Filler

Another busy week has gone by, and sometimes it seems that no matter how much work I get done, the amount left is endless. Even though I took med micro during my undergrad, it never ceases to amaze me of how much I cannot remember. I attribute this to the teaching style of the professor, and the nature of the material. We were basically given hundreds of questions for the entire semester that he would choose from for the midterm and final, so potentially if you memorized them all you could get perfect. This type of learning is just not conducive to retaining information, so I hope after I finish the course more of the material stays in my head. Pathology is well under way, and our group dynamics seem to be pretty good. This is very important because once our advanced clinical skills labs start I will be spending four hours a day, everyday with these people. We’re not as efficient as I’d like us to be, but I play nice with the group and then do the material on my own – for me to really learn things I have to figure them out for myself, I sort of tune out when someone’s trying to explain something (perhaps a reflexive instinct from my childhood).

Anyways, I have no new pictures of anything remotely exciting (unless you count the one I took of my rear delt the other day, but seriously, who wants to see that?). If I take some this weekend, I’ll be sure to post them up.

Sparkles?

I was getting “dressed up” to go out last night. We live in Grenada, the fanciest possible place you can go to is probably the rip-off resort restaurant that I wrote about last semester. So my idea of looking somewhat decent here is the “good jeans” and a push-up bra under my shirt. For some others, this is what they’ll study in, while wearing wedge heels. So when I asked the new roommate if my outfit looked alright her response was that I looked a little too casual for going to a bar (think Johnny Shots caliber), and needed something sparkly (by the way, I had a ‘casual jean skirt’ on, with a white halter top, and my bandolino’s).

Sparkly.
Right.
Me, the girl who will wear my ripped jeans, a soccer jersey, adidas kicks, and a baseball hat to class.
Plus, who needs sparkles if you have boobs.

Inappropriate conversations

There have been quite a few conversations I’ve had recently with a certain person that I really do not know that well. I don’t start the conversations, nor do I lead them anywhere, but she persists on bringing up somewhat inappropriate comments/stories/questions. When I begin to hear them I internalize my cringe reaction, and swallow the caustic sarcasm that so often surfaces to my tongue. What do I do? I’ve attempted avoidance when possible. I try hard not to laugh. I am soooooo tempted to fabricate a horrifyingly inappropriate conversation/question for this person just for my own amusement – but I’m worried what else could possibly be unleashed. I’m not one to be grossed-out/prudish/ultra-religious……but damn, there are some things that should not be shared…..with anyone.

Gripes, rants, and annoyances

To:

Whiny annoying girl - nobody likes a whiner. Please cease and desist.

Morning gym boy – yes you’ve told me you’re name twice and I still can’t remember. STOP STARING AT ME.

Skinny fat girl at the gym – get off the gyno machine. It’s a waste of metal used to pump up the adductor muscles of bodybuilders before a show. AND THAT’S IT.

Long winded path girl – who are you, and how did you get in our path group? Stop reading us paragraphs off your slides while pointing to each word (we can read).

Stress boy – Yes I’m aware of how much work we have – we’re in all the same classes, the last thing I care about is how much info you can spout off.

Dormguest – please go home, you’re impinging on my afternoon naked time after a sweaty workout.

80s party girls

Megan and I celebrated our 1 year 80s anniversary. God help us if that fashion era ever returns.

Getting into the groove

So 4th term is well underway, we have started the infamous ‘Pathology lab’, and I can already see how time consuming the work will be for it. I have become machine-like, running on endorphin highs which push me through my days (I’m waiting for the elative feelings to wear off). I spent last Sunday preparing 15 tupperwared meals, ready to consume, study/workout nutrient optimized (I even calculated the macros, and no, I’m not OCD). Not so bad, the worst part was washing and chopping all the vegetables. The gym finally started opening up at 6am again, and most days our classes don’t start until 9. So, I don’t have to become too hardcore yet on the early mornings (thankfully). My body is aching from getting back into the weight routine, as I've been silently crying my way up the hill to class in the morning.

This weekend is the 80s party (I posted about it last year around the same time), I can’t wait to see all the crazy outfits – I’ll have to raid some people’s closets to figure something out for myself (good thing I have bangs though, I can’t wait to tease them!). I have a feeling my posts are going to be pretty bland this semester, as I don’t seem to have a lot of extra time to reflect on much (except what we learned in class).

There and back again.

How was my summer? Hmmm…..otherwise than being entirely too short, with definitely not enough rest, I think the best way to describe certain parts of it can be through a list of random farm memories:

1. Waking up and washing my face with collected rain water.
2. Hiking across the side of a mountain, and jumping barbed wire fences to get back to the farm after a night on the town.
3. Observing cow placenta
4. Doing a beetle check before getting into bed.
5. Showering on less than 2 gallons of water, while kneeling so the water would hit me.
6. Tossing 80 lbs bails of hay and stacking them in barns.
7. Taking out the cows in the morning.
8. Swimming in a marshy river with some sort of water worms.
9. Drinking more beer and turkish coffee in 12 days than an entire year.
10. Cooking on a wood burning stove.
11. Shelling endless piles of peas.
12. Going to a celebratory picnic involving a rock throwing competition.
13. Loving every second of it!!!

I’m back now, and we’ve started classes and lab. I feel like I’m in a horror movie where you’re waiting for the killer to jump out and murder someone. Except I’m just eagerly(?) anticipating the work we’ll have this semester. When I arrived in Grenada they were celebrating Carnivale (no clue what it’s for). Friends and I went to catch part to the parade which consisted of some interesting and colourful costumes, lots of glitter, and some insane booty-shaking to soca music and steel drum bands. Anyways, I’m getting back into routine and starting to pump myself up for the work. Bring it on.

They were booty-shaking under that flower together - soooo cute!

Epilogue to the year

I’m home (for 66 hours). And nothing at all has changed (except its fish fly season – ughhhh), in fact there was still Christmas candy on my desk that I was sure someone would eat. After a long day of traveling, my stomach was bothering me a bit, and of course my father’s cure all for any type of ailment is some type of alcohol. Just as Slivovica (plum brandy) can fight SARS, fevers, colds, aches, chills, and pretty much any other type of problem, homemade wine cures stomachaches (who needs med school if you can distill your own alcohol). As happy as I am to be back, I felt sad that I missed out on some of the events this year – festivals, tournaments, showers, carrousel – I really missed that sense of community and belonging.

Since, I am now off the island and out of school for a bit I won’t be posting for the next little while (Eurotrip 2006 yeah baby!). I have to say that I’m really excited to do some good hard manual labor on the farm – the possibilities are endless, raking hay, weeding the potato field, watching the sheep (okay not so labor intensive, but you have to be vigilant for the snakes….). Anyways, I have to go finish packing (again), see you all when I get back!

Contentment

I’m done, I made it through 6 months here, and I can’t believe in 6 short weeks I’ll be back. If you can remember from my first post of the January semester, I came back not looking forward to much here on the island. Everyday I have dutifully crossed off another day from my calendar, and numbered my weekends, and I would sigh staring at those double digit numbers. Then something happened. It wasn’t an overnight change, but the island started to feel like home.

So Saturday morning I enjoyed myself – really enjoyed myself. My morning began with a 1.5 hour pedicure at a hotel beach resort. There was no sense in ruining a good pedicure by running out into the sand right away, so I slept by their pool for the remainder of the morning. I basked in my solitude and just felt such intense relaxation listening to the ocean. If this was a good romance novel I would profess my undying love for Grenada (okay, for the beach), and perhaps fill in a rich description of my sensual morning in the sun. But World Cup is on (the flawless Argentinians are playing), and I’m a sucker for footballers.

The Sacrifice of Mary Rose

Med school hardships

Well, I finally pulled my first all-nighter here in med school. Yep, Friday night was a great party. Oddly enough, it began with my friends and me agreeing to call it an early evening so we could get up early the next day. So 12:30 came and went, 3 am passed us by, and by 4:30 I had offered to cook breakfast for the remaining of us (I really miss those sausage stands they have downtown after a night of good drinking). So, I made it to bed by 5:30am (my normal wake-up time was supposed to be an hour ago). Unfortunately, being the day person I am, by 10am I could sleep no longer, and was forced to climb out of bed to the sound of the AC repairmen banging on the door (yes, our AC was broken AGAIN).
It was a long and hard weekend. World cup soccer games were playing in the lecture hall, so I had to go watch them. And then the weather was so nice, which forced me to go the beach. For those of you concerned with my study habits, don’t worry I studied Saturday and Sunday night (I think).
On another note, the mosquitoes are back, and they still love me. I have a theory as to why I’m preferred to other people’s blood. My blood type is O-. This means that I have a lesser amount of surface proteins on my red blood cells. My theory is that digestion of my blood in a mosquito is akin to simple carbohydrate digestion in humans – sweet to taste, fast to absorb, and instantly pleasurable for the brain.

Anyways, here’s a pic of Megan and I from a Wednesday night soiree a friend had last week. There was no alcohol involved here for me (well, only a little), so I’m not making the deviant eyed face.

Odd combinations

While working out this morning I took a look around and it just hit me how funny I might look. Every morning it’s always me and 5-6 big black men in the gym all lifting. I don’t have the luxury of a “women’s area”, or a variety of machines to do exercises on. I do know that a lot of females feel intimidated or self conscious lifting in front of, or with the guys. Myself, I don’t particularly care. I find it much more motivating to be lifting in the presence of people who are busting their @$$ to squeeze out those last couple of reps, then to be surrounded by a bunch of pansies doing stiff-armed side lateral raises with 5 lbs dumbbells (if this comment somehow pertains to you then stop wasting your time). Likewise, I like to think that I provide a source of motivation for the men in the gym (not in the way that you are thinking!). I pretend that when they see me putting up respectable weights, they’re thinking “damn, I better starting working harder or a girl is going to be lifting heavier than I do”.

Anways, now that we only have two weeks to go, I have started the process of utilizing everything that’s left in the refrigerator and cupboard. This usually leads to odd combinations of food (last semester I even tried combining oatmeal and tuna fish together – horrible). This weekend’s combination was actually quite palatable so I’m posting up the recipe:

¼ c. canned corn
¼ c. canned black beans
2 c lettuce
3 oz. chicken breast chopped into small pieces
2 Tbsp chick pea paste (or hommous)
1-2 Tbsp barbeque sauce (I had honey hickory barbeque sauce in the fridge)
1oz. shredded skim milk mozzarella

Calories = 408 Protein = 42 g Carbs = 42 g Fat = 9 g Fibre = 8 g

Mix together beans, chickpea paste and barbeque sauce first, then add chicken, cheese and lettuce, and voila a tasty summer salad! It was the chickpea paste and barbeque sauce that seemed like an odd combination – but who knew - they actually taste excellent together!

How I met the prime minister of Grenada

Today the Prime Minister of Grenada kissed my hand – at the mental hospital that is. As part of our behavioural science class, field trips were planned to visit the mental hospital. I had no preconceived ideas of what I thought it would be, but it was definitely nothing that I would have expected. When we arrived, the guards let us in to the grounds. There were many people wandering around outside – some staring at us, others grinning and waving hi. We were brought indoors, and a nurse (wearing a completely white uniform) explained how things were run around there. There were approximately 3 males to every female, there are roughly 3000 patients that come and go from the hospital in Grenada (the only mental facility, so they are grossly understaffed).
We were first shown a ‘solitary room’ where a young patient was being kept because he was very confused about everything and needed some time to sort things out. Next, we were brought to the women’s room, where there were a number of females with bipolar disorder. A few that we met were constantly in the manic phase (the nurse informed us), and it was very amusing to interact with some of these women. It was very sad to see the conditions under which they had to live though – I suppose it would help being manic in those facilities. The doctor took us to an area set up with chairs in a circle, and then brought one of the patients in to interview. The patient entered the room, and took a seat in the circle in a rather regal way (his head was held high, he peered down his nose while he spoke, and his lips were slightly pursed - he was sitting very straight with his legs neatly crossed and his hands nicely folded in his lap). When he began to speak he would often unfold his hands and his fingers move around while he was talking (they call it 'pill rolling'). I could barely understand anything he was saying as he spoke very quickly, even when the doctor asked him to slow down a number of times. From what we were able to gather – this man truly thought he was the Prime Minister of Grenada, and that God had told him to smoke crack and drink alcohol. He recommended that we should all smoke. He then proceeded to tell us how he extricated Satan from his body, twice. He was also married a number of times, and had children with the Queen of England. He also described his wife/marriage as an abscess which he removed. When asked why he was in a mental institution, he said that it was his home, and was being temporarily used to accommodate some of the mental patients of Grenada. After we thanked him for speaking with us he started to leave, and then he walked over, and kissed my hand (there were 10 other people there with me) – it was very bizarre. He wasn’t classified as schizophrenic, but the doctor him described as having a schizophreniform disorder with some mania. He was also on a number of antipsychotic medications, but none of them seemed to be helping him.
In class we learn about many disorders, and characteristic symptoms of certain illnesses, but it is an unbelievable experience to actually meet people with these problems.

Another health fair

Three more weekends to go, and I’ll be on a plane flying home!!!! Six months is a long stretch to be here. What makes it even longer is spending 90% of my time in a small room which leaves me 6x6 feet of space left over to study in. Well, our air conditioning is officially broken. It was working intermittently for a while, but it completely stopped 2 days ago. Fortunately, my parents prepared me for this sort of thing, by turning the air conditioning off in the summer evenings so we would get used to sweating at night (it wasn’t that bad – my window faces east, so maybe that’s why mornings were such scorchers).
I helped out with a health fair this past Saturday, organized by the SGU branch of AMSA (American Medical Student Association). It was held at a local school about a 1.5 hrs drive to the north end of the island. This time around was better than the first health fair I did last semester. Instead of having students at each station set up, we took the patients around to each of the stations to do a general physical check-up – history, vitals, eye/ear, glucose, breast exams (if needed), and even sickle cell tests for the children (I haven’t learned phlebotomy yet). There were a few local doctors there to see patients with specific complaints. So all in all, it was a really great experience – something that I don’t think I’ll encounter in the US. It was sad to see how many people had cataracts – none of the locals ever wear sunglasses.
Anyways, today is a national holiday – its Whit Monday (not sure of its history). So, I’ll be catching up on some studying that was put off last week (I seem to have adapted a one week off, one week on study schedule this third semester), after I go to the beach of course…..

Mein Kampf

- catchy title, huh....

Last week in our behavioural class, we had a lecture on the stresses of medical students and doctors, and different problems that we are more susceptible to, and things we should look out for. This quote was given to us in the lecture:

“Physicians who sacrifice their personal lives during training believe that they will reap the rewards of a balanced life after graduation. Unfortunately, without skills to clarify and prioritize values or to develop a personal philosophy that integrates professional, personal, and spiritual domains, such balance does not easily occur.”
– Tim Quill

This really struck a note with me. It’s exactly what I believe. The attitude of ‘ok, I just have to get through this, then I can start living my life’ is something that I think that everyone will do at times, not just physicians (but apparently we are especially prone to it). Last semester when I was struggling with situational stresses, I had a hard time with certain habits while I was studying. My mom told me not to be so hard on myself because I’m in med school. True maybe, but life is going to be stressful, and if I can learn how to deal with certain behaviours in the more stressful of situations now, then theoretically I should be more prepared for other stressful life events (plus, being raised in a boot camp didn’t sympathize with any ‘hardships’…..jk). It’s a process, and I have times when I am better at staying balanced than others, but I am always improving, and most of all, I am learning what works for me.

Murphy's Law

Where does Murphy live you ask? In Grenada, yep right on campus. Nobody likes Murphy – lurking around the school, waiting for the most opportune moments to strike. Here’s an example of the havoc Murphy has wreaked lately:
When Raz came to visit, he brought me wrist wraps – as requested for bag workouts. Of course, after he left and I began to use the bag, the third day I went to the gym, the bag was on the floor in a corner. The hook from which it was hanging was broken off. Classic Murphy. Another Murphy incident – how it just so happens that on three consecutive occasions after finishing a long stretch of exams I arrive home to have the internet malfunctioning – when I actually want to talk to people! If you see Murphy lurking around, please give this character a swift kick in the pants, because the inevitability just can’t get any worse.

2 hours later……after writing yet another exam

I bite my tongue. The apartment smells funny, like something is burning, or like gas, and our AC isn’t running…….seriously….SERIOUSLY!

I'm baaaaaaack

Sorry, I apologize to anyone who’s been living out all of their med school fantasies vicariously through me, I know it has been a while since my last post. I do have good excuses though. Right before I finished my last exam, Raz came to visit for 10 days, so for the first week of third term I didn’t even crack open a book. Then when he left I spent the weekend moping without studying, so needless to say I’ve been trying to catch up on a lot of work, and we already have an exam on the stuff on Monday!
It is official though, I am now a second year medical student – it is unfathomable how much I have learned in the last 8 months. As much as I have learned, my knowledge is basically useless right now – how sad. To generalize the sum of my new knowledge I've attained over the past year it comes down to this:

I’ve learned how a normal, healthy human body grows, develops, and functions all the way from a cellular level. I’ve also learned about the rarest forms of diseases and genetic disorders, most of which I will probably never see in my life depending on which specialty I choose. After all this being said, I love it! For the first time in my life I feel that I am actually accomplishing something.

Anyways, this third (6 week) semester is turning out to be a drag. Behavioural science is interesting to listen to, but annoying to study for. Epidemiology, well lets just say I would much rather take a hammer to my thumb everyday than sit through the lectures. Tomorrow we start biostatistics (I already took this course in undergrad!), and in a couple of weeks, health policy, then jurisprudence (sure, its interesting, but comon’, do we really have to be tested on this stuff? It’s not going to help me retain the information given its context!).
Here are some new pics that Raz took while he was here, enjoy!
At the Beach

A sea urchin

Checking out the sunset

More incoherent study ramblings....and a bread tale.

So much for the square pants experiment, all I got were dried chewing gum hip flexors.
To the point where it takes me a couple tries to fully stand up- I felt like an 80 year old – ahh the joys of intense studying. I had a roll (as in bread roll) the other day when I ordered jerk chicken from the cafeteria. Normally I wouldn’t take one, but as I was desperately craving simple sugar, I decided to eat it. Let’s just say I can’t even remember the last time I had purely white bread – holy scheisse this stuff is good! I don’t remember it tasting this good. I felt like I was eating a donut or something. I don’t know if it tasted so amazing because of my current state of affairs, or if it always tastes that good. I was raised on whole wheat bread, and ate whole wheat bread sandwiches just about everyday for probably 15 years straight. In fact my first memory of lying to my parents was when I was six, and my mother asked me if I threw away the crusts of my whole wheat sandwich (whole wheat bread crust with peanut butter was gross then – its still gross now, unless toasted). I lied and said no – then I got the wooden spoon because they could tell I was lying. Well that sure taught me (I’m a much better liar now - JK).

How I keep my stress levels in check

1. I get a decent night’s sleep (at least 6-6.5 hrs/night is my absolute requirement, anything extra is decadent).
2. I get at least 30-60 min of cardiovascular activity a day (I’ve been doing a really fun circuit lately to shake things up a bit).
3. I avoid talking to other people (there are a lot of high anxiety stress balls around here who just ooze stress when you talk to them, so I make it a habit to jet out of class as soon as lecture is over).
4. I try not to buy food that makes me want to eat it. When I get semi-stressed I feel like snacking on carbohydrates that are mostly digested before they even reach my intestine. When I get really high anxiety, I don’t want to eat - unfortunately/fortunately I almost never get high anxiety (maybe if I avoided items 1 and 2, I could induce it).
5. I pray to not be stressed.
6. I munch on raw garlic (this is not just something our Balkan parents do). This helps with item number three – if the stress ball people attempt contact I lean in and give a breathy ‘whhhhaaaat’.
7. I complain to Raz about every little thing that irritates me (poor him – he’ll actually sympathize with me). I’m more of the ‘tough love’ type and would probably tell me to ‘suck it up’ and ‘deal with it’, and then drop and give me 50 push-ups.
8. I sniff my highli ---oops, I didn't mean to write that one.

Because its more interesting to say than "I'm Studying"

Hmmm, what have I been doing lately? I’m trying out a new experiment here – the goal is to remold my ass to look more like a chair. This involves sitting in a chair for long periods of time. To pass time while I sit in the chair I’ve taken to reading about physiology and neuroscience. I hypothesize this process should be almost finished by next Monday, but to be 100% sure, I’ll wait till next Wednesday afternoon. So, because I will be intensely busy with my experiment, I will be a little out of it for the next while.