In 10 more years....

Looking at their qualifications, I was close! If only I had a little more experience under my belt, and was a fully Canadian board certified doctor. Maybe in the next round of applications...in the mean time perhaps I should take some astronomy classes or something....

Here's a look at a few of the candidates in running for the astronaut position with the CSA.

Linky

I Matched!!!

Cost to apply to residency programs ~$350.00 USD

Cost to apply to the computer matching system ~$40.00 USD

Cost of new suit for residency interviews ~ $200.00 USD

Cost of travel expenses for interviews ~$1800.00 USD

Cost of book to advise me on how to interview ~$10.00 USD

Finding out you matched at your number one residency picks.........PRICELESS

There are some things money can buy.......for everything else I used my MasterCard (seriously).

I will be doing my internship year at St. Joseph's Oakland (Pontiac Michigan), then moving to Milwaukee to pursue the specialty of Physical Medicine and Rehabilitation in 2010!

Internal Dialogue: Dana, you just found out you matched for residency, what are you going to do now?

Me: I'm going to DisneyWorld!!!

Star Trek Medicine

This week I observed a telemedicine interaction with a patient which was done via video cameras over the internet. The set up they had in the clinic made it look as though it was the bridge on the Star Trek Enterprise. On the other side of the video camera was the patient with a nurse. The neurological exam was conducted by instructing the patient and nurse to carry out various tests. It was pretty cool actually, and made me start to wonder if this type of technology is being used in more remote areas of Canada, where they are in dire need of physicians. Nothing replaces actually being able to have hands on contact with a patient, but for follow-ups or specialist consultations this could solve a lot of problems.

Radiologists are already outsourced all the way from Australia, and India has recently launched a telemedicine program for medical education and health care in Africa. Home visits for the monitoring and care of chronic diseases are being done via webcam in Queensland, Australia. A recent study was conducted in Milwaukee, WI through a veterans hospital where they found that there was a "[...] 25% reduction in the average number of days hospitalized and a 19% reduction in hospitalizations" for patients involved in telehealth care.

I'm very excited to see how this technology will advance, and how the future of medicine will evolve. I'm already imagining myself on a beach with my laptop sipping on an (non-alcoholic) umbrella drink providing patient care....

Moron Mondays

So this is the pool, early in the morning - its not heated, but it feels great after laying out in the sun....hope I'm not making anyone curse me right now.

I can't believe a month has gone by already. I have the Windsor/Detroit weather report on my Google home page and I remind myself on a daily basis of how thankful I am to be here....seriously. Nothing much exciting has happened lately - I did go for a drive up to Clearwater (near Tampa) to visit the G-parents, it felt really good to drive.

I started my neurology rotation today. It was a long day in that I was probably standing for 7 hours of it....in heels. I'm doing outpatient neurology right now, and there's such a gamut of things I saw today that I'm scrambling with my reading list of what to review first - migraines, epilespy, Parkinson's disease, myasthenia gravis.....

The one thing that really sucks about starting new rotations is that you get the "I'm a moron and I don't know anything" feeling all over again until you get your bearings about what you're supposed to be doing. I would say I experienced this feeling for the bulk of my third year rotations, its actually a painfully effective learning tool to have awareness about your lack of knowledge. It was nice beginning fourth year and having some familiarity with what I should be doing/looking for/pretending to be doing. One thing I've learned is that if you look happy, and excited about everything, and ask a few questions people generally think you're enthusiastic about learning - no matter how much you dislike the rotation (OB!), and they'll put in a little more effort to teach you.

Ya know, in reflecting about this, I can remember having these same feelings in kindergarten - as I was terrified of being called on and having the wrong answer.....hmmm....makes ya wonder...

Anyways, this is the view out my bedroom window.

The medical schooling made me do it...

Soooo......

I would say since I've began medical school, once a year, I have an incident.

Not having anything to do with the hospital or patients, but rather...

A night of, what starts out as a good time, but quickly turns into an "I can't see straight because I drank too much" incident.

I don't do anything regrettable perse....

But during the aftermath of these nights I usually wake up (with my clothes and makeup on from the night before) with a "Oh Gawd I can't believe I did that" thought running through my head.

I think its because the lack of true hangover symptoms (I don't have nausea, vomiting, or splitting headaches), that I've had a repeat of this type of scenario each year....I'm just not learning.

2006 - Grenada, White House Party, too much Tequila. Passed out, roommate had to put my pjs on.

2007 - Windsor, G&Ps 50th Anniversary, too much Cognac and Slivo. Got lost/abandoned at bar, managed to get in cab to get home.

2008 - Park, Diana's 27th B-day, too much Vodka and Crown. Annoying phone calls next day.

2009 - FLL, Salsa Bar, too much Vodka. Annoying phone calls following 3 days.

The only real underlying association in all of these incidents is medical school. I can't say that its peer influenced, because there were different people at each event. Lets hope next year I'll be a better person, at least its out of the way for this year. Anyways, here's a pic from last weekend when all of my cranial nerves were intact. These are the two girls I met from Argentina and Columbia.

Haircuts and Hummus

First, let me start with the Hummus. While reading the nutritional information for Tribe Hummus, this was listed:

Well I'm certainly glad it doesn't have anthrax in it! Deep down inside I know all food has its own array of microorganisms, but talk about covering yer asses in this day and age of bacterial outbreaks in food....

Onto Haircuts:
For the last few years, I have been getting my hair cut/trimmed/maintained at the walk-in salons. This includes: BoRics, First Choice, and most recently, SuperCuts. As soon as I see who will be cutting my hair I can tell you whether or not I will be getting a decent cut (you can tell by the way they style their own hair). I go to these places for a few different reasons:

1) I have no source of income, and cannot afford a regular stylist that will charge me $35 + tip for a simple trim.
2) My schedule does not afford me to make and keep future appointments, and having no car means I have to go with whatever is close by.
3) I like to keep my vanity in check.....its just hair, right?
4) How badly can someone mess up a trim?

I would say that 60% of the time I can get a decent haircut from these places, with no complaints. The other 40% of the time my experiences have ranged from me going home and fixing a few areas myself, to returning the next day and having them fix it free of charge.

Today's trim fell in the 40% category. How is possible to leave a hair salon with your hair dirtier than when you started? I'll explain how:

- Entered hair salon the morning after hair was washed (hair is relatively clean).
- Hairstylist proceeded to spray my hair down with water, and then.....smoothed gel on just the top of my head (WTF? I'm just getting a trim)
- Then she asks why I only want a 1/4" taken off when "clearly I have uneven ends".
- I explain that my ends are not uneven, they are called "layers". At this point my mind is telling me to just get up and run, but instead I sit and smile and remind myself not to be vain.
- Then I see the lightbulb go on in her eyes "Ah yes, layers, I see!" she replies.
- So I get the 1/4" trim as requested, but somehow, only a third of my bangs were trimmed (something I'll be fixing when I get home).
- Lastly, a loonie (instead of a dime) size dollop of hair serum gets smoothed into my semi-wet hair.

By the time I walked home and my hair was dry, my bangs were an oily mess, and the top of my hair was stuck to my head from the gel. I couldn't help but burst into laughter at my newest 'hair shenanagan'. At least my ends are clean, and nothing a shampoo and bang trim can't fix.

And as a side note: Never ever ever ever get lowlights at one of these establishments.

My mouth is watering

You know, sometimes I can really sympathize with people that develop liver failure from chronic alcoholism. Although I'm sure they're not making stuff like this:

Skittles Vodka

Sara.....you know what were doing when I get back!

Thanks Chris for the link :)

Language Overload

In South Florida much of the population speaks Spanish, so I've been working on learning the basics with Rosetta Stone language program and what I pick up at the hospital.

And I've also been brushing up on my Serbian as I'm visiting the fam in May.

This morning there was a phone call, and someone wanted to leave a message for the landlady, but she only spoke French....which technically wasn't a problem as my understanding of French isn't too bad.

But in the process my basic French got very jumbled by the mix of newly learned Spanish. And for some reason the French I was speaking was preceeded by thinking the sentences in Serbian before I could verbally translate to French.

Very very confusing......
Plus it doesn't help that I'm working partial night shift right now, so the sleeping is a little impaired....

An Update

I've finally made it and settled into my destination in Weston, Florida. I first spent a few days in Clearwater with my Grandparents, before they drove me down here yesterday. I'm a little disappointed to report I did not see any alligators during the drive through alligator alley.

I'll post some pictures once I finish organizing my situation. But let me start by saying that I'm living in a 3 bedroom townhouse in a beautiful gated community......so please somebody come visit me and this sublime weather!

However dorky these next points may sound, these are some things that are very exciting to me:

1. There is a landline I can make and receive calls from and to Canada (woot! woot! I haven't had a land line phone number since I started med school!!!)

2. There is a functioning t.v. and basic cable inside the room I'm staying in (this is craziness - I got ready to the morning news!)

3. I'm sleeping in a full sized bed (this is a real treat as I usually end up in single beds).

4. Everything of necessity and beyond is within a one mile walking radius.

5. There is an abundant Spanish speaking population, so I feel I'll really be able to learn and practice my Spanish!

Anyways, other titillating events for me include:
- outdoor exercise in shorts!
- putting on sunscreen!
- a pool!

At this very moment things are fantastic. I formally start my rotation tomorrow, so I'll let ya know how I'm faring after I find out the call schedule haha.

Pimped

After travelling to New York, Chicago, Baltimore, and Pennsylvania this month for interviews I am feeling a little like a travelling salesperson in trying to sell myself, and quite frankly I’m sick of the product. I won’t complain about having to pack for 2 months of clinical rotations in Florida. Of course I’m excited about the weather, but I am more relieved that I will be living in one place for 2 full months, and not travelling back and forth between Windsor and Detroit or any other city for that matter.

I wanted to write about my last interview experience. First let me preview it with some advice I was given during the hospital tour by a resident recounting his interview experience from the same director:

“oh yeah its really laid back, he ends of talking more than asking you questions.”

My mind was prepared for my regular pitch while entering the interview room, and I was put at ease as we bantered about the surrounding Eastern European population of the area. As the conversational questioning ensued (from both sides) things made a turn for the unexpected.

I got pimped.

Like really pimped.

Like “surgery rotation” pimped.

I was given two different clinical scenarios on the work up of anaemia (oh yes I got one for microcytic and macrocytic), what I would look for in the labs, what I would see on a peripheral blood smear……the pathway of B12 absorption in the gut…..most likely and other causes of microcytic anaemia (TICS* saved me)…..what populations are more susceptible to it….

Thankfully my memory was functional and intact. It would have been inappropriate for me to jump up and yell 'Eat it!' but that's what I was saying in my head while I smiled graciously and expressed my pleasure in meeting him.

And when I left the interview room to sit with the other candidates I learned no one else had been pimped….WTF

*TICS = Thalassemias, Iron deficiency, anemia of Chronic disease, Sideroblastic

Uncertainty

Ever feel tearfully tired? It’s 2 am and I am reading about Heisenberg’s principle of uncertainty in hopes that it will make me fall asleep. But for some reason its beginning to worry me more, in that I think it may refute any fatalistic hopes I have. I’ve also had a subacute raging headache since 4 pm this afternoon, although I think it’s on the account of feeling dehydrated. Instead of drinking more water right now, I am just so tired to the point that I am wishing I had IV access for fluids. This entire match process is taking a toll on my well-being. The thoughts in my head are keeping me from closing my eyes at night to fall into a restful sleep. Instead, as the hours pass by the more disordered my thoughts become, but retaining the central underlying theme – “The Match”, and how I will rank the programs I want to attend. You see, I know where I feel I would like to be, but my fate is left up to a computer based matching system, that uses algorithmics to calculate your match based on how the program also ranked you. I wish I had a mentor who was coming from a similar background in this whole process. I find people often seek advice on matters they already intrinsically know the answer to – more to make sure decisions can be affirmed. And when one hears advice they do not wish to hear, often several opinions are attained until the ‘right one’ is heard. I find this statement to hold true for most purposes. I wish I had someone to reaffirm my decisions with; perhaps it would take some of the weight off my shoulders. I abhor this type of uncertainty. I shouldn’t be, and I’m trying not to want anything too badly (as I know this will most certainly jinx my chances). I hope this post has gotten some of the words out of my head so there is more room for sleep to set in.

Organizational Avoidance

This is a pic of me in China town after a jaunt to NYC for an interview. I only brought with me a carry-on luggage, along with my computer and external hard drive (its a small portable one). But since my return, the external hard drive is making clicking and spinning noises. This is not good. Not good at all. There is a hard drive recovery business in Roseville, Michigan that has a clean room for repairs. I’m praying that it won’t cost more than $200.00 to recover my files….

I have a lot of old back up CDs that I had made before I bought pre-external storage space era. What I am missing is all my music files, photos from 2007/2008, bootleg programs, documents, and an entire slew of other things that I have saved……

And of course I find once I start worrying about one thing a barrage of worries breaks open a dam of suppressed worries and thoughts. In the past when too many things on my mind would pile up I would often resort to sleeping (sometimes with supplementation) for long periods of time, which is counterproductive to getting things done. But over time, I’ve come to realize there is one thing that voids my mind without fail. This is also a great procrastination tool I’ve used during key studying hours – Organizing!

My mother donates to the Canadian Wildlife Federation, and subsequently she receives yearly gifts of boxes of note cards. These have been piling up in a closet for many years now, so I took it upon myself to empty, categorize, and alphabetize 11 boxes of cards. So if you happen to receive a rather unattractive, tacky “thinking of you” card with a picture of rabbits or loons in the mail you’ll know from whom its been sent.