Clerkship Update: Pediatrics Inpatient

Clerkship updates! I just completed a 4-week rotation on the pediatric wards and it has been one of my favorite rotations so far! My schedule consisted of 2 weeks of day shifts and 2 weeks of evening/night shifts plus 2 weekends. During the day shifts, my day consisted of teaching sessions/lectures, rounding on patients, writing progress notes and discharge summaries. My night shifts mostly consisted of admitting patients to the ward and writing admission notes. I also spent one amazing afternoon in the newborn nursery where I had the opportunity to refine my skills in conducting a newborn physical exam.

What I enjoyed the most

I very much enjoyed working with children of all ages and worked with a fantastic team of staff physicians and residents from different specialties (pediatrics, family medicine and pediatric neurology). There was also excellent teaching during this rotation with plenty of support. I felt I grew in my history taking, physical exam skills as well as coming up with a differential diagnosis and management plan. I felt that having had my own children really helped me communicate with young children and relate to the anxieties that parents have about their sick children. Also, although I used to dread the night shifts, I decided to change my attitude about it and focus on the positive aspects of working at night such as avoiding rush-hour traffic and getting to spend the mornings with my children, go on walks with them, or surprise my son at school at lunch time.

What I struggled with the most

My greatest challenge during this rotation was having to communicate in French. Many of the patients and families I encountered were Francophone and did not speak much English so I was forced to put my French language skills to the test! It was not easy getting a history or communicating plans to families in French but it certainly gave me plenty of practice! I definitely feel that I am improving!

My take home message

Pediatrics is a fantastic field if you love children and interacting with families as a whole. I also find the environment to be very positive and supportive! When it comes to night shifts, working strange schedules in medicine can be a challenge both mentally and physically. However, trying to find ways to adapt, adopting a positive mindset and getting creative with our time can ease the strain and pleasantly surprise us!

This ends my very first block of third year!  I am very excited to be starting my rural Family Medicine rotation next! Stay tuned!

Featured image photo credit: lakeviewpediatrics.net

Advertisements

Proud Mummy Moment…My Dearest Son is Starting Grade 1

This is just a quick post to document a big milestone in our family’s life today! My wonderful son is starting Grade 1 today and he is absolutely thrilled (while mummy is a bit emotional wondering how this day came so fast!)

Here are some pictures from this morning at our home and as we dropped him off at school. It’s moments like these that remind me what a privilege and a blessing it is to be a mother!

Glittering Sun, Family Love and the End of Exams!

As I type this, the setting sun is gleaming off the ice and snow that covers the grass in our backyard. I love to write at our dining table because of the beautiful view that I get to experience. My daughter is sitting to my right, testing out a box of markers to make sure each pen is still working well and up to her standards. Every so often, she proudly points to her artwork which at this point mostly consists of multi-colored doodles.

This week was an intense exam week consisting of Anatomy lab exam, Digestion/ Metabolism Final exam and the Reflective exam (which covers clinical material since the beginning of medical school). I found this block to be one of the most intense so far. Despite the challenging exams, the week ended on a great note with a fun patient simulation activity and then dinner with the Dean of Medicine. I was really impressed that the Faculty made time to meet with us in groups over the past few months and that the Dean talked to each of us individually to find out more about us. When asked what he considers to be the features of a good doctor, his words stuck with me….”listen, be kind and be humble”.

Now that this set of exams are over and we are on Spring break, I got to spend a beautiful simple day with my daughter. We did silly things like dancing around the dining room to her favorite music. I love how she would look at me with her big brown eyes and giggle as she tried to copy my dance moves. My son spent the week with his grandmother in the Laurentians since his school was on Spring break and I was having exams. It was the first time he has ever been away from us overnight and it went very well. He had a blast with his granny. I really missed him though and look forward to seeing him  when we drive up to the Laurentians for the weekend.

Today, I had the chance to reflect on the wonderful blessings in my life, especially my husband and children. My husband came home early from work today and surprised me with beautiful flowers. A few weeks ago my son presented me with some of his artwork depicting our family and it really moved my heart to see his perception of us. Sometimes in the busyness of life, we can forget how much we as parents mean to our children and how important we are to them. I love being a mother and wife, and despite the demands of medical school, I am so happy to be learning so much and that I have been given the incredible opportunity to do this. I look forward to the next block after the Spring break!

IMG_3941
Beautiful surprise flowers from hubby!
IMG_3947
My 5 year old’s drawing of our family (including our black dog!)

 

All Aboard the Winter Express

This evening, after my husband arrived home from work, he found the kids and I on our way out, ready to get to work on a snowman after it had snowed all day. It’s interesting how my affection for winter has steadily grown ever since we had our children. Their sheer delight at frolicking in snowdrifts has gotten me out of my winter hibernation mode and much more willing to be outdoors during the cold season.

This evening was simply beautiful. It turns out that the snow was not quite the right consistency to make a snowman (according to my husband anyway. I, the African girl, would not know the difference!). We still made the most of our time outside. I attempted to walk through knee deep snow around our backyard tugging my children behind me on a sled. “All aboard!” I would shout every time I was ready to take off on another tour around our house, as the kids scrambled to get on to the sled. It’s days like this that I am especially grateful for where we live. Our home has seen so many special memories.

As my son and husband began rolling around in the snow, my daughter perched herself on a snow-mound at a safe distance observing with keen interest the scene unfolding before her. I noticed the empty sled discarded on the snowbank and spontaneously decided to lay down on it with my face upwards to the sky. The snow was still gently falling. It felt fresh as it tickled my cheeks. I looked over towards my husband and joked, “Look, I’m ‘snow-bathing'” before I closed my eyes, listening to my children’s giggles float through the winter air.

 

A Reason To Smile

Yesterday, after a particularly busy day, I embarked on my long drive home. One of my favorite parts of the trip is the moment when I cross one of the bridges connecting the island of Montreal with the mainland. I always take a sneak peek to my right where I can see luscious green rolling hills, wavy water and specks of white sails belonging to the numerous boats making their way leisurely through the water.

It is at that moment that I take a deep breath and smile as I anticipate seeing the smiling faces of my children waiting for me at home. Often, my husband and kids will call me on my drive home simply to say that they are looking forward to seeing me soon and that they love me. Those moments always give me extra strength and remind me of how much I have to be grateful for.

When mummy pulls into the driveway, after a busy day at medical school, I see excited young faces at the window, I hear the door bursting open and two little beings yelling with joy as they run into my arms shouting “Mummy you’re home”.

My mind flashes back to when I was five years old, and I used to rush into my late father’s arms when he would come home from a long work day at the hospital. I remember him swirling me around and around, him biting back his fatigue so he could spend some special moments with me.

Thirty years later, I am in a similar position with my children and I absolutely love the fact that I get to come home to them and that their excitement and joy remind me of how much I am loved and appreciated.

My husband and children give me a reason to smile everyday!

img_0646

img_0650

img_0749

Reflections on Family and Medical School

There are less than 3 weeks to go until the start of medical school! The countdown is on and we are so excited as a family. I have been spending as much time as possible with the kids before school starts and I am treasuring the simple yet special moments I have with them, like a visit to the zoo, the beach or making chocolate chip cookies together. Or simply having them envelop me in a hug and say, “Mummy, we love you…and we’ll always love you.”

I am so grateful to have had almost 3 uninterrupted years at home with my two children. It has been a gift and a refreshing break from my research work in the pharmaceutical industry. When my husband and I revisited the idea of me going back to school to pursue medicine, I had pangs of guilt about being away from the children. I wondered if they would understand why mummy is away for such long hours at school or the hospital. I know the guilt is something I may struggle with throughout my training and career. But I also know that the kids are very much loved and my husband and I have a game plan to maximize quality time with them. I hope that we can be a good example for them.

To my beautiful children, I have witnessed your first steps, your first words, your first falls, your first tears and your first laughs (and yes, changing more diapers than I ever thought were possible!). You have shown me a new side of myself and given me the gift of allowing me to nurture you.

Although the next few months will be a transition phase, I feel at peace that we are heading in the right direction as a family. Today, I was excited by the simple act of buying stationery for both myself starting medical school and my son starting kindergarten (my husband laughed at me enthusiastically showing him my stash from the dollar store: highlighters, stickies, pens, to name a few!).

I am also happy to announce that my very independent daughter decided to potty train herself in the month of June. I had been really hoping to get it done before the start of med school and was aiming to start potty training in July. She beat us to it telling us proudly, “I don’t want diapers any more mummy, I’m a big girl!”…….Well alright then! You go girl!

My husband and I have also been having some interesting discussions about what medical specialty to go into. I have been talking to several doctors in different fields and reading up as much as I can. So far, my interests are quite diverse: family medicine, obstetrics/gynecology, surgery and pathology. I am going to remain open-minded throughout my learning and enjoy the process. I know there will be many challenges ahead but I am absolutely thrilled to be finally doing this after so many years of planning!

Thank you for staying with me on this journey! I am excited to share it with you!

IMG_0446
Her first visit to the Ecomuseum
IMG_0484
Relaxing on the beach
IMG_0377
Brother-sister love!
DSC02484
Getting ready to bake some delicious  cookies!