Sunday, September 19, 2010

Preparing for our first test-week...

Once upon a time, at midnight on a Saturday night, a girl sent out a study guide when she should have been out with her friends. This is the beginning of the story of a medical student, tonight = me. :P

The past two weeks have been some of the biggest roller coaster days of my life, and that's saying a LOT! I go between being stressed, impressed, intimidated, and confident at the drop of a hat (where does that phrase come from???) and can't quite keep up with it all! Each day has more up time than the last, however, so I'm counting on the pattern continuing!

As the title of this post suggests, we have our first test next week. But, before I get to that, I want to update on a few things from the past two!

The short week after Labor Day ended up being a total life-saver for our sanity. We were gasping for a break and so it happened. Somehow, just like in undergrad, I managed to fill up my time. Monday Tuesday was a full day of class with my first clerkship in the afternoon. I think we must have chosen the wrong time to come, however, because we ended up not seeing any patients... I have spoken with the course director, but more on this later.  After an evening anatomy lecture on shoulder surgery, in which I answered a question (this is a big deal :) ), came a speech by the President-Elect of the AMA, Dr. Peter Carmel. He was a good speaker, but not having been back to my room since 8:15 in the morning meant that I left a bit early -- around 8pm!

Wednesday passed rather unnoticed, which solidified my love for Wednesdays, but Thursday was another long day, with class in the morning and anatomy lab in the afternoon. I learned the name of my favorite muscle -- the brachioradialis -- sometimes called the "beer drinking muscle"! Just kidding! But my professor sure thought he was funny when he told us that. I was delirious from all the phenol stench and laughed hysterically so that he thought I was suffering from overuse of my brachioradialis... :P He then launched into some description of the arm muscles based on Greek mythology, after which my whole group turned to each other and asked if anyone knew what he was talking about... Oh well, at least one thing stuck! My anatomy group is great and many other groups have expressed jealously that we're always laughing and having fun during lab. Hopefully we're learning something, too! Oh! And my  professor ordered some nice step stools for me, and kindly suggested I carry one with me during practical exams... ces't la vie! That night I attended a lecture on opthalmology and vascular surgery, for two different interest groups. I wanted to check them all out. I ended the night with an audition for the Bard Hall Players show Crazy For You. I got the part of "Sheila", who is one of the chorus of "Follies Girls", and part of a trio. I just found out that I will be singing the low part of my trio, when I've only ever been a soprano 1 or 2... This should be interesting! It's already been fun and we've had a read-through. The two male leads are played by people in my class, one who was on Broadway, and another who is a big-time opera star! WOW!

Friday night I branched out from my normal group and made some new friends. It was a lot of fun and I'm looking forward to planning some Halloween festivities with a few of them for our class in Bard Hall! Saturday I studied, found out I had been nominated for Class President and Curriculum Chair, and attended two different parties! One was in the Towers, which is where I will be living next year (hopefully!) and the other ended up at Canal Room. It was fun, but really crowded and a younger, rowdier crowd than I was prepared for. They were playing 80s rock, so that was fun! Sunday was spent recovering, studying, and obsessing about whether to run for student government positions...

This week was VERY busy. It started out with a bang, too! On Monday night, I attended the cocktail party of one of the admission's interviewers, Dr. George Lazarus -- he did not interview me, but he is the father of a guy I graduated with. He and his wife, Shelly Lazarus, provided me with one of the most glamorous experiences ever! The fancy cocktail party on the Upper East Side was attended by a majority of his interviewees that attend Columbia across the years. His house is GORGEOUS and he and his wife were so welcoming and sincere. They assured all of the first-years that they would be a resource for us if we ever needed them! I became closer with one of the girls in my class and even met a third year from Milwaukee, though he plans to stay out east.

Tuesday was highlighted by the visit of one of my best friends, Jennifer Landau! She was my mentor and idol all through undergrad, but now we've switched positions; she is applying to medical school right now. She was in NYC for two interviews, though neither for Columbia. It was SO nice to see her, despite having to duck out for a few meetings. I just found out that she will be visiting again soon because she has received an interview here at P&S! She left early Wednesday morning from Bard to attend another interview, but I feel like she shouldn't bother. She will definitely be here with me next year!!! :P

Thursday was another long, 12-hour day. It was supposed to end with "Beerchus" the beer equivelant of "Bacchus", the wine tasting club I attended the first week, but I ended up feeling like I needed to get some work done instead. There's always next time, and I wasn't the only first year to back out. Before that, however, I attended a meeting for "Student as Patient as Professor", an initiative by a second year student which has been carried over since last year, to have a few first years share their personal stories of being a patient or caregiver. I told them I didn't feel like I had many lessons to teach my classmates, but they though that was interesting in itself, so I will be participating. I also met another girl who had lymphoma, which was cool. She had T-cell with only 4 months of treatment, but found out while she was studying for the MCAT. I thought mono was bad!!!

Friday was a final, long day again. I didn't return to my room from 8am to 8pm, only this time it was unplanned. I stayed out for lunch so we could get an early start on non-dissecting session for anatomy, and then went straight to Clerkship. Again, this was a less-than-ideal experience. I saw my first patient with him after a total of 6 hours watching reports being entered between last time and this time. finally at 5:30 we saw a patient which lasted until 7:45pm! I learned what he expected me to learn from that experience, but it was too little, too late. I am in discussions with my course leader now to try to figure out how to find a more... fulfilling experience. The highlight of yesterday was getting a letter from my friend Sammy from home. I feel terrible because I've been so out of touch, but she's always there when I need her, or True Blood - Season 1.

Today was spent doing laundry, cooking, and studying. I'm getting the rhythm down and, despite having a test on Thursday, am not freaking out... yet! I try to keep in perspective that everything is pass/fail and I only need to get a 70% at most on an exam to pass. I feel a bit like a slacker when others talk about how they are learning this stuff so that they can be great doctors, but I know that a great doctor comes from compassion and the ability to think, not a mass of knowledge with little relevance to the topic at hand. I doubt my dad, as an ophthomologist, thinks much about what nerve innervates the quadriceps muscle (the femoral nerve, by the way). Keeping perspective is the only way I keep sane, so I'll have to deal with feeling like a slacker every once in a while.

My friend Ryan, who encouraged me to relax and not study so much in undergrad -- some of the best advice I got -- somehow managed to do the same today by incessantly texting my score of the Wisconsin game until I gave in and watched the second half upstairs. I was VERY glad I did, because it turned out to be a VERY exciting game! I had to fight (not really) with some BYU kids for the channel rights, but luckily I was the first one there and had control of the clicker -- er... remote.

As far as student government goes, I have decided to run for Class President against my better judgement. Rumor is that 7 people are running, so I probably won't get elected anyway, but I think it would be a really great way to meet new people and become involved here at P&S. Well, in addition to the musical... and tour guide... and interest groups... and Bacchus... and Beerchus... Oh well, if you want something done, ask a busy person!

Next week starts the meal plan -- 3 dinners a week -- so I won't have to spend so much time cooking (aka. won't have any excuse to procrastinate studying). We'll see how it is!

Let me know how everything is going in your lives!

Hayley

EDIT:
Please glaze over the awkward phrasing/grammar in this post. It was LATE when I wrote it and I wanted to be sure to fit it in this weekend. Next weekend will be busy studying for our first anatomy exam, so I won't probably be able to update!
Hayley

Monday, September 06, 2010

Week 1 = Survival

Well, Monday began it all, full speed ahead. Do not pass go and DEFINITELY do not collect $200. Here at Columbia we have 3 courses in our first year:

1) Molecular Mechanisms of Health and Disease: this is our "biology" course. It encompasses, cell bio, molecular bio, biochemistry, pathology, pharmacology, physiology, histology and just about every other "ology" you can think of... It hasn't been TOO bad so far, because much of it is review for a biology major such as myself, but I have to be careful not to get too comfortable and realize that new things are coming, and quickly.

2) Foundations of Clinical Medicine: this is our "soft" course. We talk about our feelings, read popular medical literature (ex. The Spirit Catches You and You Fall Down), learn medical ethics, and talk about our feelings some more. We even get a diary... er journal to reflect in. In all seriousness, FCM is a nice way to comprehend what it is we're all slaving away at... The first lecture, we met a patient and heard her story of life-long treatment for sickle cell disease, the good and the bad. The first small group, we wrote for a few minutes on what our first anatomy lesson was like, or other things from the first week that were tough. It is also nice because FCM falls on Wednesday and provides a nice pause from the grind so we can all try to catch up. The clerkships I mentioned in a previous post are also a part of this course. As I said, my clerkship is with a nephrologist named Leonard Stern. He is very nice and has a hugely varied practice. He has 4 different offices and invited Valerie (another girl doing the clerkship) and I to join him on any day at any office. One is even down near to FAO Schwartz! Conveniently, one of his offices is just off the lobby to my dorm building! I think I'm going to try each location out! (The two others are a hospital and inpatient location.)

3) Gross Anatomy: this is, so far, my most challenging course. It is the one I discussed before, where Team Richard (<-- my anatomy table) and I battle through the emotional, physical and mental obstacle course that is anatomy. As Dr. Stern said, it really is learning a new language, "medicalese" he calls it, but it gets easier each day I use it. Repetition really is the only way to get it, but slowly I feel more and more comfortable using anatomical terminology. I spent a day with my friend Sam from Yale and she couldn't believe that I had only had two anatomy classes. She said she already couldn't understand a word I said -- that I was speaking a different language! Yay Medicalese! Gross Anatomy consists of dissections in lab, where professors and clinicians are there to help and also show us clinical procedures. So far we've seen a cricothyrotomy (emergency airway) and a tube thoracostomy (chest tube insertion)!  We also have super overwhelming lectures that are only understood the 3rd time through (luckily all lectures are video recorded), non-dissecting sessions where we look at bones and learn about bony features such as Epicondyles, and clinical correlation lectures where we learn about surgeries and specialties, so far radiology and breast surgery. To add to the load, each dissection group only does half of the dissections for the course and must go in with members from the other group sharing your cadaver  to learn what dissection they did!

Though it is only three courses, we all feel totally behind! The "all" part of that sentence is keeping me sane, as is a pass/fail grading system! Luckily, the people here are great! For example, my dissection group needed a "guide book" or a dissector, so I bought one of a second year. To repay me, I've so far gotten 3 coronas, $8, and the promise of 3 orders of french fries -- grossly to reflect how greasy our dissector is. I KNOW! I'M SORRY! I'M totally grossing you out! :)

Outside of class, last week was another busy week of opening days events. We had a "big sib/little sib" even where we met the second years we've been assigned to annoy all year. Mine's name is Maile (read: Miley) and has already had to tell me to relax at least once! Oh well! After a quick stop at the farmer's market, we had the P&S Club Fair on Tuesday, which was JUST like the Activities Bazaar at Yale, complete with the A Capella group asking everyone if they sang (inside joke for you Yalies). It was fun to see that Penis... er P&S has so many student groups, including beer tasting, wine tasting, theater, poetry, dance, singing, volunteering, rugby, etc. I put my name on a few lists, but am trying not to over-commit. Wednesday I realized how much I love FCM Wednesdays, and received my first batch of groceries from FreshDirect! Yummy produce!

Thursday marked the first meeting of the Society of Bacchus (sorry no link...), which is Columbia's wine tasting society. Our professor, Michael Gershon, led the lecture on 3 types of wine -- a total of 6 glasses, and the party then moved down to The Gin Mill where they had half priced drinks with a Columbia ID. Needless to say, we all needed the chance to let loose a bit. It was great fun, and I plan to make Bacchus one of my activities for the year.

Friday morning's lecture was given by Dr. Gershon as well, and he wasn't the slightest bit surprised to see half the class missing at 8:30am. Though I was there, I sure was glad that it was mostly review! The course director kindly advised Dr. Gershon to save the wine tastings for the weekends. : ) I learned about the Student Government at noon-time and spent the afternoon (after non-dissecting session) meeting with Dr. Stern about the logistics of the clerkship. I then auditioned for the Ultrasounds a capella group. I ended up getting "deferred" to second semester due to an abundance of sopranos both in my class and the second year class, who will be quitting at semester.  I hope to be able to do this second semester. In the mean time, the Bard Hall Players are doing "Crazy For You", a Gershwin musical this fall, so I plan to audition for that this coming week. Friday night ended with us all getting kicked off the roof deck of the 12th floor (who knew you needed a permit to be out there at night?), me "icing" the birthday boy, my friend Travis, and then to Coogan's, the local Irish Pub.

Saturday morning passed by unnoticed by most of Bard Hall, and I awoke in the afternoon to walk to the grocery store and buy some ingredients. I had received a BUSH of basil from FreshDirect and planned to make pesto to put in the freezer. It was slow going until I found that my friend Nick had an amazing Cuisinart tool which worked as an immersion blender, but more importantly a food processor! It was a life-saver and I paid him back in pesto, which was DELICIOUS! I then used my Griddler to make eggs and toast and then headed downtown to see my Yale friend, Sam, who had just returned from Haiti. She was visiting NYC with her boyfriend for a birthday party before her semester at the School of Public Health really begins. We had lemonade in Bryant Park and then walked to Rosa Mexicana for dinner. We mosied down 5th Avenue, shopping at Fossil and lusting after the live Abercrombie & Fitch window models. We even ventured into Banana Republic where I found a $60 shirt for $16!!! YAY! Finally we met up with Sam's friend a posh lounge called Cibar. They had my favorite drink, the French 75. Too bad it was $16 each! After a drink and an ice water, the group headed toward Union Square to find a club. I, unfortunately, had to get all the way back to Washington heights, so I ducked down to the L train across to the A. Unfortunately, at night these trains run infrequently so I waited for each for about half an hour. Luckily, however, 5 guys from P&S hopped onto my subway car at the Port Authority and I had someone to talk to. After leaving around 1:15am, I still didn't get home until close to 2:45 or 3!

I slept in Sunday and spent the day studying. I visited a friend's apartment in the evening, but turned in pretty early. Today was spent studying as well. I can now tell you everything you ever wanted to know about the brachial plexus, which I assume is NOTHING! : )

Tomorrow begins another week, albiet short, and new adventures.

Miss you all!

Hayley

Wednesday, September 01, 2010

My Clerkship Mentor

Hey all!
One of the opportunities we have as a first year is called a Clerkship, which is basically glorified shadowing. We get credit for doing this! YAY!

My clerkship advisor is a Nephrologist:

http://www.columbianephrology.org/Stern.htm

I'll let you know how it goes!

Hayley