Mile 14020 + 3797.7: An Amazing Roadtrip

Above: Snuck onto OSUs campus during their Spring Break. Here's the Thompson Main Library from the Oval.

SO MUCH TRUTH WITH OHIO'S SLOGAN:
SO MUCH TO DISCOVER!

So we're now at a grand total of 17817 miles, with 2 board exams on the table (one later this week) and the last day of rotations creeping closer and closer each day...

After a six-hour trip beginning with breakfast at Tim Horton's (we don't have one in Chicago), lunch at a Bob Evans in Indy (we have one in Chicago, but I haven't been to one in a while), and ending with me breaking a $20 bill to pay $1.60 in tolls, I'm quite tired. However, I'll have to say that I just had the roadtrip of a lifetime. It wasn't just fun, but I learned a lot about myself, different aspects of medicine, American culture, and enjoyed every moment of it. When I started medical school, I did not imagine myself doing something like this.

If you're from Ross or another school (Caribbean or not) that has the opportunity to travel to do rotations, I highly recommend it. I know that many people like to stay in one place to do rotations to save on money and limit travel, but there's just so much out there to discover. I've always loved traveling (the roadtrip has always been a staple of bonding for my family) and I thought that this would be an excellent opportunity to combine what I love to do along with my love for medicine. I saw some of the benefits of hitting the road when I had my May roadtrip last year. However, unlike then, this road trip still had aspects of personal exploration, but also now combined learning more about my field and where I may want to go in the future.

In terms of learning, one of the peeves that I had with traveling was that every four weeks I would have to change up my routine as each hospital had their own way of doing things. And it wasn't just in terms of attendings, but each hospital had a different set of protocols or ways of handling situations (i.e. one hospital had a "electrolyte protocol" to automatically replace low levels of electrolytes like sodium or potassium, while another hospital needed specific instructions from the doctor to do so). Some hospitals were almost completely had full electronic medical records, while other hospitals were still primarily chart based. Every four weeks, just about when I was ready to finally adapt to the new system, I was about to start packing to head to the next site on my trip.

However, that in itself is one of the beauties of traveling. I think that learning different ways that hospitals work can help in the long run of adapting where ever one ends up to be. It also gives a wide-perspective on how different attendings from different locations have different approaches. It turns out that everyone has different ideas on how to do things, but for the most part end up with the same endgame. I took what I liked from each region and attending and took mental note so I could develop my own clinical style when I start operating autonomously as a resident (provided I match first!).

On the traveling end, I was so glad to visit 3 places I have never been before. The beauty of the hills of Binghamton, the charm of the people in Decatur, and the educational pride seen in Columbus have positively added to my experience. I perhaps have a better hold of what types of cities I'll be looking for when I start my residency search this fall. A good lifestyle to balance the stresses of residency, charming people, a unique city personality are some of the criteria I'll be looking for.

So there it is, after miles (and hours of driving), I am quite tired, but I have my Step 2 CS examination to take later this week. And then, Surgery... and then Step 2 CK... and then more electives... The train of tests, requirements, and rotations never ends, but with each mile I travel, there is always a new sense of adventure. I really thank my university, Ross, for giving me the ability to put a trip like this together. Traveling has definitely been one of the defining points of my medical school experience.

For now, though, I am glad to be home.

Mile 14020 + 667.4: Shortie: New York Bound

Above: Sometimes on the road, if you pick the right one, you'll be the only one on it. Indiana Route 63, May 2010.

ANOTHER ROTATION,
ANOTHER LOCATION.

Sitting in a Panera Bread after checking-out after what I called the longest time I ever spent in a hotel room, I felt compelled to mark the beginning of the next leg of my medical adventure. I've enjoyed my time here in Decatur and I have a few more things to reflect on the area by the time I get to Binghamton, NY (provided the snow doesn't lock me out)! By this time tomorrow, I should be on the road, and 36 hours from now, instead of seeing the flat plains of the midwest, I'll be amidst the snowy hills of Appalachia.

On deck to reflect: journal clubs and being on call. Cya on the east coast!

Mile 5318: Exploration - Part 2

Above: Capturing the Louisville, KY truss bridge on Northbound I-65.

A PICTURE TELLS
A THOUSAND WORDS.

Yup, that's an overused cliche phrase, but I'm going to throw some pictures here because its much easier to tell some of my highlights of my week-long adventure with a few pictures. Enjoy.

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Stuck on the Beach
After being sucked into driving on the beach (and seeing other sedans doing it too), I decide to go and drive on the beach in Volusia County. Unfortunately, "traction control" doesn't do the trick in sand... so after parking in a spot on the beach, I found my front, 1/8 a tire deep in sand. With the help of the Volusia County Beach Patrol and two random civilians, we got the car dug & pushed right out. However, you're gonna have to ask me how my car got stuck two times more after it was dug out the first time.

11 Countries, 2 Hours
At Epcot at Walt Disney World, my favorite theme park of all time, I decided to take the "Around the World at Epcot" tour, where I was trained to ride these nifty two-wheel devices called Segways (takes a little adjustment). Then a guided tour on the Segways was provided by the Guest Relations staff around the World Showcase of 11 nations (while it was closed to mainstream guests). I totally enjoyed slaloming through the pillars at the Italy Pavilion.

Up Close & Personal with Atlantis
Knowing that the Space Shuttle Mission was coming to an end, I decided to take an upgraded tour at the Kennedy Space Center to visit the space shuttle the closest most civilians could visit it (about one mile away). Apparently, being that close to the shuttle during launch would lead to my death (the vibrations and sound would kill me).

Seafood Galore
One thing about Florida was the abundance of fresh seafood. After eating at the Boston Lobster Feast in Orlando, FL (I ate a lobster, pictured above, that would have killed me first) and D.J.'s Deck in Port Orange, FL (under the Dunlawton Bridge), I got a serving of seafood that I would have not enjoyed as much at home. On a side note about food, it was awesome to stop at places like Shoney's and Western Sizzlin' to get my steak urge satisfied... but also to experience dining in a Southern cultured environment too.

Revisiting Undergrad
Visits to my alma mater of the University of Illinois at Urbana-Champaign & a big ten university where I spent some time to do research (Indiana University - Bloomington) reminded me of the times I enjoyed during undergrad. It was good to see good friends, my former supervisors & research advisers (I actually saw one of them in Miami!), and places where I worked. The landscape have changed (e.g. like the skyscraper apartments pictured above on Green Street in Champaign), but the culture at both institutions still is something that has not changed.

Road Time
I love the road. There were points in my trip I found myself in the middle of nowhere, like in the picture above of Indiana State Route 46 between Terre Haute & Bloomington, IN. Driving through the country with the windows down is something I always wanted to do. My adventures included those to small towns such as Adel, GA and Manchester, TN. I even passed through a recovering Nashville, TN (from recent flooding).

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So folks, those were the best parts of my week off, but not even those highlights encompassed all that I did and the excitement I had during each of my excursions. However, I can't really put it in words yet, but I feel that I learned more about myself somehow through the explorations on the road. I hope that I can share my stories with patients with my next rotation and the future: the one, the only, the big one (at 12 weeks in length): Internal Medicine.

The adventure continues tomorrow.

Mile 5318: Exploration - Part 1

Above: One of the best highlights on the road was the "All Jacked Up" truck on Northbound I-65 in Indiana.

MYSTERY CREATES WONDER, AND WONDER IS THE BASIS
OF MAN'S DESIRE TO UNDERSTAND.
Neil Armstrong, Apollo 11.

At the Kennedy Space Center (KSC), I met Bob Springer, an astronaut that participated on a couple of Space Shuttle missions with NASA. At the KSC, guests are able to interact with real astronauts and ask them questions. With my curious (and sometimes over-curious) personality, I decided to pull a question on him and immediately raised my hand when the floor was open for questions.

A man with a microphone walks over, and puts the black device in front of my face. Looking up at him on the stage from my seat, I then asked, What types of medical monitoring are done on astronauts in space?

As the man pulls away the microphone, Mr. Springer on stage starts to talk about the types of research astronauts have performed in space. Although he probably misinterpreted my question (I was asking about measuring heart rates, respiratory rates, etc.), he produced a very intriguing answer as he started talking about how astronauts have studied the effects of bone density in space, the concept of "space motion sickness," and effects of gamma radiation on astronauts in space. I couldn't tell you how much that stuff started to spark my medical neural pathways.

I got to meet Mr. Springer firsthand at a photo session afterward. After he told me that I asked a great question, I told Mr. Springer that I would definitely look some of this research up when I got home. The task is still on my list.

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After leaving Miami last Friday, I had a week off between rotations. I decided to take it to explore places, do things, and basically not be a medical student for 1858.7 miles on my journey. (If you were wondering why I didn't blog for a week, that's why.) I did everything from learning to ride on a Segway, getting my car stuck in the sand on the beach, seeing the space shuttle on its pad ready for launch, seeing how airlines train their pilots & staffers, and even meeting a cashier at Wendy's named Zzyzx. I took a week to do stuff I would never get to do in the hospital.

But my journey wasn't just about what I saw or experienced, it was also about the people I got to meet along the way. I visited people I haven't seen in a while, friends and former supervisors/advisers that really made my experience on the trip. I thought that a hearty visit would be more than appropriate to thank them all for all that I have done so far. But for me, when getting involved in loading my brain with medical info, I have found it easy to forget myself. Seeing all of them was a good refresher, as many of them reminded me of who I am as a person and what personal qualities helped me get to where I am today.

At first it might seem rather superfluous to include my vacation miles on my journey, but for me, time to explore more about myself (and be myself too) is a huge part of my development as a doctor. I'm not just a doctor or a provider. I'm also me. So, tomorrow, I'll tell you more about some of the specifics of my journey, but for now, my Ford Focus and I are going to get some sleep. There's a lot to process from my week retreat.

Mile 3452: Answers on the Asphalt

Above: I-95 Northbound near Brickell. An overhead shot of this strip was used in the TV series Miami Medical.

FOLLOW-UP PATIENTS
ARE MY FAVORITE.

A patient that I saw a few days ago comes in for a follow-up. He/she looked excited to see me, and that brought a smile to my face. A firm, solid handshake confirmed the camaraderie. A few weeks ago, I saw this patient in a much different state, rather sick with severe pulmonary & cardiac symptoms. Earlier in the rotation, I said to myself that I hated the idea of moving on, and well here was another case of it. The last time i saw him/her, the patient had smoked for more than 20 years and didn't want to quit. Now, he/she was just starting to quit, and I was so proud of the initiative, I had to shake his/her hand. Gosh, I was about to build a good patient-doctor relationship here, and now I have to leave. I started to get to know the patient's family, culture and more, and I would have loved to see the progress that he/she was having to reclaiming his/her own life from smoking...

I'll admit that interaction today was a good ending to a wonderful rotation in Miami. My last two weeks were spent at a more conventional medical center in the Miami area. However, our attending taught us a lot of practicality in medicine while we went through it (why we avoid certain medications, the business aspects of medicine, and just to be more confident in what we do). Now, I know how it feels to start to "want to do everything." I got hooked to treating adults too. I'll admit, that its still early in the game for me, but I hope that a week on the road can give me some answers. Driving has always been my way to think deeply about all that goes around me... There are times I think so much that I just let the dashed white lines in the road come to a blur.

Road? Yup, I'm about to start on a mini-vacation, to be myself for a week (not a medical student), think on the road, and get ready for 12 weeks of Internal Medicine which will take place at Westlake Community Hospital near Chicago. Throughout my trip, I'll be seeing some time at campus I've been at (the University of Illinois and Indiana University), meeting a few folks that helped me to get where I am today, and exploring the world in ways that I haven't been before. It's going to be exciting. However, as much as I love to travel, I miss Chicago. It's my town, Chicago is.

Thank you Miami for a wonderful experience. May the travels begin.

Mile 2740: Roadgeek Alert

Above: I am appalled to see so many signs about Dix on the road.
(SB I-57, Illinois Mile Marker 103)

I LIKE YOUR SUNGLASSES...
BECAUSE OF THE GREEN TINT.
Attendant at an Effingham, IL Gas Station

Even with long shifts, eating crappy fast-food, not looking debonair, sleeping on beds that aren't mine, and seeing my eyes dyed a crimson red at the end of the day, I still feel like I'm enjoying where my life has taken me. No, I'm not describing what residency is like: It's how to experience Americana through a road trip.

Whew. 1438 miles done and set.

I've actually made it to my Family Medicine core rotation, which takes place at the Miami Jewish Home & Hospitals in Miami, FL. With only a weekend from the end of my last pediatrics rotation and my family medicine rotation, I've been on a rush to make it from one part of the country to another. However, its good the route is actually not foreign territory, so 2 days went by no sweat.

Our family has visited the state multiple times and are yearly visitors to the legendary Disney World. My mom and dad have accompanied me on these trips, and even when as I was just 6 years old, I was the navigator of the trip, looking through road maps to keep us en route. In 2003, just after getting my drivers license, I added onto my duties, taking over my dad at the helm of our van for my first trip. To me, that drive to Daytona Beach in 18 hours from Chicago was one of my rites of passage.

I ended up loving road trips, and not only for the sights at my destination. I discovered a few years ago that the best way to describe my love for the road is with the term "roadgeek." I'm not alone either. There's many other people who are amused when an expressway comes to a stoplight, a 5-level stack carries cars in multiple directions, or trying to explain how poor designs of interchanges leads to traffic jams. I'm also the type of person when, if I have the time, would stop at every hole-in-the-wall restaurant, and little point-of-interest along the way. And finally, but not least, I love road trips because of the people I meet. On the way down to Miami, I chatted with one of the cashiers at a Wendy's in Georgia, a clerk at a gas station in the middle of Illinois, and another clerk at a Winn-Dixie here in Miami. Learning about how other people communicate and their respective culture can be done most of the time with a simple hello. Just keep the attitude that being on the road isn't just a long car ride. With an open mind, you find out its an awesome experience.

Anyway, tomorrow at 8:30 AM, I begin my next six weeks of the journey... Provided nobody blasts through a red light here and hits me, I should make it to May.