Clerkship Update: Medical Genetics

I just completed my 2-week rotation in Medical Genetics and it was an incredible experience. My first week consisted of clinics where I got to meet pediatrics patients with a variety of genetic conditions. During my second week, I was assigned to the in-patient service where we were consulted  by the neonatal and pediatric Intensive Care Units to evaluate newborns and toddlers.

What I enjoyed most: 

This is a very intellectual specialty that requires extensive reading around cases. I very much enjoyed coming up with a differential diagnosis of possible conditions. The best part of this rotation was getting to spend an hour or more with each patient as we require much of this time to work through family histories in great detail as well as conduct a very thorough physical exam looking for dymorphologies, skeletel dysplasias, and any other abnormalities that could signal a possible genetic condition. I also appreciated refreshing my knowledge about the different types of Genetic testing such as FISH (Fluorescent In Situ Hybridization), aCGH (array Comparative Genomic Hybridization) and karyotyping.

What I struggled with most:

There is a vast amount of information to know in Genetics such as various syndromes, which definitely poses a challenge! Genetics deals mostly with diagnoses and counselling of patients. Although being able to provide a diagnosis for a child’s condition was very satisfying and would assist parents in learning how to manage the condition going forward, it was also emotionally challenging to not have a cure or solution for their condition. I wished there was more I could do for these families!

My take home message: 

This rotation increased my knowledge and understanding of congenital conditions which I feel will be important to consider when  assessing patients in the future. Medical Genetics is a fascinating field and this rotation increased my appreciation for the molecular intricacies of the human body. It was also humbling to witness how just one single DNA mutation could result in severe disease. It reminded me that having good health is something we cannot take for granted.

Featured image: Plethrons-Basics of DNA

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Summer Rest and Reading!

The past few weeks have been restful and refreshing as I have gotten to spend precious time with my dear husband, beautiful children and wonderful friends and family. I have had moments to pause and realize just how much I have to be thankful for!

One of the nicest things about being on summer break is simply enjoying the pleasure of reading books! My husband recently introduced me to the website bookbub.com where you can download books from Amazon and other sources at ridiculously low prices ($1 to $2 usually) or even free. If you are a booklover, then bookbub is a must have! Needless to say, my Kindle is bursting at the seams!

So what’s on my summer reading list? Here are a few select titles that I have enjoyed:

  • The Real Doctor Will See You Shortly by Matt McCarthy: The experiences of an Internal Medicine Intern
  • Praying for your Children by Elmer L. Towns and David Earley: A great guide to diligently praying for your children with guidance from scripture.
  • At the Feet of Jesus by Joanna Weaver: This is a great devotional to take a moment from our busy lives and simply spend time in God’s presence daily.

My other reading materials this summer included Case Files Obstetrics and Gynecology in preparation for my OBGYN outpatient clinic that begins in just 2 weeks time! I love the Case Files series in general because you work through several cases and it provides clinical pearls and practice questions at the end of each chapter.

Learn-French-Comprehension

My other goal for this summer has been to practice my conversational French in order to become more proficient and have better communication with my future Francophone patients. I want to provide the best possible care to my patients and not let language barriers be a hindrance to this. So far, I have been focusing on learning anatomy and history taking in French as well as listening to podcasts on a variety of topics in French. Just 10 to 20 minutes a day has produced drastic improvements in my comprehension and vocabulary!

Pictures from Summer 2018!

 

Featured image: View of Ottawa, Summer 2018 by potentialdoctor.com

 

Gratitude: Appreciating the Big and the Little Things

One of the things that I wanted to improve on from my last year in medical school was learning to slow down and appreciate the little things around me. I loathed the fact that mornings were rushed and it seemed like we were always ordering the kids around and rushing them out the door. With better time management and changes to our parenting approach, the mornings during the past week have been beautiful. I know that not every morning will go smoothly but I am simply grateful for those that do. This morning I felt grateful for 4 things:

  1. Brushing my little girl’s hair: I had dreamed of doing this ever since I was a teenager. After my first pregnancy ended in a traumatic miscarriage, it sometimes seems like a dream that both she and my son are actually here in my life.
  2. Getting hugs from my dear son: As I was getting things ready this morning, my son suddenly stopped me and said, “Mummy, I want to do something”…he then enveloped me in a deep, long hug. Moments like these make the challenges of motherhood seem more than worth it!
  3. Being in medical school: As I looked over the voluminous material I need to learn over the next few weeks, I simply sat back and drank in the fact that although it’s a challenge, I am doing what I have been wanting to do for so long…and I love it!
  4. My Heavenly Father: I love the scripture in Psalms that describes God as a “Father to the fatherless” and a “Defender“. Having lost my father unexpectedly when I was 5 years old, I truly have seen God be a Father to me through the years. Despite the ups and downs, He has always been there for me. He is my hope and everlasting peace!

Take a moment to stop and reflect. What are you grateful for today?

Featured image courtesy of versiondaily.com

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!

Mid-Block Update…and Hello Spring!

Spring is finally here and it’s been a fantastic weekend enjoying the outdoors and spending time with the family. This afternoon, the kids and I spent about 2 hours outside attempting to tidy up the lawn now that most of the snow has melted. The miracle of Spring never fails to amaze me as I witness new bright green buds bursting their way through the ground with utmost determination. It is so refreshing! I also love hearing the sound of the Canadian Geese making their much welcomed return back home.

I am about half-way through the next block of medical school. This block is aptly titled “Defense” as we are learning all about the Immune system. I have to say that this has been one of the most enjoyable blocks of medical school so far. It is complex but simultaneously fascinating. There has also been a significant emphasis on differential diagnosis in this block where we act as medical detectives trying to decipher what could be the diagnosis of a patient’s symptoms. I’ll be wrapping up my Longitudinal Family Medicine Experience next week and I can’t believe I have had the opportunity to see over 100 patients over the past few months of medical school. I have learned so much and benefited greatly from a positive learning environment.

As the weather continues to warm up and we move into a new season, I am so thankful for my family, the people around me, the strength that God gives me daily and the wonderful opportunity to be studying medicine.

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This was the last big snowfall of the season (view from my daughter’s bedroom)
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The kids are super excited that Spring is finally here! We can finally go on the deck!

 

Glorious Sunset

One of the things I love most about where we live is getting to experience beautiful sunsets, particularly after fresh snow has fallen and the pink-purple rays of the sun cast a magnificent contrast to the gleaming white flakes of snow. I took these pictures from our dining room last night as my family and I settled down to eat supper, thankful that we live in a safe and beautiful neighborhood where my children are thriving.

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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!

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