Showing posts with label Med School. Show all posts
Showing posts with label Med School. Show all posts

Sunday, January 2, 2011

Turkey Trot 2010 - Part 2: The Turkey in Rochester

December was a challenging month, but before all the major challenges, I had the opportunity to travel to NY from November 18-25. Part 1 of the series is located at this link. The rest of the story, as much as I remember 2 months later, is posted below. Enjoy and Happy New Year!

Rochester - 11/20-11/22:
My trip to Rochester can be summed up in two words: family and eating. The trip started on Amtrak. I love Amtrak. On a gloriously sunny, but wintry cold and windy day in Buffalo, I packed up my things and headed to the train station. I had just stayed two days in Buffalo (click here for the full story) and was now waiting at a pretty decrepit Amtrak station - "Buffalo Exchange St. Station" - for the train. It arrived about 30 minutes late and boarded only through two doors - one for passengers going to NYC at the front of the train and one for all the other passengers around the middle of the train. It was pretty disorganized, mostly because you couldn't hear the conductor telling you which door to go to. And especially when compared to California Amtrak, which has nice new double-decker cars and you can board at any door, the east coast Amtrak experience, while more expensive, left more to be desired, as well. But once inside the train, it was amazingly comfortable, with really kind conductors and spacious seating. And my favorite part of train travel: the soft and gentle rocking that puts me to sleep. It is unavoidable - I will be sleeping on a train.

This trip to Rochester was an incredibly special one because it meant I would get to see eight very special people, some of whom I haven't seen in a few years. My two aunts (Agnes and Maida), my two cousins (Anais and Cathy), another "like" aunt/uncle (Frida and David), and two friends from Baltimore (Alex whom I taught with and her husband Jim).

I ate way too much thanks to my Aunt Maida who cooked delicious food, my cousin Anais who cooked an amazing pre-Thanksgiving Thanksgiving dinner, my friend Alex who took me to a supermarket, and to my "aunt" Frida who took me to a really yummy Thai place.

I know, out of all the things I wrote above, you are all scratching your head about the Supermarket. Turns out that folks who live in Buffalo/Rochester area have an "absolutely amazing, super, wonderful, awesome, can't-live-without-it" supermarket called Wegman's. In fact, it was billed as a must-see place that received its own slot in my schedule for a tour. We went to their "flagship" store and yes, it is pretty amazing...BUT STILL A SUPERMARKET! What made it amazing was the fresh food they served; in fact, there is a restaurant on premises with fresh cooked everything right in front of you. The food they made was well worth the trip - especially the salad, with fresh vegetables and delicious dressing. But like I told Alex, no matter how amazing I try to make Wegman's sound back in California, all my friends will still look at me funny that we went to...a supermarket.

One must-see place that my cousin Cathy took us was the Genessee river. It is a 15 mile stretch of waterway that has boating (in more seasonable weather) and homes lining the water and a trail for walkers. The weather, while a bit nippy, was still favorable for a beautiful, fresh-air walk along the river. With the sound and sight of the water relaxing the senses and the nice crisp, fresh air to breath in against a gorgeous blue sky backdrop, it was a remarkable connection with nature and self.

My time in Rochester was way too short, but it was scheduled how I like to schedule all my trips - not necessarily overbooked, but busy and jam-packed with activities and time with the people I love. The trip did not disappoint. After having spent time with all eight of the people I love, it was time to go through security at Rochester International Airport and wait for a JetBlue flight to NYC.

Stay Tuned for the Last Installment: Turkey Trot 2010 - Part 3: I HEART NYC

Wednesday, December 1, 2010

Thanksgiving Trip - Part 1: Buffalo

I only worked one full week - 5 business days - in the month of November. The first five days of November were all work days. But, the second week of November saw Thursday and Friday off for Veteran's Day and Furlough Day, respectively. Then, the third week I left for NY on Thursday, November 18, where I stayed until Thanksgiving Day...kids now get the whole week off for Thanksgiving, so I wasn't ditching. "Not like in my day..." when only the day of Thanksgiving and Friday were given as vacation. Yes, November was great. The following series of posts over the next several days will document the awesome Thanksgiving week I had.

BUFFALO - 11/18-11/20:
I flew to Buffalo on Thursday and on Friday I met some incredible Doctors and Support Staff at the Women's and Children's Hospital of Buffalo - the only free-standing Children's Hospital in the region. It was an amazing place doing incredible work for the region's little people. I was most impressed by how kind every person was. It wasn't the fake "I'm tired but I will smile for you" kind - it was a genuine, welcoming kindness that made me feel wonderful to be there. After the interview, I was spending the night in Buffalo and had all afternoon to do something. So, with a potential future Residency colleague, we took the awesome advice of a Holiday Inn Buffalo Downtown employee to take the city bus to Niagara Falls. Forty-five minutes and $4 (the cost of an unlimited bus/rail day pass) later, we were dropped off in front of a huge Casino on the American side of the Falls. It was a pretty cold evening, so we got our obligatory Starbucks (thank God!) and walked the 10 minutes to Falls park. It would have been another 10 minute walk to the actual Falls, but we serendipitously came across a free trolley bus that made rounds around the park. It wasn't the walk we minded, it was the cold, so we got in the trolley. Three minutes later we were gazing at the top of the main falls - we couldn't really see the bottom of the falls because from our angle it was hard to see the inlet and there was a TON of mist...which at one point began blowing toward us and forced a quick retreat. But as always, the Falls are a majestic and amazing place to see - God's beautiful Hand in creation can't be denied here. We took the bus back to the hotel and about 60 minutes later, were seated at the Anchor Bar, anticipating our Buffalo Wings at the original restaurant that created the popular comfort food. It was yummy and a great way to cap an amazing time in Buffalo.

HOTEL: Holiday Inn, Downtown Buffalo. Residency Interview Rate $93.
  • PROs: Excellent location, awesome staff, free airport and local area shuttle.
  • CONs: Room decor and furniture is pretty outdated and shows wear. Housekeeping did an OK job, but there was definitely areas that hadn't been cleaned in a long time, both in the room and in public spaces.
  • OVERALL GRADE: B
  • Would I recommend this hotel to family and friends? Absolutely!
TRANSPORT: United Airlines (FAT thru SFO thru IAD to BUF)
I have to give United some MAJOR positive reviews here. I flew them to NY last week and back to FAT yesterday. I don’t know why all the United bashing goes on. I was supremely impressed! Every single employee I encountered was pleasant. Granted, every one of my flights left on time and arrived on time, if not a few to several minutes early. So I didn’t get to see them during irregular ops, but since the majority of the time they operate normal ops, they are doing a great job. The ticketing agents came up to help even at the kiosks. The gate agents did a great job of announcing up to the flights and every flight was boarded in a very orderly fashion so we didn’t have to all crowd around. And during the flight, I had some very kind, smiling, and overall pleasant and helpful flight attendants. I was blown away – United deserves some recognition for running a great operation. In fact, I am now seeking out United flights rather than trying to avoid them like the plague; they really made a great impression on me during this last trip.
Seating Tip: I got the sense that United is boarding its flights where those with window seats are in the higher boarding levels and those with aisles board toward the end, regardless of where in the plane your seat is located. So, if you want to make sure you are one of the first to board so you will have space in the bins for your luggage, choose a window seat. Otherwise, especially during the Holidays when it sounds like flights are going full, you may end up separated from any luggage that can't fit under the seat in front of you.

Stay Tuned! Coming Up in Future Installments:
  • Thanksgiving Trip 2010 - Part 2: Rochester
  • Thanksgiving Trip 2010 - Part 3: NYC

Saturday, October 2, 2010

ATL and Med School in my Six. MD Full Steam Ahead

"This is your Captain speaking. Hope you enjoyed your time in Atlanta - our flight to Los Angeles should take approximately..." It is August 3rd and time to go back home.

During the Week...
I have had an incredible time in Atlanta. Between my own travel itinerary and Captain K and family taking me to some amazing and less-touristy places, I have seen many awesome things. I stayed at the Holiday Inn Express by the airport (which I highly recommend because it is cheap and has breakfast and really nice employees). I saw the Coca-Cola Museum, The ATL Botanical Gardens, an AMAZING Aquarium (by far the coolest one I have ever seen), the MARTA (ATL Subway system, similar in experience/design to Washington DC), Confederate Park AMAZING Laser Light Show (sponsored by Marriott), the Westin Hotel Peachtree Plaza (still undergoing renovation from the Hurricane many years ago and still smells like dampness/mildew inside - not pleasant), the CNN Center (where I met Dr. Gupta - the person who currently holds my future job!), and I even went to the Varsity (where the food leaves a lot to be desired, but it IS an experience you must have once...no really, just once). Talking about food, I experienced some delicious places in ATL. For starters, Capt K and NK took me to The Porter in an eclectic part of town. It is an old train depot and the decor still has luggage and is super cool. I had some awesome fish 'n chips there. I also went to Rays in the Town during Restaurant Week (sponsored by BofA) and had a salad the likes of which I have never experienced before. It was a Shrimp with Feta cheese and watermelon in a lemon sauce. This was the most amazing combo of flavors I have ever experienced in a salad. I loved it. And I got SUPER excited about the main dish, thinking it would be similarly awesome. Unfortunately, my Parmesan-encrusted flounder was both uninspired and unmemorable. It was actually just cafeteria quality food. Too bad, because if it was like the salad I would have come back forever. Another cool place I ate was called Tap. Billed as a "gastropub", it captured my attention with a grilled/roasted grapefruit - definitely something worth trying. Your mind can't decide whether you are eating fruit or BBQ; and that is a pretty cool combo for your mind to be confused about!

Other than the humidity, ATL was super cool and I'm so glad I got to experience it! Thank you to ASA for giving me an opportunity to interview and meet some awesome folks at their company, also. (And for those of you wondering, yes I was offered a position, but no I was unable to take the offer because of family commitments back home).

One Week Prior (July 28)...
I didn't sleep much last night. I had been anticipating this day for months - actually, a whole year, from the first time I took the exam and missed passing by a few points. A year ago, it was like my whole life was thrown upside down - again - as I sat in the Yaldizzle's home staring at a screen that showed what I had been dreading - I hadn't passed. I thought I couldn't be seeing it right - I HAD to pass! In the hospital, I knew what to do almost every time - what the hell happened? But no, the screen wasn't lying and my eyes weren't playing tricks on me. This time, however, I had a different game plan. I reviewed the material like my life depended on it and I went into the exam ready to do battle. Usually, results came out in 3 weeks - so I had my heebie-jeebies last week waiting for results. But they never came. And today, I was flying to Atlanta for a week! I was interviewing with a regional airline for a flight attendant job and was super excited about that; but also excited that I could explore Atlanta, a city I had not yet seen. But my scores just HAD to come out today and I was anticipating, finally, becoming a Doctor, officially.

The only solution was to hand over control - something I continue to work on and improve on. So, thank God for AA who graciously offered to take my password and look up my scores. Afterwards, she would describe the same pulse-racing, heart pumping out-of-your-chest, palm-sweating, head-hurting feelings I felt the week before. Surprisingly, I didn't feel that as much this time - probably because I was on an airplane at 35,000 feet when Andrea looked up the results. But until I got on the airplane, I think AA was ready to kill me because my texts to her started at 5am. AA is generally pleasant...unless you wake her up. Let's just say I'm alive today because she gave me a TON of leeway today. When we landed in SLC and I hurriedly turned on my phone, the very first text I received was from DA: "congrats Doctor" was all I saw on my preview screen and I lost it. There, in a metal tube, as we taxied to the gate in SLC, I broke down and released the tears of joy that had been suppressed for over a year. The stress of a year finally was instantly released and I felt so light. And God placed the best flight attendant on that flight that day, who gave me a reassuring look and a tissue. But interestingly, she didn't ask what is wrong - she instead asked "what happened?" A minor detail but it seemed like people knew that this was good news (perhaps the tears juxtaposed with the huge friggin' smile on my face gave it away?)

And SA was right about chocolate - eating it during the exam raised my score significantly.


Four Weeks Prior (June 30)...
Today was the big day - I was staring down 350 questions and 9 hours at a computer. I was ready. This exam was NOT going to defeat me. I would prevail. And through each block of questions, I kept thinking about what SA had told me - she raised her score about 13% by eating chocolate and she claims there is a study about this. Ya ya, we'll see. (My chocolate is ready in my locker to eat inbetween each block.)

August 4:
It has been a long week and I slept quite well last night after I got home from ATL. Today, I will celebrate with family and friends. I feel very blessed to finally be, Doctor.

Wednesday, July 28, 2010

Quickies: Delays, Tests Results, Delays, Night in Vegas, Hope, (Updated Below!!)

 UPDATE ON JULY 29: I have arrived in ATL. I made the red eye flight from Vegas, had a great aisle seat next to a lovely couple, and got to the hotel without a hitch. I then promptly fell asleep which is why I didn't let you all know I had arrived sooner. But yes, I am alive and well and enjoying the lovely countryside where everyone, but EVERYONE, says hello as you pass by. I could get used to the South, yes indeedy. Except, somebody forgot to mention to God to layoff the heat/humidity at 6 in the morning! I can say that getting off the plane to that mess of weather at 6am made me realize how great we have it in Fresno - our nights are incredible.

1. Delays: Every other time I have taken the USMLE, results arrive in three weeks. Hence, last week Tuesday I was beyond nervous all afternoon and evening in anticipation of my arriving grade. I felt in my heart I had passed, but you just can never tell. I waited and my heart pounded. I awoke at 4am and started checking the computer. Every email message that would arrive in my inbox made me nervous - was it the one?! But around noon, well after results usually arrive in in-boxes, I realized there was to be no results. Another week of waiting and anticipation was the only result to be had.

2. Test Results: So, I waited another week, spending a lot of time working out and swimming in the pool to relax my mind and take it off of the test. My family and friends, God bless you all, did an amazing job keeping me distracted. But there was still no guarantee results would arrive today. The USMLE states not to bother them until it has been at least 6 weeks - they definitely under promise and over deliver, a good thing. However, if it were to arrive today, I was planning on flying to Atlanta for an interview and would not be able to retrieve the results early in the morning. Hence, God brought AA into the picture; I gave her my log-in information and this morning she checked and when I landed, my heart beating way too fast and my nerves a hot mess, there was the text: "Congratulations Doctor!!"


3. That brings us to my trying to get to Atlanta. I'm flying there for an interview with an airline and they are flying me "Non-Rev" - that means they aren't making revenue off of me and I fly stand-by. The flight from FAT to SLC, which was the one we were all worried about, went without a hitch. SLC, however, was a completely different story. Flight after flights that went to ATL was overbooked. From 830am until noon I watched flight after flight leave without me. Then, I was to be rebooked on a flight through Vegas that left SLC at 140pm. However, when I went to board that flight, there was some sort of problem with the ticket. Res Agents on the phone said they couldn't do anything to fix it because I was still listed as not having flown at all. Weird, I must have teleported from FAT to SLC. Res told me the Gate agent could handle the situation. Not true. The Gate agent said there was absolutely nothing she could do - I had been locked out of the system. Great. Stuck in SLC with a bunch of proselytizers and no way out! In the end, the AMAZING lady at the place I'm interviewing was able to intervene and get the ticket fixed. With 20 minutes before the 340pm flight to Vegas, we got my ticket fixed and I am in Vegas now, waiting for my 1130pm flight to ATL.

4. When in Vegas, rule number one is to live it up. So, I took a $6 shuttle from the airport to the Strip and walked up and down the strip. I'm exhausted quite frankly! I got to enjoy the views both in day time and night. I used $20 to gamble, which I promptly lost in about 30 minutes and that was it for the gambling. Besides, I was more interested in one thing: the Bellagio water fountains. I spent almost an hour and a half there. It was incredible. Relaxing and rejuvenating. I'm now back at the airport as I write this, using the amazing internet connection (and it's free!). FYI: on top of everything else, the Salt Lake City internet sucked!

5. Hope: Romans 12:12 says "Rejoice in Hope, be Patient in Tribulation, be Constant in Prayer." One of the most challenging periods of my LIFE has just ended. I can't say I enjoyed it and I most certainly won't say I would consider doing it again. But, now that I have arrived at the end, it feels great. I feel accomplished. The hope that I had, but more importantly, that my family and friends had for me, that never diminished and certainly never extinguished, has been amazing and carried me through. God bless you all.

Monday, July 5, 2010

Time Softens the Heart

I have taken a shower with a water bottle. I didn't go into the bathroom with the intention of doing that, but halfway through lathering up with soap, the lights went out and the water shut off. I was thrust into basically pitch blackness (there was no window in our bathroom) and the first word that came to my mind can't be published in a public forum. I found the emergency water bottles we kept by the bathtub (since this had occurred to my roommate on another occasion) and as I sparingly used them to get the soap off, I hated life. I hated my decision to go to the Caribbean for medical education. I SWORE I would never return to that retched "rock" lest hell freeze over AND pigs fly on earth.

But time has a funny way of taking memories like that and turning them into a very comic recollection in the mind. Family always used to tell me to appreciate the opportunity I was given to "live in a beautiful tropical place". Opportunity?!?! I used to think incredulously. YOU try come living in this place while simultaneously trying to cram macro amounts of information in micro amounts of time. Because while my power and water go off regularly, you are frolicking around in the resorts when you come to visit me, with their fancy schmancy generators and water tanks.

Despite this, I now find myself at the end of my medical school career. God willing on July 21 I will receive my passing score and a few short weeks after that, I will officially be Doctor A. And for those of you with the insight to have known 4 years ago where this very blog post is going - yes, I want to go back to the island. Now, I'm a practical person so I don't want to just visit St. Martin. When I spend money to travel, I like to see places I haven't yet been. So again, for those of you with insight four years ago to disagree with me when I said I not only hated St. Martin but the whole of the Caribbean, yes you were right again and I was wrong. I would love to go lay on the warm beach, frolic in the warm, calm Caribbean sea, and doze off to the sound of steel drums while sipping on a fruity Caribbean drink.

I indeed had the opportunity to live in paradise.

Video produced by AUC filmmakers recently. Some of my favorite places are shown. Enjoy!

Tuesday, June 29, 2010

Believe

The "big day" starts in almost 9 hours. I'm currently going through some nerves, but luckily loved ones are helping me keep them in check and keep everything in perspective.

Believe! I can! I WILL!

There are two very special stories I will keep close to my heart tomorrow, to help me through this thing. The first comes from a movie, although I didn't know that when I first read it. I was given this quote almost a year ago, on a post-it in the bathroom mirror (next to another post-it that told me to clean my side of the mirror), when I sat for this test the first time, by CY, a dear friend.

"You can wish in one hand and crap in the other and see which one gets filled first!" 

I love this quote because it forces us to recognize that ideas only work, if we do. I didn't follow its advice, however, until reality hit me - hard - with a Fail. So, I have stopped wishing. I stopped wishing I had passed. I stopped wishing I had made different decisions in life. I have stopped wishing and finally, FINALLY started acting like I want to be a Doctor. Like I really, really, truly, more than anything else in the world, want to be a Doctor. I'm not wishing anything for tomorrow - I am KNOWING that with God's help, I will be successful.

And speaking of God, in the Church bulletin this past Sunday, there was an excerpt from C.S. Lewis that spoke directly to me. God always seems to know what we need and even though we all go through moments of doubt in Him, He always fills our souls with the strength we need. I will forever in my life cite this excerpt as an example of our amazing Lord trying to help me GET IT - speaking directly to ME!

C.S. Lewis wrote - or I should say, God spoke to me through C.S. Lewis by saying:
"At the end, I know, we are told an angel appeared 'comforting' Him. But neither comforting in English nor Greek means 'consoling.' 'Strengthening' is more the word. May not the strengthening have consisted in the renewed certainty - cold comfort this - that the thing must be endured and therefore could be?"

With the Lord in the driver's seat tomorrow, I know I can make it. I know I will be wildly successful. I have studied extensively and done what I need to do to be successful. Therefore, with the peace that one can only get from trusting in the Lord, I will go to sleep now.

Sunday, June 27, 2010

The Five Finger Prayer

Continuing on the theme of Five, my mom #2 just sent me this email and I found it lovely and most definitely worth sharing. My test is three days away, the weather is projected to be nice (especially since Fresno is dry and not humid), and my brain is on overdrive - ready to go! God has set up a beautiful day for victory!


 
1. Your thumb is nearest you. So begin your prayers by praying for those closest to you. They are the easiest to remember. To pray for our loved ones is, as C. S. Lewis once said, a 'sweet duty.'
2. The
next finger is the pointing finger. Pray for those who teach, instruct and heal. This includes teachers, doctors, and ministers. They need support and wisdom in pointing others in the right direction. Keep them in your prayers.

3. The
next finger is the tallest finger. It reminds us of our leaders. Pray for the president, leaders in business and industry, and administrators. These people shape our nation and guide public opinion. They need God's guidance.

4. The
fourth finger is our ring finger. Surprising to many is the fact that this is our weakest finger, as any piano teacher will testify. It should remind us to pray for those who are weak, in trouble or in pain. They need your prayers day and night. You cannot pray too much for them.

5. And lastly comes our
little finger - the smallest finger of all which is where we should place ourselves in relation to God and others. As the Bible says, 'The least shall be the greatest among you.' Your pinkie should remind you to pray for yourself. By the time you have prayed for the other four groups, your own needs will be put into proper perspective and you will be able to pray for yourself more effectively.

Thursday, June 24, 2010

Five

Five seems to be a marquee number in our lives. It is a nice, round number that we use as a benchmark to celebrate various occasions. Five year anniversary. Five year reunion. Five days in a week. Count to five in kindergarten. First Five in California to get kids prepared in their formative years. APGAR score in the first five minutes of life (if you are interested, ask and I will explain this one). There's even a really delicious Italian restaurant in Fresno, aptly named 5.

I would venture to guess that we like whole numbers - we all still remember the sing-songy way we learned 5-10-15-20-25-30-35-40-45-50 etc. in elementary school - because they give an air of finality. When we reach that milestone, we must have accomplished something.

Therefore, today I celebrate five days left until victory. Technically, as I write this I still have 5 days and 23 hours before the start of the test. But, you can't count the day of the test as a study day. So, I have less than 6 days left to study. Put another way, in the more comforting and celebratory way - 5 more days to go. The countdown is on. I have reviewed, rereviewed and rerereviewed. Pancreatitis, cholecystitis, hepatitis, and any other itis is well preserved in my brain for showdown on Wednesday, June 30.

I don't enjoy testing the Gods or inviting fate to bite me in the ass; so, with all due respect and reverence, I say BRING IT! I'm ready. Let's roll.

Friday, June 18, 2010

Inspiration

Congratulations to the Los Angeles Lakers!!

My championship game will be played on June 30. It will last 9 hours, through almost 360 questions. And about 3 weeks after that, God willing, I too will raise my trophy (the coveted MD Diploma). And the award for MVP through all this? My amazing mother who has cheered me on, financed my education, and never given up on me.

Tonight we celebrate the Lakers! Their win energizes us all...especially those of us going for our own championships.

Monday, June 7, 2010

Quickies: Test Date, Party and Travel Ideas

Test Update: I have scheduled THE test for June 30 here in Fresno. I'm excited because this is my time. I will be passing and I can't wait to feel the success and achievement, finally. And with passing, will come official graduation and my joining the ranks of medical doctors throughout the world.

Party Central: Many have asked about my graduation. The official graduation day for my school passed last week - CONGRATULATIONS TO NK who did participate in the day in St. Martin. I, however, never had plans to attend. Even if just my mom and I were to go, the airfare, hotel, food, and incidentals would approach $2,000. Therefore, instead I have wanted to throw a big party here in Fresno. I should find out I passed on or around July 21 so I'm thinking a big hoopla in August is in order. Let's get everyone together for some food, dancing and fellowship.

Travel Ideas: I am going to have a ton of free time after I pass my test and before residency starts. And trying to find a job right now is proving to be impossible! Research places want someone with experience. Teachers are losing jobs left and right. Airlines aren't hiring. I may be able to get a job at Starbucks, but many places like that keep saying I am "overqualified" - who knew there was such a thing. Therefore, I want to travel and explore new places. If you have any great suggestions for American or international destinations, hit the comments and share!

Back to studying for now!

Tuesday, May 11, 2010

Home Sweet Home

Medical school is over. Four years of lots of studying and long nights; well, the lots of studying and sleepless nights aren't over, but paying tuition is over. I arrive home Wednesday night. That's right, this Wednesday night (May 12), I return to Fresno. I have checked the weather and it looks like it is in the 70s. For some reason, the weather here in NYC decided to go south the last few days of my stay and we have been in the 50s. That's not totally bad, though, since this is a walking city and I sweat like stink when the weather gets hot.

For now, I return to the land of getting in your car to go 100 feet, 108 degree weather, but most importantly, loving family and friends who I have missed over the last 4 months. What the future holds after June, however, is an open question and I'm excited about the possibilities.

Fair warning: I will be somewhat of a recluse for the next 6 weeks as I spend every moment studying in preparation for the test. Let me ask for forgiveness now if I don't really hang out or do a good job of keeping in touch for a few weeks.

Wednesday, April 28, 2010

Quickies: Where, What, When, Who

1. Where Have You Been?
I apologize for the lengthy wait between posts. Lately, I have just felt more enjoyment from spending all day at the hospital learning and then going to Manhattan and exploring, versus sitting inside and reading or typing up a blog. When you have no idea what the next steps in your life will be, it somehow puts all the wonderful "here and now" moments into clearer focus and you try to embrace and enjoy every moment. In other words, when you have finally stopped thinking 5-10 years into the future, what's happening now - right now - finally can fill your brain. And quite frankly, it is amazing how much of our lives we miss when we are constantly filling up our heads with what we will do next. I imagine this is what happens to a person when they receive devastating news about their health. Granted, in my case the issue is nowhere near as serious or grave, but the benefits are tangible nonetheless.

2. Where Are You Going?
OK, I suppose answering this question is fair, at least for the very short-term. I return to Fresno on May 12, arriving at 945pm on American Airlines (of course!) I become somewhat of a recluse for 6-8 weeks, retaking my USMLE Step 2 exam sometime in late June. I emerge victorious, and finally claim the title of Doctor (MD) and go celebrate somewhere. Vegas? DisneyWorld? Rome? That can be decided later by the folks who will inevitably (hopefully?) join me in my celebration. You know who you are. And then, I either, 1) find a job doing research for a year and try to Match into a residency position again, or 2) find a job doing research for half a year and enter a residency position mid-year if anything opens up, or 3) I sleep in every day for a year, get a part time job with American Airlines and travel the world in my free time. Point is, I don't know what comes after passing the exam, so please don't ask. The Armenian phrase for I don't know is "chem keeder" - embrace the phrase "I don't know" because sometimes it is truly the best answer.

3. What Have You Been Doing?
NYC is an amazing place to explore. Here are some more great places I have seen (as much as I can remember, since it HAS been awhile since my last post!)
  • Broadway: Been to Jersey Boys (which I felt basically took a $20 CD of music by the Four Seasons and recast it into a $60 minimum ticket "show" - in other words, didn't like it). Also been to La Cage aux Foilles (like the movie The Birdcage, this show is hilarious. It involves the audience - if you get a orchestra seat - and keeps you laughing the whole way. A must see!)
  • Eats: NYC is up there with the gastronomic greats of the world. And I'm quite convinced it has no parallel when it comes to the diversity of eats available. We have had brunch at a restaurant run by Tom Collichio (the dude from Top Chef), Balthazar's for Brunch is also an amazing place that must be savored (and you should TRY to RSVP for weekend's otherwise you have at least a one hour wait). Some of my other favorites include Karam (a place NK's brother, AK, also loves) - the Lebanese owners of this place make Kebab and hummus and tabouleh as close to the way my family makes it as I have found. The irony is that I love treating myself to Tabouleh ($5) every now and again - but I joke that when I get home, the QUEEN of Tabouleh (my mom) will make it everyday and I will again grow tired of it :)
  • Parks: What NYC lacks throughout the city (trees, greenery, open space), it makes up for in some pretty amazing parks. The most well-known and possibly largest of these is Central Park. Every time I go there I discover something new! But when the weather is nice, there is a big green lawn that many New Yorkers love to go lay out on, play some soccer or frisbee or football, and rid themselves of the NYC "tan" (that amazing whiteness that Hanes does well in t-shirts, but should not be the color of human skin!) Indeed, there was a day a couple weeks ago when the temperature hit 87 degrees. Yes, I had the unfortunate case of gastroenteritis that day and couldn't go to work. The only problem was, I didn't plan on my newly acquired tan giving me away the next day.
  • Subways: A whole year's salary (when I finally earn one again) says that I will get into your car in California and within the first 5-10 minutes, make one of the new automated subway announcements that you hear on the trains here. "This is a Northeast Fresno bound 1 Express train. The next stop is, my house. Stand clear of the closing doors, please. Ding-dong." Embrace it, it is one of the quirks you all love about me. (And note, this is not a real bet - no I will not give anyone a whole year's salary. Ever.)
  • School: Even though this blog post makes it seem like I am gallivanting around the city all the time, the truth is that the majority of my time is spent in the hospital. Actually, this should be past tense. I just finished my Neurology rotation in Staten Island - it was up there as one of the rotations I enjoyed quite a bit because the Attendings were totally focused on education and helping us learn the nuances of Neurology. Now I have two weeks of Dermatology at Brooklyn Hospital. I finish on May 7 with rotations. In other words, the only hurdle left between me and my MD is passing Step 2. And that will happen very soon.
I'm sure there are things I have forgotten, but this post should keep you all happy for a little bit. And by you all, I imagine the 4 of you who check everyday, multiple times a day - thank you :)

See you all on May 12.

Saturday, March 13, 2010

What's Next? I Don't Know

In medical school we are often told that it is OK, as a medical student, to say "I don't know". Follow it up with a little "I will find out" and a sprinkle of smile and you are all good. This practice works well when a patient asks you about how the moon's position around earth could affect her health and well-being. However, you can't say "I don't know" during the big bad exam and expect to be given a pass. As such, as most of you know, I missed passing Step 2, again, by about 3-4 points (I've blocked it out of my mind and can't remember whether it was 3 or 4).

While failing is a disappointment, this time, it was almost freeing. I did the best I could, the absolute best. I studied, did practice questions, and worked on trying to finish the test on time since I am a fairly slow reader. When I opened that score sheet, however, I still managed to miss passing by a hair. But, I discovered peace from it.

For the first time in my recent memory, I have no plans. Well, sort of. I DO plan on taking the test over again in June, but it is too late to make the "Match" for a residency starting this summer. In other words, I won't be starting the next phase of my "Doctor" training in lock-step with my previous "plans". I will have, essentially, nothing to do! And weirdly, rather than be terrified, I'm quite excited about it!

When I finished 8th grade, I already knew where I was going for high school. When I finished high school, I had a couple months but then it was straight to College. When I finished there, I literally had a week or two to pack up and move to NYC for the summer and from there to Baltimore. When I finished teaching, I shipped my stuff home, packed up, and moved right again to the Caribbean. Got home from there and these last two years I have been a vagabond, living in basements, other people's bedrooms (thank you Yal's), hotels, and even friends' living room pull out sofas (thank you NK). I have explored Queens, Staten Island, Fresno, Los Angeles, Grand Rapids and now back in Brooklyn.

My entire life, when people have asked me what I'm doing, I have had an answer for them. And now I won't and I feel so liberated!

I know God has a plan for me and somehow all these trials and tribulations fit into that plan. I am being made into the person He needs me to be for whatever He needs me to do to make this world, or my sphere of influence within it, a better place. And I do know that at some point, I will pass this test and the test that comes after it and I will do a residency somewhere that teaches me superbly and I will make an excellent Physician and help my patients holistically.

But in the meantime, if you want to know what's next, the answer is I don't know. I don't know! But whatever it is, I'm gonna keep enjoying this crazy and wild ride.

Tuesday, January 26, 2010

Veni, Vidi, Vici

In the coming weeks, there are lots of decisions to be made about my future. Many of those decisions are tied intimately with me actually passing USMLE Step 2, which I took last Thursday (1/21/10). I spent nine hours at the testing center answering 352 multiple choice questions in about a minute and twelve seconds each; and the whole time, I kept hoping my mom was continuing to recover and hoping that I could pull this off - that I could pass and bring joy and RELIEF to her and to many family and friends who have been rooting for me through this whole struggle.

The last few months have been particularly challenging, even within the scope of the last almost four years of struggle through medical school. I wouldn't want to go through all this again, but now as the light at the end of the tunnel is growing stronger and I feel more like a "Doctor" each day, I feel a renewed sense of vigor and excitement that there are so many possibilities that await in the near future. I have been humbled and have experienced failure - and yet, here I am, still standing on the other side. And I freely admit that I stand because there have been many along the way who have helped pick me up when I have fallen and felt like giving up.

Granted, I am not out of the woods yet. But I take solace in two Bible passages that I feel are worth sharing today:

"Rejoice in hope, be patient in tribulation, be constant in prayer." -Romans 12:12
"I can do all things through Christ who strengthens me." Phillippians 4:13

I am not always constant in prayer, but I continue to work on it. And I continue to hope that we will be victorious. It does take a village to raise a kid and to support him through life's trials. I truly believe we weren't meant to go through this life alone, trying to overcome challenges by ourselves. At the very least, the Lord will always be there to carry us and make us strong enough to handle the situation at hand. We should all be there for each other, also. Together, we can and will conquer all obstacles.

Tuesday, December 15, 2009

Pink Gloves Are Cool!

I know I promised another part to my series about good/bad airlines, but I think a nice little reminder of the more "human" side of the medical field is in order. AA sent me this link to a YouTube video and I say HATS OFF to the organizers at Providence St. Vincent Hospital in Oregon for volunteering to do the "Pink Glove Dance". Don't know what that is? Neither did I until I watched the video, which I have included below. It is awesome to see a hospital where the staff can come together to raise awareness in a way that makes us all laugh a little bit and smile a lot. Enjoy!

Sunday, October 25, 2009

Med School Journey Continues - Next Stop: NYC for OB/GYN

I finally will see normal vagina as I do my OB/GYN rotation next, for 6 weeks in NYC. Of course, during the OB part we will most likely see happy mothers-to-be, but during the GYN part we will see all sorts of pathology. Just remember: your vagine should not have a fishy odor or a curdly cheese discharge that smells like cottage cheese - that is bad people, very bad! (But treatable!)

I digress - if any of my readers are airline dorks like me, here is my itinerary:
Delta Flight 78: Depart LAX 730am - Arrive JFK 420pm

I will add Twitter updates during my trip, so check the sidebar on this blog, to the left, for updates about flight status or any delays.

I return to Fresno on December 5. Until then, I will be spending long days delivering babies, examining cervices, and studying for my board exam (Step 2 CK).

Monday, October 5, 2009

Why Science Rules...

With science, you can explain just about anything. I found this online and thought it was great. A little bit crude, so if you are easily offended, skip this one, but if you have a good sense of humor or are trying to develop one, then this is a great read. Enjoy!


HELL EXPLAINED BY A CHEMISTRY STUDENT

The following is an actual question given on a University of Arizona chemistry mid term, and an actual answer turned in by a student.
Bonus Question: Is Hell exothermic (gives off heat) or endothermic (absorbs heat)?
Most of the students wrote proofs of their beliefs using Boyle's Law (gas cools when it expands and heats when it is compressed) or some variant.
One student, however, wrote the following:
First, we need to know how the mass of Hell is changing in time. So we need to know the rate at which souls are moving into Hell and the rate at which they are leaving, which is unlikely. I think that we can safely assume that once a soul gets to Hell, it will not leave. There fore, no souls are leaving. As for how many souls are entering Hell, let's look at the different religions that exist in the world today.

Most of these religions state that if you are not a member of their religion, you will go to Hell. Since there is more than one of these religions and since people do not belong to more than one religion, we can project that all souls go to Hell. With birth and death rates as they are, we can expect the number of souls in Hell to increase exponentially. Now, we look at the rate of change of the volume in Hell because Boyle's Law states that in order for the temperature and pressure in Hell to stay the same, the volume of Hell has to expand proportionately as souls are added.

This gives two possibilities:

1. If Hell is expanding at a slower rate than the rate at which souls enter Hell, then the temperature and pressure in Hell will increase until all Hell breaks loose.

2. If Hell is expanding at a rate faster than the increase of souls in Hell, then the temperature and pressure will drop until Hell freezes over.

So which is it?

If we accept the postulate given to me by Teresa during my Freshman year that, 'It will be a cold day in Hell before I sleep with you,' and take into account the fact that I slept with her last night, then number two must be true, and thus I am sure that Hell is exothermic and has already frozen over. The corollary of this theory is that since Hell has frozen over, it follows that it is not accepting any more souls and is therefore, extinct..... ....leaving only Heaven, thereby proving the existence of a divine being which explains why, last night, Teresa kept shouting 'Oh my God.'

THIS STUDENT RECEIVED AN A+.

Sunday, September 27, 2009

Why I Flatulate


Many of you have oft questioned my air passing ways. Now, thanks to my dear 2nd mom DA, you have an excellent, SCIENTIFIC explanation as to the reason. I expect that all of you will leave me alone after this. I thank you very much.

Thursday, September 24, 2009

Alleluia and AMEN!

I knew the day would have to arrive eventually - 9 hours at a testing center computer, walking around with my pockets turned out all day so no "banned items" were brought into the "Secure testing zone". They are hardcore about their "test security"! But, the day came (Wednesday) and here we are - it is now Thursday and I am still alive, albeit feeling much much much lighter and happier and unstressed! Alleluia and Amen!!

For those of you wondering what I'm talking about - I took the USMLE Step 2 CK yesterday. That's a mouthful and stands for United States Medical Licensing Exam Step 2 Clinical Knowledge. In July I took the USMLE Step 2 CS, which is Clinical Skills - 12 standardized patients (actors) act out symptoms and you have to demonstrate your knowledge of communication, history taking and physical exam techniques. That was about an 8 hour day as well. But yesterday's exam was my big hurdle due to my severe testing anxiety, and now it is done! Alleluia and Amen!!!

But by the grace of God, I was calm all day, even for the first block! The way the blocks are set-up are 44 questions for each one hour block - there are 8 of those. And there is a 9th one-hour block that you can split up however you want as break time. Since each block is 44 questions, in my mind I have set-up each block not to be an hour, which is totally unmanageable, but rather, as 15 minute, 11 question blocks. I can handle 15 minutes - in fact, I can manhandle it and wrestle it to the ground and stomp on it until it taps out. And that's exactly what I did yesterday. I was PUMPED. I did 2 blocks, then took a 10 minute break. Then another 2 blocks and a 20 minute break. Then another 2 blocks and a 10 minute break. By this time my brain was really showing wear and tear because when I started my 7th block, words were blurring on the screen and I was reading, but not comprehending a thing. The 7th block was a struggle and I only had about 5 minutes of break time left, but I used it all before starting the 8th and final block of the day.

Now the waiting game begins - I will HOPEFULLY find out within the next 3-4 weeks that I passed both CK and CS. That's right, even though I took CS in July, results don't come out until October for that one. For CK, results can be sent anywhere from 3-6 weeks after the test. It is a waiting game but nothing you can do about it, so no reason to stress about it, either. At least I can relax for a few weeks! And to that I say Alleluia and Amen!!!

Many thanks to my host family in La Habra!!! Auntie J packed me a HUGE lunch with all sorts of power brain food to nibble on during breaks. Got me through the day - so if you see her, give her a big hug and say thanks! And my lovely sister-like CY had decorated the bathroom mirror with all sorts of inspirational post-it notes so when I woke up before my test, my mind was set right to succeed. Give her a huge hug too!!! And thanks to any of you who have sent me encouraging texts and emails and prayers - while I won't blame anyone if I didn't pass, I DO want you to know that my success is interwoven with and dependent upon your support and love and encouragement. My success is due to the amazing family and friends I have. So, a big THANK YOU to all of you and a huge Alleluia and Amen!!!!

Saturday, August 22, 2009

Camp Hye Sierra

Quick Update: I finished my Pediatric rotation at Children's Hospital two weeks ago (loved it). I went to Church Camp as the Office Manager (LOVED it!). And now I'm a recluse studying for my big board exam that has like 370 questions, 9 hours in front of a computer (plan on HATING it).

Remember that even though I won't necessarily have the time for a full blog post while I'm studying, I will do my best to keep my Twitter up to date - so just look on the left sideline to see the "Dispatches 'o the Journey" for quickie updates.

And for your entertainment, one of my good friends had made this video of our camp experience. Enjoy!