Güzel Bir Gün!

A beautiful day!

Today’s weather was exactly what we have longed for – fantastic sunshine! We headed up to a different part of the city, Ortaköy, where we met up with another of Tay’s cousins for lunch. We had a local specialty, kumpir, which is a baked potato topped with butter, cheese, and anything else you want. (Choices include olives, corn, carrots, mushrooms, pickled red cabbage, chopped hot dog, ketchup, and mayonnaise.) Then we enjoyed the requisite post-meal çay at a café right on the water.

Istanbul straddles Europe and Asia, with the Bosphorous Strait dividing the two continents and connecting the Sea of Marmara to the south with the Black Sea to the north. (We are staying on the European side, where most of the sites are; sometime in the remaining few days, we hope to go over to Asia!) After wandering the cute, cobblestoned, shop-lined streets for a bit (and possibly buying some books and a pair of earrings…) we took a sight-seeing cruise on the Bosphorous. The views were really spectacular, and it was a perfect day to be on the water. The shot below shows the mosque right on the water (on the European side) and one of the bridges spanning the Bosphorous.


Next we strolled for quite awhile and returned to the tram, taking it to an area called Nişantesı, which boasts some of the city’s higher-end shopping. Also on the European side of Istanbul, it is separated from the section where we are staying by a bay known as the Golden Horn. We spent a few hours browsing, still enjoying beautiful sunshine, and finding a really pretty long flowered dress. :)

For dinner, we headed back across the Golden Horn and, along a different stretch of water, got some delicious fish sandwiches. Men dressed in black uniforms with gold decorations cook the sandwiches on these ornate little boats that bob right at the dock and then pass them up to you when you order. They only make one simple kind, so all you have to do is tell them how many you want and then go grab drinks from a freezer. For dessert, we grabbed a few of a pastry that I hadn’t yet had, which I call baklava balls; sort of like baklava but spherical and lighter. I guess today’s themes were sunshine and special Turkish treats, as we grabbed little cones of maraş dondurması, a type of ice cream that’s kind of sticky, on the way back to the hotel.

So what happened yesterday? Well, it rained. But we still saw some pretty amazing sites, starting with the Hagia Sophia. Originally a church, it was converted to a mosque during the time of the Ottoman Empire, and then became a museum after the Ottoman Empire became Turkey. Because of this, there is the interesting juxtaposition of a mosaic of Christ and Madonna flanked by two large medallions with words written in Arabic. The whole thing was literally breathtaking. See for yourself:


Then we checked out Topkapı Palace, former home of the sultans. It’s absolutely huge, but we visited the Harem (where apparently the concubines were supervised by eunuchs), a display of the sultans’ clothing, and the treasury, which contains dozens of amazingly ornate goodies, including the famous Topkapı Dagger (set with 3 enormous emeralds in its hilt) and all 86 carats the Spoonmaker’s Diamond (so called because it was originally found in a garbage dump and sold for 3 spoons).

After making our way back to the hotel, we met up with one of Tay’s friends, whom he met it college, but who is Turkish and was raised and still lives here in Istanbul. He drove us to yet another part of the city that we had not seen: Bebek. It was truly amazing! Just when I thought that I had gotten the picture that Istanbul has a number of modern sections, the areas he showed us blew my mind! They were so chic and upscale, with gorgeous views of the Bosphorous. This city is truly a marvel.

Tomorrow our plan is to take a ferry to the nearby Princes’ Islands and then to go out with both of Tay’s cousins and their wives (2 of whom speak English; yay!) My goal is that, the next time we come back, I will be able to chat with them in Turkish. I’ll keep you posted, both on tomorrow’s adventures and progress with Türkçe.

Alış Veriş Istanbul’da

The theme of the day was shopping! After sleeping until a slightly more normal time of 6:45, we enjoyed breakfast and then headed out on the tram again, intending to see the Hagia Sophia and Topkapı Palace... but the first had a huge line and the second is closed on Tuesdays. So we improvised, spending several hours in the Istanbul Archeology Museum, which has an impressive array of artifacts, including some enormous sarcophagi decorated with ridiculously detailed carvings.

From there, we wandered back to the area of the spice market, but stayed on the surrounding streets, where things are cheaper. We bought some apple tea since we had enjoyed it so much when one shopkeeper shared some with us yesterday. Walking by the water, Tay got us each a simit, or a circle of sesame seed bread. (Yes, it’s pretty much a sesame seed bagel, just proportioned differently.) We wandered through mazes of cobblestoned side streets lined with shops, taking advantage of the fact that the weather forecast was wrong and we actually had no rain today. We found our way to the book bazaar, which is one of my favorite experiences so far. As soon as you climb a few steps onto this street, the world is suddenly quieter, and the bazaar has a cozier feel, shaded beneath trees and the side of a mosque.


We made a few purchases – when can Tay and I ever pass up books? – and, on a whim, decided to enter the mosque. We were met with fantastic mosaics of bright red and blue; it was our favorite mosque thus far, even over the famed Blue Mosque. Just beyond this was the impressive entrance to Istanbul University.

Taking advantage of the surprisingly dry day, we decided to head up to Taksim Square, on the other side of the city, where Tay’s cousin and his wife had taken us for dinner on our first night. They had showed us around a bit, but we wanted to explore for ourselves. We walked partway, stopping to purchase a set of Turkish tea cups so we can preserve our daily ritual of sipping delicious tea from the special glasses once we are back home. Due to tired feet and no nearby tram stop, we took a cab the rest of the way and were greeted by an impressive statue depicting Atatürk, the founder of modern Turkey, leading the military and then emerging as a statesman.


Prior to our trip, I had read and heard that Istanbul is a city that embraces both the old and the new. Though I had been warned, the stark contrasts between Taksim and the parts of Istanbul we had previously seen shocked me. This section is incredibly modern, with trendy clothing stores and Westernized restaurants. The architecture is more similar to that seen in other European cities; in fact, we could easily have been exploring Paris or London. The people who frequent this area are, in general, younger and less conservative; brightly-dyed hair, piercings, and trendy styles of dress abounded.

We finished the day browsing the main thoroughfare and a number of smaller offshoots (and, yes, made more purchases… you know, to support the economy) and enjoyed a delicious dinner before taking the tram home. Tomorrow we will attempt to see the Hagia Sophia and Topkapı Palace, but with all the things to see here, we never quite know where each day will lead us.

İyi akşamlar

…or good evening! We had another somewhat quirky but really wonderful day.

Our sleep schedules are still not adjusted, and even though we are exhausted at night, our long afternoon naps fill our sleep tanks enough that we don’t sleep through the night. Around 3:30 this morning, we were both awake; tired, but somehow unable to sleep more. We read and watched TV, and at 5 I wrapped myself in the comforter and leaned out our window into the chilly air to take a short video with the camera recording the sound of the morning call to prayer. Each mosque starts within a few minutes of one another, so the one nearest us is heard the loudest while the others form a sort of canon in the background.

We stayed awake; I studied some Turkish and we got to breakfast right when it started at 7am. Most Turkish people can tell by looking at us that Tay speaks Turkish and I don’t; however, today several assumed I spoke German, so that was entertaining. (Tay maintains that I look like I would fit right in with the large German tour group staying at our hotel. It’s probably due to my hair cut and color, but I’m going to go ahead and say that I really appreciate Germans’ organization and orderliness, too.)

Our hotel is one block off of a main road, down which the tram runs. We hopped on and rode seven stops (~15 minutes) to the old section of the city and walked around for a bit, stopping into the New Mosque before making our way to the Grand Bazaar. It’s a must-see anyway and, since it’s an enclosed structure housing 4000 small stores/stalls. You end up seeing a lot of the same things (especially touristy trinkets) over and over, but it’s certainly entertaining to wander through. One shopkeeper invited us in to sit down when he found out Tay is Turkish. He went to a little intercom on the wall and ordered us each a cup of apple flavored tea. (Have I mentioned how much I adore Turkish tea – çay - and the adorable little glass cup – bardok – from which you drink it?) He and Tay chatted while I picked out a necklace and earrings.

After a few hours of wandering through the bazaar, we felt that we had gotten the experience we’d hoped for and decided to brave what had turned into a torrential downpour. Under umbrellas we navigated to the spice bazaar, and then to a little place for lunch. From where we sat, I spied a baklavacı across the way, so went and had some baklava and çay before moving on to the Sultanahmet, or Blue Mosque. Tay talked them into letting us in through the front entrance – free, for Turks only – and we marveled at the amazingly intricate and deeply colored mosaics in this enormous, elegant structure.


To finish the day, we walked over to the Basilica Cisterna, and underground cistern built in the 532AD – yes, the 500s – to collect and house water for a palace during the Byzantine era. It contains 336 columns in 12 rows, through which a walkway winds. Fish swim in the water, and the columns are lit by orange lights that give the whole place a glow that photos can only partially capture.


We swore we wouldn’t nap so that we could go to bed tired and get a full, normal night’s sleep, but we caved once we finally escaped the cold, wet, windy weather. We meant to limit our nap to an hour, but of course woke up three hours later, still tired but now hungry as well. Luckily, we found a little casual dinner place several blocks away. Now we’ll see what kind of sleep tonight brings! Here’s hoping tomorrow morning’s call to prayer awakens us rather than us waiting in the predawn for it to begin.

Merhaba Istanbul!

Two days into our honeymoon, we are starting to adjust to the time change. We hit the ground running yesterday; after a nearly 10-hour flight, Tay’s cousin and his wife (who are our age) and an aunt met us at the airport and brought us back to their apartment for lunch. We also visited with his grandfather. Gung ho, I greeted each of them with a nice big “Merhaba” (hello) and kisses on both cheeks. This might have misled them a bit, as they then answered in Turkish, and I replied with a completely blank look. I have been studying some Turkish, but there is little use for numbers, dates, or phrases such as “the old house is big; the new one is small” in everyday conversation. Shocking, I know.

They dropped us off at our hotel around 2pm, where we discovered that they did not have our exact specified room prepared, and gave us one with two twin beds. We were too exhausted to care, and promptly dropped our stuff and napped for several hours. After showering and changing out of our traveling clothes, we met Tay’s cousin and his wife, who took us out for the evening. They showed us some streets with very good shopping and took us to a delicious restaurant with live music and, starting at 11pm, belly dancers. Oddly enough, the women in the restaurant were more into the belly dancers than the men, getting up to dance with them and continuing to dance near the tables even after the dancers had moved on to (and I do meet up onto) the next table.

It was a lot of fun, although the jetlag and language barrier made things more difficult. Tay is very attentive to me and translates as much as possible so that I can take part in the conversation, but this becomes incredibly difficult when multiple people are speaking at once; by the time I get the translation, I have no idea which of their gestures accompanied which words, and the laughing over a joke is over.

We had trouble sleeping through the night despite our exhaustion because our body clocks were so off. We were laying awake at 5am when we heard the muezzin doing the call to prayer. It’s done in Arabic, and the sound, especially in the otherwise-silent night, is haunting. A few hours later, the cousin and his wife picked us up again this morning and took us to a park with a 6km trail running through the forest. It felt quite remote, but was technically still part of Istanbul. We walked and ran. It was beautiful, with occasional water fountains with water from mountain streams. Running isn’t that big in Turkey, and everyone who looked serious and wore running tights seemed to be of different nationalities – American, Scandinavian, etc. A lot of people were out, though, especially the middle-aged.

Afterwards, we went to breakfast at a famous place right on the Golden Horn. A typical Turkish breakfast consists of tomatoes and cucumbers in olive oil, various types of cheese, bread, eggs, honey and very sweet cream, and, of course, tea. I love Turkish tea and the adorable little teacups.

We returned to the hotel and sat in the lobby and they gave Tay about 2 hours’ worth of information on how to spend our time, going over the things we had planned to do and giving us advice on what to skip, how much time to spend at different sites, and some new suggestions we hadn’t known about.

Luckily, at that point the hotel had a new room for us, so we moved all of our stuff and crashed once again, with no alarm set this time. Around 6pm, we woke up, showered, and unpacked everything and got settled into our room. Then we went out strolling and found a little place for dinner. Now we are back at the hotel, me writing and occasionally translating bits of the movie playing on the French TV channel.

The Peds Crisis

A few weeks ago, my good friend Lauren, who is a third-year medical student in Ohio, called me and informed me that she was having a crisis: "I love peds!"
"Me too!" I exclaimed. "And I don't know what to do!"

Both Lauren and I had entered medical school with a strong interest in women's health and had fully expected to pursue residencies in ob/gyn. Her love of pediatrics didn't surprise me as much as my own - she's phenomenal with kids. But I had never expected us - ok, especially me - to seriously consider this alternate career path.

Why has peds grown on me so much? It's a combination of factors. As they say, kids are not just little adults, and it is exciting and refreshing to study a whole different array of diseases, syndromes, and versions of "normal" than what I have experienced over and over again in adult medicine. (Another patient with hypertension? Yawn. A congenital heart defect or a case of precocious puberty? Now that's exciting!) The kids are mostly very sweet, and even when they're not well-behaved, hey, I don't have to bring them home. (And it's not like all adults are well-behaved and pleasant, either.) As one attending pointed out while explaining while he chose this career, kids are fixable. In most cases, this is true, whereas with adults, we often just put a temporary band-aid on their chronic condition, be it heart disease, pulmonary disease, or diabetes, that will hopefully hold them over for awhile until their next flare-up. Finally, the people have been spectacular. Never have I experienced so much teaching by attending physicians during rounds. And the residents, though tired, are enthusiastic and truly love what they do. In their words, "Why would anyone want to do anything else?"

To top it all off, I absolutely adored my week on the pediatric hematology/oncology floor. The kids I saw ran the gamut from the best possible prognosis to cases that renewed my passion for the importance of palliative, end-of-life care. In five days I wrote two poems; the atmosphere was so saturated with emotion that the words just sprang into my mind. The overall feel of the floor was special; parents took coffee breaks together and kids in neighboring rooms visited one another. Rather than each patient existing as an island on a impersonal ward, this was a community.

The teaching on heme/onc was phenomenal - the best I have yet experienced during medical school. On my first day, we took nearly five hours to round on five patients, and every minute spent standing before the attending trying to answer her questions was worth it. She asked questions in a manner that was not intimidating or aggressive, but that promoted learning. When I didn't know an answer, she backed up and asked me other questions that led me to put the facts together myself. It helped, of course, that I was absolutely fascinated by every detail we discussed. Others may not, but I certainly care about the side effects of various chemotherapies and the ways in which kids often describe them. Kidney function, which normally bores me, is enthralling in the context of a patient undergoing cancer treatment. I took copious notes, stopping only when I ran out of paper and energy, and even then listening with rapt attention.

The second attending I worked with challenged me in other ways, and especially helped me to improve my progress notes. "When you are writing a note, you are telling the patient's story," he said. And pitter-patter went my heart, out of love for telling these stories, for the patients whose stories they were, and for this celebration of humanism in medicine. And, truth be told, for my newfound love of pediatric oncology.

Little People

(written halfway through Pediatrics)

I was not excited about starting Peds. On my first day, my first patient – a 1-year-old at the height of his stranger-anxiety - screamed the whole time. I looked at him empathetically. You and me both, buddy. By the end of the first week I had concluded that peds was not for me because I cannot work in a field in which:

A) I have to use falsetto every day
B) I have to utter the phrase “poopy diaper”
C) In the first week, I catch a stomach virus that makes me throw up for the first time in 13 years

But get this: pediatrics is growing on me. It turns out that most of the kids don’t scream, and I’m really pretty good with them. The parents – the reason many people give for not pursuing the specialty – aren’t that bad, either. I seem to get along pretty well with them, and a few of them have even complimented me on how I handle their kids. It’s even interesting academically; there’s a whole set of different disorders that happen in kids, so there’s plenty new to learn, which is exciting. I actually enjoying reading my review books at night and then shouting, “Hey! That’s so cool – I saw that in a kid today!” (I don’t know if Tay enjoys that part.) And of course the timing of my rotation schedule was perfect, giving me a week working in the newborn nursery immediately following my bout of illness, and the adorable, itty-bitty little babies completely made me forget about being sick the week before.
What about the sad stuff, the kids who can't be fixed up or cured? Well, I don’t know yet. My first four weeks have been outpatient, so I haven’t seen any seriously ill kids yet. Starting the week of Thanksgiving, I will do four weeks on the inpatient floor, including one in oncology. I’ll let you know how it goes.

The Third Time's the Charm

During October, on my third rotation of my third year, I fell back in love with medicine. I was assigned to a private family medicine practice about 30 minutes away. The doctor has one PA working for him, and between the two of them they keep the practice open seven days per week. He takes in students from several medical and PA programs, so I got to work with other students as well. Everything about this practice was exactly what I was looking for and had not yet encountered:

-He gives students quite a bit of autonomy to not only see and examine patients on our own, but to draw blood, give shots, and do EKGs.
-As a student, you bring the patients in and do a full history and physical, then tell the doctor your findings, what you think is wrong, and what you want to do about it. He then sees the patient with you and makes the final decisions, and you write up the chart note.
-Students have space to leave their stuff and to sit to write their notes, to eat lunch, and to study in the [rare] down time.
-Everyone on staff is incredibly friendly, and most of the patients are, too.

And most importantly: he is an amazing teacher and mentor! He quizzed me on a lot of topics, and taught me both clinical pearls and tactics for caring for patients. I literally wrote down phrases that he used with patients. It probably helped that we had very compatible senses of humor, because we joked around a lot. The days were jam-packed, so the time flew by… even that stretch where I [voluntarily] worked 14 days in a row. He challenged me to develop my own diagnoses and treatment plans – “Someday you’re going to be in my position, kid, and you won’t have someone else to turn to,” he told me one day when I wavered in my decision.

As terribly sad as I was when the short four-week rotation came to an end, I left feeling rejuvenated, even considering a career in family medicine, and beginning to feel some real confidence in my clinical skills.