Clerkship Updates: ER, Endocrinology and Residency Applications

Time has just been flying by! After an incredible experience on my Palliative Care rotation, I went on to complete a month of Emergency Room Medicine. The pace was fast and challenging but was definitely a good learning experience. The month consisted of daytime as well as evening and night shifts. The skill that I felt I had the opportunity to work on most in the ER was to develop a logical, organized way of structuring a differential diagnosis for the most common, life-threatening conditions.

After my month in the ER, I went on to start a one month elective in Endocrinology which I will be wrapping up this week. I chose this elective because I felt it would be very useful for increasing my knowledge on conditions such as diabetes, dyslipidemia, hypo/hyperthyroidism and other endocrine or metabolic abnormalities that I am likely to come across often during my Family Medicine practice. It has been a good experience with my days consisting of clinic, wards and ER consults.

And in other exciting news, I have been working on my applications for residency and am making good progress. The application consists of various components including a personal statement, CV, and recommendation letters. Despite how stressful this stage of medical school can be, I feel remarkably at peace and am sure that everything will turn out for the best. Regardless of the outcome, I feel extremely grateful for all the blessings in my life and thank God for his faithfulness!

I am really looking forward to the next month of clerkship which will be a Family Medicine elective in my community. Stay tuned!

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Beautiful Fall day with my munchkins

Featured image courtesy of healthcatalyst.com

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Clerkship Update: Palliative Care

I had an incredible experience on my palliative care rotation. Going into it, I wasn’t sure what to expect. Whenever I informed people what rotation I was in, many wrinkled up their faces and said, “Ooh, it’s got to be depressing being around so many dying people”.

I have to say that my experience was quite the opposite. It is a different way of practicing medicine. Rather than focusing on curing a patient, one is focused on making them as comfortable as possible as they navigate the last months, weeks, days, hours and seconds of their lives. I found it a true privilege to accompany people on this journey.

I very much enjoyed how much time I got to spend with each patient and their families on a daily basis. It was certainly never easy discussing a short prognosis but in some ways, families found relief in having an idea of their loved one’s trajectory and in knowing they would be kept as comfortable as possible. The main things that impact heavily on dying patients, particularly in the context of terminal cancer, are pain, nausea, lack of appetite and a progressive sense of loss as they decline in function. Although it can be  difficult to do much about the loss of function, it is staggering to see how much better a patient feels when their pain and nausea can be controlled.

On this rotation, I worked with an excellent interdisciplinary team of doctors, nurses, social workers, PABs and art therapists.  I was truly inspired by their dedication and compassion for our patients.  I certainly struggled with my emotions when I lost a patient (which was almost on a daily basis) especially seeing the profound impact on the family members left behind. I truly treasure the meaningful connections I had with patients and their families on this rotation.

I also had the opportunity to participate in home visits. There was something especially touching about being able to go into a patient’s home and deliver care to them in an environment where they feel most at home.

Overall, my palliative care rotation was one of my best experiences in medical school. I encourage medical students out there wondering what electives to take to strongly consider taking it. It will change your perspective on life.

As my fourth year of medical school continues, I feel my confidence as a doctor-in-training progressively growing. There is still so much to learn of course. One of the great things about medicine, is the challenge of constantly growing and learning new things. As I ponder the current stage in my training, I am so grateful to be on this path to becoming a doctor, as difficult and challenging as it can be.

Featured image courtesy of https://www.medstarfranklinsquare.org

Summer Vacation Updates…and the Start of 4th year!

The summer is just flying by! I had a wonderful month of vacation in July.  The highlight was a trip to West Virginia to visit my cousin and his family. We were so touched by their hospitality. They totally spoiled us!

The 12-hour drive  from Quebec to West Virginia was spectacular. We took the scenic route through the Adirondack park in New York. I was impressed with how well the kids did on this long trip. They were excited to be the first to spot several deer as we drove by impressive rocks chiseled into the mountainside.

Our drive took us through Pennsylvania before we finally arrived in beautiful West Virginia. We spent most days poolside enjoying the beautiful weather with our nights perched on stools around the massive granite kitchen counter having hearty conversations covering all kinds of topics. I was especially happy to tinker on their beautiful grand piano majestically displayed near the fire place in the living room.

One particular evening, the adults had a night out on the town eating creole cuisine in a cobble-stoned square bubbling with vibrant music and laughter. The night ended with spectacular Tango music presented by the Pittsburgh Symphony Orchestra. The exquisite skill with which the musicians displayed their talents gave me goose-bumps!

The kids had plenty of new experiences, trying out jet-skis for the first time and painting pottery. As we neared the end of our vacation, we hiked up to beautiful Cooper’s rock where massive green rolling hills outlined the horizon, with crystal blue waters snaking through the leafy backdrop. It was truly a fantastic, refreshing trip!

In early August, I had the wonderful opportunity to join 10 other musicians on stage at the Hudson Music Festival where we belted out a variety of Contemporary Christian tunes. My Yamaha keyboard (nicknamed “Mahaya” and given to me by one of my best friends 13 years ago) did not disappoint! It has been one of my dreams to perform with a band in this context and it was an awesome experience with an enthusiastic audience!

After a challenging year completing my third year of medical school, I feel so blessed to have spent such precious time with my family and friends! I am now 2 weeks into my fourth year of medical school, having an incredible experience on my Palliative Care elective rotation. More details to follow soon!

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12 hour road-trip to West Virginia
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Soaking up the sun in West Virginia
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Ready to conquer the world!
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More relaxation!
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Precious family time…beautiful Cooper’s rock, West Virginia
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Ready for a dip in Horseshoe Lake, St-Agathe-des-Monts, Quebec
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Canoe-ride with daddy, Horseshoe Lake, Saint Agathe-des-Monts, Quebec
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Summer fun…and static electricity!
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Exploring the woods, Saint Agathe-des-Monts, Quebec

Featured Image: Morgantown, West-Virginia

Third Year of Medical School…Done!

I can hardly believe that I am done with the third year of medical school! Despite the ups and downs, I am very happy with how much I have grown and learned during the course of this year.

These last 2 months, I have been busy with Internal Medicine Wards and Surgical Subspecialty rotations (Urology and Vascular Surgery). They were hard work but also a great learning experience overall!

All my electives for fourth year have been booked and confirmed (Palliative Care, Endocrinology, Family Medicine, Clinical Allergy and Immunology).  I will also be doing my Geriatrics and Emergency Medicine rotations during fourth year.

Now is that time of the year when we start thinking about the residency match! I cannot believe that this time next year, I will be starting residency! (As a recap, my plan is to apply to Family Medicine which I am very passionate about!)

For now, I am looking forward to the next month which is a month of summer vacation. I am excited to spend more time with my hubby, kids, extended family and friends. I am so grateful for their support and encouragement through this past year (which was undoubtedly, one of the most difficult I have encountered!). I thank God for the strength and grace He gave me throughout the year!

Thank you to all my readers for continuing to follow and support my blog. It is always appreciated!

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Breakfast on the deck, beautiful sunshine, birds chirping and a cute bunny skipping through the grass!
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Residency match timeline!

Clerkship Update: Internal Medicine and General Surgery

Clerkship updates! It’s been a busy past few months! I completed one month each of Internal Medicine (CCU/ER consults) and General Surgery.

What I enjoyed the most

I really enjoyed doing consults in the ER because I felt it really allowed me to hone my history taking and physical exam skills as well as come up with management plans. I met so many interesting patients and learned a lot from the fantastic staff and residents I worked with. In General Surgery, I had the opportunity to become more comfortable in the OR (I was initially terrified of going in there!) and practice useful skills such as inserting foleys and suturing incisions. I also had the opportunity to participate in laparoscopic surgery by assisting with guiding the camera, which was fun! I also developed a new appreciation for how difficult it is for patients to undergo surgery: the anxiety before surgery as well as the sometimes excruciating pain and post-op recovery.

What I struggled with the most

Internal Medicine and General Surgery have definitely been the most demanding in terms of work hours and I sometimes felt like I was floundering. I had managed to keep my mindset positive and motivated during my previous rotations but for some reason, I had moments of doubt and anxiety over the past few weeks which I can’t fully explain. So, I sat myself down, worked through my thoughts, prayed, and confided in family and friends about my struggles. I have emerged stronger and more motivated!

My take home message

Internal Medicine and General Surgery are great specialties despite the long hours. They each bring different perspectives and add richness to one’s medical training. The past few months have reminded me how important it is to guard one’s thoughts and to rely on others when we feel weak and downtrodden. Despite the challenges, I am excited to be pursuing a career in medicine and thank God for his ever abundant blessings in my life!

Featured image courtesy of BM Hospitals

When the Fog Lifts

The other day, I was on my daily commute to the hospital for one of my clinical rotations. The train chug chugged along and as it neared one of two bridges, I turned my head expectantly to view the expansive water and distant hills. But on this particular day, the view which I have come to treasure, was blanketed by an unrelenting fog. I could see absolutely nothing outside of the window. It was a disconcerting feeling. What was happening behind the fog? When would the fog lift? As the train made it to the other side of the bridge, the water and hills left behind, the fog gradually lifted, trees and buildings slowly appeared and my view of the outside world became crystal clear once again.

This two minute experience got me thinking about how similar life can be to this event. There are times in our lives when our path forward is clear. We can feel confident enough to proceed on our journey. There are other moments, when things become less clear, our confidence may become shrouded in uncertainty and we wonder where has the path disappeared to? One thing I do know. The fog eventually lifts, and we will see clearly again. It just requires patience, determination and the will to never give up.

I recently completed my second Psychiatry rotation and have just completed my first 2 weeks of Internal Medicine. Both have been great learning experiences with amazing staff physicians and residents. On some days though, I feel truly tired. I wonder if I have the strength and ability to become a good doctor. Or I struggle to balance medicine with family life. Doubts try to creep in. But I also feel so grateful to be in a position to help people so directly in their moments of crisis, illness or fear. It truly is a humbling and privileged position to be in! And even on those cloudy, unclear days…the fog eventually lifts!

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View from the train in winter-time

Featured image: View from the train in summer time, late evening (potentialdoctor.com)