otolaryngology 2 %
Family Medicine 2 %
Pediatrics 1 %
Physical Medicine and Rehabilitation 1 %
Internal Medicine 1 %
Radiology-Diagnostic 1 %
Anesthesiology 1 %
Obstetrics and Gynecology 0 %
Urology 0 %
Psychiatry 0 %
Neurology 0 %
This suggests I am well suited for orthopedics!!! YAY! However plastics wasn’t even included in the quiz. Derm being my second was interesting to me. The fact that otolaryngology was so low was a little disheartening as being an ENT had been on my radar lately. But this isn’t a definitive test but is a preference/personality test to pick a “good fit.”
It's too early to decide anyways, but it's fun to ponder :D

Saturday, October 22, 2011

Fun in the Sun and Sand


It's dreary outside today and while I love fall and cold weather, it makes me miss the fun I had this summer.  As most people know, I am an avid volleyball player. In the winter last year I played 4-5 days a week! So as spring starts to roll around and the schools close I usually get a little cranky. Well this year I decided to try my hand at some grass 4s volleyball. Corbin Park was an A/B league for grass ballers. It started in May and went through mid July. I had a blast even though no one on my team had ever played outdoor before. The friends I made playing grass were many. One of them decided to drag me to local sand court. (Most people would say one of the local sand courts, because there are 3, but really the sand & net is only legit at one!) I was very nervous as volleyball people in generally are cliquey, but sand ballers are even worse! Well, needless to say, I made a lot of friends, ended up playing a ton of sand/beach volleyball this summer, and wasn't half bad at it. At one point we counted that I went 29 days in a row! So once medical school started on Aug 11, while summer was still beautiful and still in full swing (so punny) I was pretty sad about how much game time I would see from then on. Well I tried to play once every other week, which worked out ok, but I could definitely tell I was loosing my fitness level fast. So when the opportunity presented itself that I play in my first doubles tournament, I jumped at the opportunity. On September 18, 2011 I played in a co-ed doubles (yes that’s only 2 people) sand volleyball tournament. There were 8 teams, and the day began with pool play. And the morning started rough. Rainy. Cold. Stiff.  But by mid day the sun was shining and warming my soul, and bones for that matter. I played pretty well, smart and hard. I was a diving machine and had some pretty awesome saves. It ended up being exhausting and I was more than happy to sit after conceding to 3rd place (and $50 prize monies!). Not bad for it only being the 7th time I EVER played doubles in my entire life. Since school started and has been quite rough, I needed that great day of fun, sand, sun, and beating the crap outta the volleyball. Until next Spring fellow Maxers, until next spring. And I can't wait!

Tuesday, October 18, 2011

1 month! - really it has been waaay too long

Wow - a month flew by too quickly - warning: long post.

So around September 19 anatomy ended. September 20th we started the regular "semester" classes: Biochemistry, Cell Physiology, Systems of Human Behavior, and Histology (microscopic anatomy). We added non-clinical electives and a "Preceptorship" too (more on that in a bit). We also continued taking the Medical Information and Decision Making (Evidence based medicine - look it up), Intro to Clinical Medicine (round and patient interviewing with lecture too). Yes that's 28 credits, no big deal.

My non-clinical selective include 1) a bi-semester Stress Management seminar, which is a 1 day relaxation/stress studying/meditation seminar, fall in spokane, spring in pullman; 2) Medical Thinking and Reasoning,  which is like a mini PBL (problem based learning) clinical case each week with medical and pharmacy students, and 3) Take Two Poems and Call Me in the Morning - is a writing/reflective class for patient empathy and self-reflection.

My Preceptor which is a nice way of saying "person I job shadow," is awesome. We were allowed to rank 4 choices (i ranked sports orthopedics, cranio-facial plastics, ENT (ear/nose/throat), and pediatric oncology). I was placed with Dr. William Page, an upper extremity (hand/wrist/elbow/shoulder) orthopedic. HE ROCKS! He graduated from UW too and also did WWAMI (but in pullman). He performs a lot of carpal tunnel and cuboidal tunnel releases, trapeziectomies, proximal row carpectomies, full shoulder replacements, finger reattachments and many other things.  (http://www.spokesman.com/stories/2011/jul/27/boy-loses-5-fingers-in-accident-at-bmx-track/)- this little boy rocks, Dr. Page saved 3 fingers and the kid is already back on the track! Dr. Page is a wealth of information and is selling ortho to me well... :D sorry to all my friends/family that are hoping for the plastic surgeon... still too early to tell.

Friday Sepetember 21, 2011 my fam came into town (my mom, dad, and grammy + her 3 sister (the 4 old ladies road tripped to Spokane together!)). They all came to see me take an oath and receive my white coat and stethoscope. pics should someday be posted lol (MOM!) The weekend was filled with family time, rearranging my furniture, getting my new iPad, and eating at Wolf Creek Lodge for my celebratory dinner. Thanks to all my family and friends who joined me at the ceremony. I really felt loved, supported, and blessed.

Now I am 2 exams (out of 5 plus a final) into my semester. Trucking along. While I am super busy, I am trying to find a workout buddy still and usually take 3-4 hours of every friday off - so if you want to see me that would be the best time (I've got to eat right?!) :D

I will try to belong more often - sorry for the long delays - things to come (sand doubles tournament, GHIG, house of harper, world relief organization, massages, ipad, my new furntiure, the boys, my awesome roommate, future musings.... i may even post some of my writings from my poem class) SOOO much to blog about! until next time folks - KEEP CALM AND CARRY ON!