Showing posts with label medicine. Show all posts
Showing posts with label medicine. Show all posts

6.17.2009

Blue Collar, Blue Scrubs

Above: Michael Collins, author of the 2009 book Blue Collar, Blue Scrubs.

"BELIEVE IN
THE SYSTEM."

I needed some inspiration... but we'll get to that in a second.

Two weeks ago. Just past nine in the morning, central standard time, I'm walking up to my standard desk at a local library, and oddly enough, a plastic placard was standing on it. I knew it wasn't there yesterday, but my mind was eerily perplexed why of all desks, my desk, had to have a placard on it. After laying down my bookbag on the floor, my eyes zipped right to the title heading the advertisement.

"A Night with Dr. Michael J. Collins, M.D."

Doctor coming to speak? At first I thought, meh. Well, I kept reading the mysterious placard for more... It was then I learned he was a construction worker, then turned medical student, then turned Mayo Clinic resident, into a distinguished orthopedic surgeon. He was there to promote his new book, Blue Collar Blue Scrubs, a story about his experiences before and during medical school, a transition from working in construction to medicine.

Whoa, I thought. Mind you, at this point I've been days into studying for the boards. The books were starting to get to me... I needed some inspiration to kick me back into gear.

So, I signed up.

Last night. As usual, things never go as expected. I always thought 15 minutes to my library would be just enough time to get there (it usually takes me five). Unfortunately, storms in the area, and an accident down the road, almost made me tardy for something I was really excited to go to. However, as soon as I got into the library's meeting room, dripping wet from a failed dry-dash across the parking lot, something surprised me about the audience.

Not a single med student.

In fact, I probably was the only patron under probably about the age of forty in the room. I sat in the back row, and patiently waited for Dr. Collins to make his entrance, starting to wonder if this was going to be a presentation that would be exactly tailored to me. I have material to study, my time is quite a commodity right now.

It turned out to be a well-spent 45 minutes in that room. My eyes were glazing up, watching him as he read a few passages about his experiences from transitioning from construction work into medicine, and then as he lived a life that... well was quite similar to one that I'm leading right now. Here's a few highlights & quotes:



He said: "It's easy to fall into something and just drift along."
It's so true. Collins was referring to him choosing to go into construction initially, and enjoying it. See, it wasn't until he had an "epiphany" wondering how he could do something useful and good with his life that he started thinking about the medical field. To me, I saw this quote as referring to my tendency to believe its just easy to pass exams, and be satisified with just passing. I'm just drifting along medical school... but to improve, there's gotta be a challenge: the academic challenge to get out of the rut of just passing.

"Who wants a 25 year old beer guzzler in their medical school?"
Collins was referring to his doubts about getting into medical school when the idea came along. He overcame that doubt to get on the track of where he is now. Quite, quite impressive.

"Work isn't painful, it's rewarding."
So true... us med students gotta remember what we're here for, and it'll remind us that the work that we put toward it is all worthwhile.

"If you love enough and care enough, can't we get through the obstacles that get in our way?"
Sometimes I end up thinking like this if things don't work out. However, I'm glad that I'm not the only one pulling up those doubts sometimes. With the rigor of medical school, its hard to see sometimes when the obstacles end, and it goes back to one of the themes of Collins' book: Hard work results in accomplishments.

"Believe in the system."
During the question and answer session, I raised my hand. Upon his eye contact, signalling that I could ask my question, words came flying out of my mouth... "Understanding that a humanitarian drive called you toward medicine, when you were in the first years of medical school, faced with the loads of scientific and non-human seeming information, how did you get through it all?" After a deep pause, Collins said he didn't like the first years of medical school and compared it to a kid in the library carrying 30 books in his hands (so true). But he said that believing in medical education carrying students through is what got him through. I'm thinking about finally putting some trust into it too, even though it may be hard at times to do so.

"There is nothing like medicine."
The man's interest in medicine resonated in his voice when he said this to the crowd.

"Keep the faith."
I got a second chance to shoot another question at Collins. This time I asked, "Looking back on your experience years later, if you had one piece of advice to give a medical student, what would it be?" I felt a drop of sweat plop against my skin after the question, as one of the ladies in the audience told someone next to them, "He must be a medical student." When I heard that, I'll admit that I kind of laughed under my breath. However, again, with a deep pause, Collins replied back to me that simple quote. He then said, "As medical students, you come in idealistic... as residents, you might come out cynical." True, medical school can do so much to the students that are in it (I think I see some cynics already :P).



At the end of all this, I can see some of you saying... Yeah, anyone can say any of that. True, but with these quotes coming from someone who broke through the obstacle of a non-scientific background to become a distinguished physician... to me, it means so much more. I'm now ready to hit my notepads and books once again.

I'm looking forward to reading Dr. Collins' Blue Collar Blue Scrubs... but for now, I gotta believe in the system.

5.28.2009

What's Next?

Above: A Med Student's Bible, First Aid (2006, 7, 8, or 9). I have the odd -numbered years in that aforementioned set :P.

"IF WE CAN DREAM IT
WE CAN DO IT."
-- From EPCOT Center's Horizons (1982-1999)

I really enjoyed that I took some time off for R&R after the COMP. Spending some time at Epcot to refresh myself on the promises of the future, and now on the shores of Daytona Beach to relax, I'm back to get into the grind of studying (I miss my coffeehouses).

I talked a few entries ago about where I want to go as a doctor. Well, it's time to take that issue head on. For every medical student, the boards (a more lax term for the three "steps" of the United States Medical Licensing Exams - USMLE) are fate-determining for medical students. Many studies show that the First Board Exam will almost absolutely determine what type of doctor I'll become. So, I'm about to head onto the fog once again, and its time to start thinking who, or what I want to go with medicine. And, here's three prospects...

1. Pediatrics. I have always loved kids... they're the hope of the future. Hence, I've always dreamed of working in a pediatric hospital, treating some of the worse of diseases. Sometimes it may seem that diseases are simply spontaneous, but for many kids they're born with them. Chromosomal abnormalities, physical deformations, immune system and even tumors present at birth plague these kids. And for some odd reason that pulls me that some of the pride of the future is affected from the beginning.

On my flight to take the COMP, I had an opportunity to meet a Canadian resident currently doing pediatrics. She caught me carrying two of my step books with me. However, as we were talking about our medical experiences, she mentioned one thing that stoked me... pediatrics encompassess a lot of embryology. I see embryology as one of the most intriguing parts of medicine, and it focuses a lot on the origins of the different parts of the body from the start of the merging of a male sperm and female egg cell. I'll be honest, that with the complexity of the way cells develop in a baby during pregnancy, I feel that embryology albeit interesting, is neglected in today's medical education: I felt it was something we had to simply memorize instead of understand.

2. Pathologist and potentially as an educator. I bet you're thinking: You're crazy... from kids to dead people. I'm not. Pathology was one of my favorite subjects in medical school. Opening up bodies, with the pursuit of mystery and problem solving, in addition to mastering the visual art to realize minute differences in the appearance of pathologic organs, makes pathology a quite interesting field (if you don't believe me, watch Dr. G: Medical Examiner on Discovery Health). Yes, interacting with people isn't involved, but I figured I would make that up if I would become a medical educator. With inspiration from my favorite(and in my opinion best) professor, Dr. C, back in dominica, along with my aspirations to teach others, this has appeared as a great option. Because pathology is a subject in medical school, my clinical and educational aspirations have found a great partnership.

3. Anthropologic medicine. I have always been interested in behaviors and culture. And we know that both of these options affect the ways that people treat themselves. Looking at the Wikipedia entry on Medical Anthropology:

In general, we may consider the following five basic fields:
  • the development of systems of medical knowledge and medical care
  • the doctor and patient relationship
  • the integration of alternative medical systems in culturally diverse environments
  • the interaction of social, environmental and biological factors which influence health and illness both in the individual and the community as a whole
  • the impact of biomedicine and biomedical technologies in non-Western settings
I honestly believe that understanding patient behaviors and the rationale behind them can improve healthcare. And, with my likening for research, I can see how this might be a field for me in the future. Along with the pathology field, I can see how this may get me re-involved with becoming an educator (via academia), along with participating as a clinician. The disadvantage is that this may involve additional education: a PhD may be in the works here, perhaps in Anthropology or Psychology, but those are definitely other interests down my alley.

A recent AMSA The New Physician article is what started me on this idea. These people do cool things, see great places, and get to interact with people the average clinician won't see on a daily basis. A little adventure to make things exciting, right?



SO...With these options: Perhaps there'll be a research component? Like I said, I love the clinician aspect, but i always wanted to do more with the job. Perhaps I'll need extra education? I love academia, so I wouldn't mind. Perhaps I need to do more research on my future? Yes. Perhaps I need to have a back-up plan in case things don't work out? Obviously. Perhaps I'll change my mind? Who knows.

My options are open... the higher my score on the boards, the more options I can keep. Well, all of us med students value options... Therefore, we value this exam. Along with my friends who have/will take(n) this exam too, this is a time we all need to put our best foot forward. Good words from the king, Elvis, put our situation well: It's now or never.

However, I prefer to look at the situation using the words that started this entry... :D

5.23.2009

Taking the Dive

Above: Jumping at Chadiere Falls in Dominica. Fall 2008.

"COME ON...
1, 2, 3... JUMP!"

In 2008, my group of Rossies decided to go to this place called Chadiere Pool in Dominica. I've seen beautiful rock cliffs like the ones at Chadiere in films, TV, and movies, and it looks quite easy to take the jump on the screen. From my personal experience, I have to say differently.

With my (somewhat) impulsive personality, the first thing I wanted to do when I approached those falls was jump right off like on the silver screen. When I got to the top of the cliff, I felt things were different. I looked down and I started to worry about multiple bugs that might run into my plan, most of them life-threatening (i.e. not pushing off the cliff hard enough and swiping along the rock-lined sides of the pool, me crashing into the bottom of the pool because it was too shallow, etc. etc.). My friend Karyll was at my back telling me just to do it, coaching my legs to finally react to nerve impulses the way that they should.

... And yes, after a time, I did it. It was so awesome that I elected to do the jump again.

With my exams being more critical than ever, I've had to take some time off to write this entry, as I've felt like I've had to redevelop my "Mission in Medicine." I've always felt that a defined mission of what I'm going into helps to motivate me with clear goals and outlooks. Here, spinning a more positive entry against my Overcast entry several weeks ago, I need to set come clear visions for myself. It should be good motivation for the steps for the future.

To me, being in the profession doesn't mean just becoming a doctor... I want to do so much more with the job. And as non-relevant as a bunch of pencil and paper exams (or even a "240" on Step 1) seem towards one's own physical ability to becoming a doctor, its a part of that leap I need to make in order to get to achieve these goals. Think of it as a Future Doctor's Christmas List... except I'm the Santa to myself :P. However, it should be noted that this is scheduled to change. I'll probably look back and laugh at this years later, because I did take the leap.

This is a leap that I really want to make: No more holding back.



MY FIVE POINT MISSION STATEMENT
Revised May 2009

1. Do more than just be a clinician.
I've always had the idea of doing more than I'm called to do. I like applying things that I know to new procedures, perhaps new demographics, perhaps new cases. Staying flexible, looking for open opportunities, striving for not just "acceptable" and keeping an open mind should help me achieve this goal.

2. Act humble and professionally.
Like my Overast entry had brought forward weeks ago, I've never liked the cockiness factor that people wear in such a distinguished profession. I want to treat everyone from the patient struggling to understand my dialogue on diabetes to the medical student wanting to earn that degree. I want to treat the black, the white, the asian, the American-Indian, and all races in the same manner. I want to treat all socioeconomic classes equally. Everyone is entitled to the best possible care.

3. Enjoy every moment in my job.
There's going to be stress... it's characteristic of the job, and something I'll enjoy. There'll be even drama, awkward cases, weird patients, and potentially losses of life, but the twists and turns are things I'm looking forward to doing. Keeping it positive, I say.

4. Be willing to teach others and patients the wonders of medicine.
I see that as part of my job... to extend the effects of helping to heal others, I have to be more than willing to be receptive to questions, communicate answers appropriately, and admit when I really don't know things (and look them up too). In the information age, facts and figures mean power. By simply spreading them, we're empowering others to do good for themselves and others.

5. To become a leader in the progress of medicine in many of its aspects.
I think creating progress is just one of my favorite hobbies. Like myself, I want medicine to do more, for patients, for doctors, for healthcare management, and for medical students like myself. I'm not just looking for change, I want to be out there to create it. And this in itself can branch out to another mission statement of its own...