Tuesday, September 23, 2008
Missing the Big Green
I just read that Dartmouth's convocation was today, officially beginning the new school year. I know that the point of going there was to learn things that would prepare me to go out into the big, wide world, but sometimes I really miss being safely nestled up there in the mountains and trees.
Sunday, September 21, 2008
White Coat, Breakdowns, and Amusing Anatomy Anecdotes
On Sunday, September 7, I went through one of the rites of passage of medical students: the white coat ceremony. My parents and Tay came to watch me go up on stage and have one of the deans put my white coat on me, welcoming me into the medical profession. Here are some pictures from the ceremony:
(On a side note, several other parents who were sitting in the audience turned to my mother and said, "I can tell which one is your daughter!" Yes, we now sport even more-similar haircuts. I'll take it as a compliment!)
The ceremony was an exciting occasion even though I can't actually do anything medical yet; my coat is a short one, which indicates that I'm a student. I wear it whenever I have any clinical interactions. So far, this entails practicing interviewing standardized patients (trained actors) in our Clinical Skills Center. The patients are given a certain complaint and medical history which we need to elicit while sitting in an actual exam room, being observed remotely by a fellow student who then provides feedback. It's a nice break from lectures and a great reminder of why I'm doing this!
By "this," I mean, of course, ridiculous amounts of work. I don't mean to complain; I got myself into this mess! It's just that the amount of information thrown at me each week has become somewhat overwhelming and I am currently upset with myself for (already!) having falling behind. That's exactly what I promised myself I wouldn't do! Perhaps I was too confident coming in, thinking that I was a mature, seasoned student who has figured out over the years what study techniques and time management techniques work for me. However, due to my earnest studying for the first anatomy quiz (which went very well!), I let the more current work for anatomy and biochemistry lapse. As a result, the second quiz did not go as well.
My "big sib" (a second-year student who was assigned to me as sort of a mentor) has assured me that she didn't really feel settled until at least mid-October of her first year. She also maintains that everyone will have at least one breakdown/freak-out within the first month. Well, I'm right on schedule! I woke up this morning with a cold, took the aforementioned not-so-good quiz (we take them electronically), and promptly burst into tears, convinced there was no way I could catch up and handle all of this work.
Mom and Dad, if you are reading this before having talked to me, don't worry; Tay took great care of me and I'm feeling much better now. I spent the afternoon studying in bed and then did an overhaul of all of my course materials, finally getting fully organized. I've realized that I need to focus my studies a bit differently, now that I can see what types of things my professor focuses on in exam questions.
On a happier note, I ran a 10K race yesterday with some of my new friends, and have joined a weekly "mindful meditation" group led by a psychologist at the medical center. It's supposed to help you relax and clear your mind so that you feel calmer and aren't as affected by worries and negative thoughts. I'm trying hard to maintain a few aspects of my life outside of my studies that will keep me happy and healthy.
Finally, I'll end with a recent amusing scene from the anatomy lab. (It's not for the faint of heart.) Our cadavers lie in bags on top of a steel table, in which there is a hole that drains into a funnel into a big bucket underneath. We have been warned never to move these buckets, as they collect all the "juice." Well, our bag was getting rather full of fluid, and we were strategizing how best to empty it without having it pour onto the floor. A friend from a nearby table said, "Just cut a hole in the bag right over the table's hole so the juice can flow through right into the bucket. Here - I'll do it." He did. And because, unbeknownst to us, the funnel leading into our bucket was clogged, the fluid poured all over our lab bench under the table (holding our tools, dissction books, etc) and all over the floor around us. All I could do was laugh and be thankful that this hadn't happened on the first day!
(On a side note, several other parents who were sitting in the audience turned to my mother and said, "I can tell which one is your daughter!" Yes, we now sport even more-similar haircuts. I'll take it as a compliment!)
The ceremony was an exciting occasion even though I can't actually do anything medical yet; my coat is a short one, which indicates that I'm a student. I wear it whenever I have any clinical interactions. So far, this entails practicing interviewing standardized patients (trained actors) in our Clinical Skills Center. The patients are given a certain complaint and medical history which we need to elicit while sitting in an actual exam room, being observed remotely by a fellow student who then provides feedback. It's a nice break from lectures and a great reminder of why I'm doing this!
By "this," I mean, of course, ridiculous amounts of work. I don't mean to complain; I got myself into this mess! It's just that the amount of information thrown at me each week has become somewhat overwhelming and I am currently upset with myself for (already!) having falling behind. That's exactly what I promised myself I wouldn't do! Perhaps I was too confident coming in, thinking that I was a mature, seasoned student who has figured out over the years what study techniques and time management techniques work for me. However, due to my earnest studying for the first anatomy quiz (which went very well!), I let the more current work for anatomy and biochemistry lapse. As a result, the second quiz did not go as well.
My "big sib" (a second-year student who was assigned to me as sort of a mentor) has assured me that she didn't really feel settled until at least mid-October of her first year. She also maintains that everyone will have at least one breakdown/freak-out within the first month. Well, I'm right on schedule! I woke up this morning with a cold, took the aforementioned not-so-good quiz (we take them electronically), and promptly burst into tears, convinced there was no way I could catch up and handle all of this work.
Mom and Dad, if you are reading this before having talked to me, don't worry; Tay took great care of me and I'm feeling much better now. I spent the afternoon studying in bed and then did an overhaul of all of my course materials, finally getting fully organized. I've realized that I need to focus my studies a bit differently, now that I can see what types of things my professor focuses on in exam questions.
On a happier note, I ran a 10K race yesterday with some of my new friends, and have joined a weekly "mindful meditation" group led by a psychologist at the medical center. It's supposed to help you relax and clear your mind so that you feel calmer and aren't as affected by worries and negative thoughts. I'm trying hard to maintain a few aspects of my life outside of my studies that will keep me happy and healthy.
Finally, I'll end with a recent amusing scene from the anatomy lab. (It's not for the faint of heart.) Our cadavers lie in bags on top of a steel table, in which there is a hole that drains into a funnel into a big bucket underneath. We have been warned never to move these buckets, as they collect all the "juice." Well, our bag was getting rather full of fluid, and we were strategizing how best to empty it without having it pour onto the floor. A friend from a nearby table said, "Just cut a hole in the bag right over the table's hole so the juice can flow through right into the bucket. Here - I'll do it." He did. And because, unbeknownst to us, the funnel leading into our bucket was clogged, the fluid poured all over our lab bench under the table (holding our tools, dissction books, etc) and all over the floor around us. All I could do was laugh and be thankful that this hadn't happened on the first day!
Sunday, August 31, 2008
Anatomy Time
The verdict is in: anatomy lab is fun and amazing! I have completed three lab sessions (including a double dose on Friday), and I am looking forward to spending four afternoons per week there.
Let me back up a bit.... On the first day, I was apprehensive, to be sure. We had a lecture first, which oriented us to some of the nomenclature used when describing body structures and where they lie relative to one another. When we were dismissed to go to lab, there was a mass exodus from the lecture hall and then a lot of confused milling about; no one knew quite where the lab was! (In our defense, the layout of our health sciences center is a bit confusing.)
After changing into my brand new scrubs, retired running shoes, and one of my dad's old lab coats - I'm told that the more layers you wear, the less your skin will smell - I took a deep breath, entered the lab, and searched for my table. Stony Brook assigns 4 students to each cadaver, and I am lucky enough to have 3 intelligent, thoughtful, and kind lab partners. We are also lucky in terms of our cadaver. The man from whose generous donation we benefit was very large and well-muscled. During our first lab, when we identified the muscles of the back, our table was quite popular because we had a great example of what they should look like. (Although we sometimes have more work to do as we remove the skin and cut through certain structures, you can imagine that our cadaver shows much better examples of these than some of the very small elderly females that some of my classmates have.)
It didn't take long to adjust to the smell, to using a scalpel, or to digging around with my hands to define the edges of muscles and locate certain structures. On Friday we used a hammer and chisel to remove the outer portion of the spinal vertebrae in the lower back in order to see the spinal cord, which we also cut open. Then will turned the cadaver over (with a great deal of help from bigger male teaching assistants - 2 of my lab partners are girls who are smaller than me) to begin examining the muscles of the chest.
At this point we saw our man's face for the first time. Surprisingly, this didn't bother me. I just keep wondering who he was and what made him decide to give us this incredible gift. Some tables have covered their cadavers' faces as they work on the front portion. While it is generally good to cover any parts you are not working on with a wet sheet to preserve them for longer, we chose to leave our face uncovered. In a strange way, I feel as if, as we explore this man's body, we are getting to know him. We have discovered (and cut around) two tattoos so far, and have noted a distinct absence of wrinkles.
Later in the semester, pathologists will come in to tell us how each person died, although we are beginning to get clues. For example, our cadaver has some sort of a red dent in his forhead between the eyes, so we are speculating right now that he may have died relatively young from some sort of trauma. The one at the next table, an older woman, has two breast implants (which certainly surprised the students at that table as they were dissecting the chest!), perhaps as a result of a double mastectomy from breast cancer.
Next week we will remove the ribcage and begin dissecting the heart and lungs. There is an incredible amount of information associated with this class, but it is fascinating. The professors are very good about providing clinical correlations to what we learn - why, for example, lumbar punctures (spinal taps) and epidurals are done in the lumbar spine. (The reason is that the spinal cord itself does not extend that far down the back, so you don't risk puncturing it with the needle.) I am approaching this class as I would learn a new language, trying to learn trends and rules in the naming of structures. Many are logical (as in the case of the serratus muscles, whose edges look serrated where they attach to the ribs), though some just need to be memorized.
And now back to the books... enjoy the long weekend everyone!
Let me back up a bit.... On the first day, I was apprehensive, to be sure. We had a lecture first, which oriented us to some of the nomenclature used when describing body structures and where they lie relative to one another. When we were dismissed to go to lab, there was a mass exodus from the lecture hall and then a lot of confused milling about; no one knew quite where the lab was! (In our defense, the layout of our health sciences center is a bit confusing.)
After changing into my brand new scrubs, retired running shoes, and one of my dad's old lab coats - I'm told that the more layers you wear, the less your skin will smell - I took a deep breath, entered the lab, and searched for my table. Stony Brook assigns 4 students to each cadaver, and I am lucky enough to have 3 intelligent, thoughtful, and kind lab partners. We are also lucky in terms of our cadaver. The man from whose generous donation we benefit was very large and well-muscled. During our first lab, when we identified the muscles of the back, our table was quite popular because we had a great example of what they should look like. (Although we sometimes have more work to do as we remove the skin and cut through certain structures, you can imagine that our cadaver shows much better examples of these than some of the very small elderly females that some of my classmates have.)
It didn't take long to adjust to the smell, to using a scalpel, or to digging around with my hands to define the edges of muscles and locate certain structures. On Friday we used a hammer and chisel to remove the outer portion of the spinal vertebrae in the lower back in order to see the spinal cord, which we also cut open. Then will turned the cadaver over (with a great deal of help from bigger male teaching assistants - 2 of my lab partners are girls who are smaller than me) to begin examining the muscles of the chest.
At this point we saw our man's face for the first time. Surprisingly, this didn't bother me. I just keep wondering who he was and what made him decide to give us this incredible gift. Some tables have covered their cadavers' faces as they work on the front portion. While it is generally good to cover any parts you are not working on with a wet sheet to preserve them for longer, we chose to leave our face uncovered. In a strange way, I feel as if, as we explore this man's body, we are getting to know him. We have discovered (and cut around) two tattoos so far, and have noted a distinct absence of wrinkles.
Later in the semester, pathologists will come in to tell us how each person died, although we are beginning to get clues. For example, our cadaver has some sort of a red dent in his forhead between the eyes, so we are speculating right now that he may have died relatively young from some sort of trauma. The one at the next table, an older woman, has two breast implants (which certainly surprised the students at that table as they were dissecting the chest!), perhaps as a result of a double mastectomy from breast cancer.
Next week we will remove the ribcage and begin dissecting the heart and lungs. There is an incredible amount of information associated with this class, but it is fascinating. The professors are very good about providing clinical correlations to what we learn - why, for example, lumbar punctures (spinal taps) and epidurals are done in the lumbar spine. (The reason is that the spinal cord itself does not extend that far down the back, so you don't risk puncturing it with the needle.) I am approaching this class as I would learn a new language, trying to learn trends and rules in the naming of structures. Many are logical (as in the case of the serratus muscles, whose edges look serrated where they attach to the ribs), though some just need to be memorized.
And now back to the books... enjoy the long weekend everyone!
Monday, August 25, 2008
Getting Oriented
Med school is officially under way! After a fantastic vacation in Mexico (see pictures here: http://picasaweb.google.com/BeckyEllen28/PuertoVallartaMexico), a trip to Vermont to relax and visit family, and a week or so of moving in and getting settled, I am ready to go.
Last week was orientation, with many presentations about the curriculum, the websites for the school and courses, student health services, how to succeed in medical school, etc. It seems that there aren't any huge secrets as to how to survive and succeed; everyone keeps emphasizing the need to manage your time and balance your life, which is what I certainly hope to do. Of course, our anatomy professor also told us that he once counted the number of body parts/structures that we need to learn, and they numbered over 2000. We also need to know where things are located in relation to one another. He readily admits that it really is impossible to learn all of this in one semester. Fantastic! To that end, I have already started studying on my own.
My other two courses are biochemistry and Foundations of Medicine, which combines a number of topics such as taking a history and physical, medical ethics, and professionalism. Tomorrow we will spend the entire day doing Basic Life Support (CPR-type stuff), and then the real fun begins on Wednesday with our first anatomy lab [cadaver dissection]. I am nervous and excited about that one!
There have also been a number of social activities during the past week, and, despite my only-child shyness, I have attended nearly all of them, trying to meet as many of my classmates as possible. I have actually become quite good at approaching total strangers to introduce myself and initiate conversation. The class seems to be full of very friendly, interesting people, and I've been able to remain calm and remind myself that making friends takes time.
As for the rest of my life - those elements that I will try hard to balance with my studying:
Tay is very happy in his new job with a large ophthalmology practice, which is very close to our apartment. (At the moment, he's actually in Ireland, visiting/working with a physician he met when he lived in Boston.)
I'm making a huge effort to continue working out, because I know it helps keep me sane. I've been shopping around for gyms, trying a running route on campus, and even attempting yoga. (I think anything that is calming and relaxing will be good to have in my bag of tricks for later.)
And finally, I've been seeing my parents about twice a week, which is so much fun! I ditched a house party on Saturday night to spend time with them, and it was so wonderful to not feel as though we had to make the most of every single second of a too-short visit. When Tay and I first moved in together, we wondered: how did we ever survive being so far apart and seeing each other so infrequently? Now I have the same feeling about being close to home; it feels so natural to see my mom and dad on a regular basis, to just stop by to pick something up or say hi. Even Bijou is getting used to seeing me so often; when I arrived on Saturday she came to the door, got excited for a few seconds, and then went back in the house as if to say, "Oh, you again? No big deal."
So here I go.... I hope to provide updates and funny stories every now and then. (They won't all be this long, I promise!)
In closing, here's an interesting fact I learned today: The tuberculosis virus can survive in the air for 8 days. (People ahead of me in med school: apologies if this is completely untrue. It's what they taught us in infectious disease training today.)
Last week was orientation, with many presentations about the curriculum, the websites for the school and courses, student health services, how to succeed in medical school, etc. It seems that there aren't any huge secrets as to how to survive and succeed; everyone keeps emphasizing the need to manage your time and balance your life, which is what I certainly hope to do. Of course, our anatomy professor also told us that he once counted the number of body parts/structures that we need to learn, and they numbered over 2000. We also need to know where things are located in relation to one another. He readily admits that it really is impossible to learn all of this in one semester. Fantastic! To that end, I have already started studying on my own.
My other two courses are biochemistry and Foundations of Medicine, which combines a number of topics such as taking a history and physical, medical ethics, and professionalism. Tomorrow we will spend the entire day doing Basic Life Support (CPR-type stuff), and then the real fun begins on Wednesday with our first anatomy lab [cadaver dissection]. I am nervous and excited about that one!
There have also been a number of social activities during the past week, and, despite my only-child shyness, I have attended nearly all of them, trying to meet as many of my classmates as possible. I have actually become quite good at approaching total strangers to introduce myself and initiate conversation. The class seems to be full of very friendly, interesting people, and I've been able to remain calm and remind myself that making friends takes time.
As for the rest of my life - those elements that I will try hard to balance with my studying:
Tay is very happy in his new job with a large ophthalmology practice, which is very close to our apartment. (At the moment, he's actually in Ireland, visiting/working with a physician he met when he lived in Boston.)
I'm making a huge effort to continue working out, because I know it helps keep me sane. I've been shopping around for gyms, trying a running route on campus, and even attempting yoga. (I think anything that is calming and relaxing will be good to have in my bag of tricks for later.)
And finally, I've been seeing my parents about twice a week, which is so much fun! I ditched a house party on Saturday night to spend time with them, and it was so wonderful to not feel as though we had to make the most of every single second of a too-short visit. When Tay and I first moved in together, we wondered: how did we ever survive being so far apart and seeing each other so infrequently? Now I have the same feeling about being close to home; it feels so natural to see my mom and dad on a regular basis, to just stop by to pick something up or say hi. Even Bijou is getting used to seeing me so often; when I arrived on Saturday she came to the door, got excited for a few seconds, and then went back in the house as if to say, "Oh, you again? No big deal."
So here I go.... I hope to provide updates and funny stories every now and then. (They won't all be this long, I promise!)
In closing, here's an interesting fact I learned today: The tuberculosis virus can survive in the air for 8 days. (People ahead of me in med school: apologies if this is completely untrue. It's what they taught us in infectious disease training today.)
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