Clerkship Update: OBGYN reflections and tips

It has been 3 weeks since I started clerkship and it is going very well so far. I started off with Obstetrics/Gynecology outpatient clinic where I had to give two presentations on cases I encountered during the rotation. I was also exposed to various diverse clinics:

  • Obstetrics: following pregnant women at various stages of their pregnancies, interpreting prenatal screening tests, measuring fundal height, finding the baby’s heart beat with doppler ultrasound (one of my favorite parts of this rotation!) and taking GBS samples
  • Gynecology: managing endometriosis, menorrhagia, performing pap tests and colposcopy
  • Gynecology-Oncology: managing patients undergoing treatment for ovarian cancer
  • Diabetes: managing pregnant patients with Diabetes Type 1, Type 2 or Gestational diabetes
  • Fertility clinic: managing patients trying to conceive via IVF or IUI.
  • Ultrasound: observing the routine ultrasounds for pregnant patients performed at 12 and 20 weeks of pregnancy as well as measuring nuchal translucency.
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Photo credit: parentmap.com

My reflections on this rotation: I found this to be a generally fast-paced,diverse environment with plenty of opportunities to do some procedures.

What I enjoyed most: I very much enjoyed the patient contact and sharing the joy of pregnant mothers awaiting the arrival of their little ones. I also enjoyed the clinics where I had the most autonomy to interact with patients on my own. My favorite clinic of the rotation was without a doubt Obstetrics!

What I struggled with most: There was a steep learning curve as I generally only spent one day in each clinic and every clinic runs differently. I had to learn to adapt quickly.

My take home message: I  learned so much from this rotation and felt that I improved in my history-taking and charting skills. I will wait until my OBGYN inpatient rotation to make a final decision about choosing this specialty but on a scale of low-medium-high, I would put Obstetrics and Gynecology as a “low” because I have much less of an interest in Gynecology than Obstetrics and there are alternative routes to practising Obstetrics (more on that later!).

My coping strategies on rotation:

  • I have a 2.5 hour daily train-commute which can be exhausting but I am using this time to study, read my Bible, decompress after a long day and also to read other topics/books that are of interest to me.
  • I make use of technology to stay in touch with my family and keep connected. For example, since I have to leave very early in the morning before anyone is awake, I Face-Time my hubby and kids every morning once I arrive at the hospital so I can see their adorable faces before I start my day. This is so energizing for me!
  • I have some prayer time during my 10-minute drive from my home to the train station (and on the way back as I reflect on my day). This plus reading my Bible on the train daily has kept me in a very positive state of mind despite feeling physically exhausted.
  • I aim to complete my reading/studying on the train so that once I am home, my focus is fully on my family.
  • It is challenging to find time to exercise so I wake up 15 minutes earlier every 2 days to have a short workout and then have my longer 35 to 45 minute workouts on the weekend.
  • Stay well hydrated and fed throughout the day. I carry granola bars in my white coat pocket or scrubs and carry around a bottle of water when feasible. This does wonders for your energy levels!
  • I had one particularly bad day last week where I felt extremely tired and did not feel my performance on rotation that day had been good at all. We have to remember that despite the really difficult days, there are better days to look forward to and it is all part of the learning process as we hone our skills.

I am currently on rotation in the Neonatal Intensive Care Unit and it has been both challenging and fantastic! I can’t wait to share with you my experiences on this rotation over the coming weeks!

Feature image photo credit: advocarepremierobgyn.com

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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

 

Parenting Principles That Transformed My Life…Speaking Positively

Raising kids is one of the greatest challenges one can face. It calls for the utmost patience, unconditional love, and draws stark attention to our own weaknesses. I personally realized that I was not as patient as I thought I was. I can recall my angry outbursts and frustration with my two young children (particularly my son), often feeling like I had no idea what I was doing when it came to parenting. I couldn’t understand why they simply couldn’t listen more…and whine less!!

This summer, with my kids home with me every day for 2 months straight, I knew something had to change with my parenting approach. I didn’t like the fact that I felt so much frustration and helplessness. I decided to take concrete action and found that I started to see significant improvements in my son’s behavior (and my own!) If there’s one thing that I have realized with kids, it’s that often their negative behavior is fueled by my own behavior and attitudes.

So what action did I take? In a nutshell, I prayed daily about the situation and I read parenting resources voraciously. Then I applied what I learned consistently!

I have distilled what I learned down to five basic principles which I learned from several different books and online resources. I feel that these ideas have completely transformed the way that I see myself and my children. I will share these principles with you over a series of posts, but let’s get started with the first one.

Parenting Principle Number One: Positive Speaking

  • Speak positively about your child and to your child:  A child responds to your demeanor and attitude toward them. If all they hear is negative words about themselves, this is how they will behave. Negativity can slip out unintentionally in a moment of frustration: “You’re so messy!”, “You’re so slow!”, “What’s wrong with you!!”. I know I have been guilty of putting down my son when I could have been more gentle or understanding.
  • How can you create a more positive environment for your child? Focus on your child’s strengths. What are they good at? What did they do well today? This can be in the simplest of ways, “Thank you for putting your toys away” or “You were really sweet with you sister today, that’s great!” or “You’re really good at building things, keep up the effort!” This doesn’t mean ignoring their weaknesses or any bad behavior, but it means putting more emphasis on what the did well rather than what they failed at.

This principle was inspired by reading “Raising Positive Kids in a Negative World” by Zig Ziglar.

Stay tuned for Principle Number 2 in this series of ‘Parenting Principles That Transformed My Life’

Featured Image Courtesy of jodysysler.com

Four Simple Stress-Busting Strategies

How do you handle a stressful job, demanding school work, family life, parenthood or the challenges of life in general? There is no one-size-fits-all solution but there are some strategies that can help us cope with the day-to-day demands we face. Based on my personal experiences, I have found that there are 4 things that consistently give me energy, stamina, improve my mood and attitude:

  1. Regular exercise: It can be tough to find time to exercise 3 or more times per week. There are so many other things that need to get done! But, physical activity is as beneficial to our bodies as healthy food is. In fact, when it comes to cardiovascular health, physical activity is just as important as healthy food. It can take some time to find a regimen that works for you but setting realistic goals and easing into it could help set the tone for a more consistent exercise routine. Why not start with just 10 minutes every other day? Establishing the habit is the hardest part but you can do it!
  2. A good night’s sleep: This means different things to different people. Some can get by on 5 hours while others (like me) need at least 8 hours a night to feel fully rested. I have personally found that my mood, attention span, ability to learn and handle stress are much better when I have been sleeping well. If you are feeling stressed, consider whether the amount of sleep you are getting is sufficient for your daily needs.
  3. Social ties: Sharing our struggles with those we trust can take some of the burden off our own shoulders and help us cope. There is no shame in feeling overwhelmed or tired. Reach out to someone if you can!
  4. Reflection: Taking time for reflection, prayer or meditation is a fantastic way to make sense of your thoughts and slow down the rhythm of our fast-paced lives. It can also help us bring to the forefront unresolved feelings, hurts or other difficult emotions. Why not set aside 10 to 15 minutes a day for this personal reflection time?

Whatever stresses you may be going through, consider the above basic strategies to help you cope. Simple but effective!

My recommended workout of the week. This is a great 30-minute cardio workout with light weights (5 to 10 pounds) that also targets chest, abs, glutes, obliques, shoulders and legs. For those with problematic knees (like me!), there is a modified version of the exercise displayed. In general, aim for exercises that target multiple muscle groups at once to get more bang for your buck!

Photo credit: highway2fitness.com

 

Accepted! I’m Going to Medical School!

On behalf of the Faculty of Medicine of McGill University, I am delighted to offer you a position in the Fall 2016 MDCM…program. Congratulations!

On behalf of the Admissions Committee, allow me to compliment you on your impressive candidacy. We are confident that your unique experiences and perspectives as a Non-Traditional Pathway student will enrich the McGill learning community and we look forward to your favourable response.

Yours sincerely,
Assistant Dean of Admissions

Words cannot express my joy when I received my offer of admission to medical school yesterday! This is a dream come true for me and after years of effort, three attempts at the MCAT, and my second attempt at applying to medical school, I have finally made it!

Yesterday and today have been  a whirlwind of events as I have spoken to many friends and family members. I have received an outpouring of beautiful messages from all over the world. At my women’s bible study this morning, I was smothered in hugs, smiles, laughter and happy tears as well as presented with a beautiful bouquet of flowers. A celebration party is already in the works courtesy of my friends who are as excited as I am.

Countless friends and family have been upholding me in prayer this whole journey and particularly after I received the difficult news on Friday that I had been put on the waiting list. My support network never gave up hope and continued to encourage me, support me and pray for me. I have never felt so much overwhelming love around me. My husband came home from work with tears running down his cheeks as we embraced for a long time and the kids were jumping up and down in excitement.

I feel that I have not been walking this journey alone. So many have been walking with me, picking me up when I fell down, motivating me when I felt exhausted, encouraging me when I felt like giving up.

This whole experience, both the highlights and valleys, has made me grow in so many ways and has strengthened my faith in such a mighty way. I am so grateful to all of you who believed in me and encouraged me. I will never forget the night in my kitchen when I announced to my husband that I was giving up on medicine and we talked for 2 straight hours about how that was not an option and we needed to talk through what my concerns were.

Through it all, my husband never wavered and continued to assure me he would walk with me through this journey. I owe so much to my family and friends, and in particular one of my big brothers and mentor who has been inspiring me since we were children, and who consistently told me how much potential  I have. I could not have done this without my Heavenly Father who gave me so much strength through my weak moments, and who guided me when I felt lost.

As I continue to absorb this exciting news, I think of my amazing late father who set a wonderful example of inspiration and dedication in his career as a surgeon. Taken from us to soon, daddy, but I follow this path in honor of you!

I want to encourage everyone out there who is on a difficult path, particularly those trying to get into medicine. It is very competitive, tough and sometimes disheartening to go through the application process, but persistence pays off. Keep trying, don’t give up! Whatever you set your mind to, keep your eyes above the waves and focused on your prize. You will get there at the right time!

Thank you so much to all my readers for taking the time to read my blog and encourage me. You don’t know how much it has meant to me and helped me along the way!! I know that the journey is only really just beginning and I still have a long way to go but I am just so excited to be starting medical school in the Fall!! Please continue to walk with me. It would be my delight to share my experiences with you!

This verse encouraged me multiple times during my journey:

“For I know the plans I have for you,” declares the Lord, “plans to prosper you and not to harm you, plans to give you hope and a future” Jeremiah 29:11

A new chapter of my life begins…I’m going to be a doctor!

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My beautiful family that I’m so blessed to have!

 

 

 

All Medical School Applications are in…Let the Waiting Games Begin!

Today I submitted the last of my medical school applications and it was a very rewarding feeling to hit the final “submit” button! I have also verified that the universities I have applied to have received all supporting documents and transcripts so I am relieved that this is all under control!

I have one last exam to do at the end of October, the mysterious CASPer exam (required by a few medical schools in North America) which is a 90-minute online exam with various scenarios in video and written format. I found some sample questions online that I have started working on.

In preparation for any potential interviews, I am practicing interview questions with my husband and have started reading through an interesting eBook called “Making Evidence Matter in Canadian Health Policy“. So far I have learned an incredible amount of useful information on Canadian healthcare (with some comparisons to healthcare in other countries) and I realized that some of my perceptions of the system were actually inaccurate. I also came across this useful website that has a plethora of ethics scenarios complete with commentaries to guide you through the thought process.

I am excited that this Fall season is promising to be very busy with some new activities at my church. Not only has the weekly “Women’s Morning Out” started back up (a fun morning of exercise, bible study and prayer) but I have also started teaching Sunday school to a cute bunch of 4 to 5 year olds (my little Caleb included) on Sunday mornings.

This past Sunday school class was a lesson in my perfectionism going right out the window. Between one child running around a table frenetically and another trying to eat play-dough, I ended up not sticking to my lesson plan and had to improvise to keep the children focused on what I was trying to teach them. After the class, I then raced down to the church sanctuary to take my place at the piano in time for the worship songs. It was a hectic but very fun day!

Today at the ‘women’s morning out’, as we exercised outside in the crisp Fall air, I felt really grateful to be in the company of people who are so accepting of you just as you are. We are a group of all ages, shapes and sizes! Back inside, as we studied the Bible, talked and prayed for each other, I felt completely blessed to be surrounded by a great group of women who are supporting me in my dream towards medical school and who are keeping me uplifted in prayer.

So as the waiting game begins towards the next step to medical school, I am reminded that no matter the outcome, I have so much to be grateful for already. Getting into medical school would be an added blessing to my life that is already enriched by so many wonderful friends and family.

Image courtesy of num_skyman at freedigitalphotos.net
Image courtesy of num_skyman at freedigitalphotos.net

Turkey Tails, Luna Moths and Canoes…Family Time in the Laurentians

Weekend getaways with the kids usually involve a significant degree of preparation. There comes a moment when I must sit on our suitcase trying to squeeze in all the various kid paraphernalia one needs while away from home. Our car is a Toyota matrix (not very big) but somehow my husband manages to cram in our suitcase, car-seats, food, playpen, feeding chair, books, toys, stroller, diaper bag and let’s not forget our two children and massive dog (Great Dane-Boxer mix) who takes up the entire trunk of the car! Despite the usual drama of preparing for a trip with kids, we had a beautiful weekend in the Laurentians visiting some of my husband’s family.

Turkey Tail Mushrooms spotted by Granny and Caleb in the woods
Turkey Tail Mushrooms spotted by Granny and Caleb in the woods

The weather was perfect all weekend for outdoor activities. While Caleb, daddy and Granny veered off the road and tromped through the woods investigating various kinds of fungi and insects, I continued to walk along the road with Naomi, not wanting to push the stroller to its limits in the vast interior of the woods. It was so peaceful with tall, sturdy trees lining both sides of the road, the sun glistening in between the leaves and casting abstract shadows on the ground below. Every so often, the sparkling lake came into view as random birds called out to their companions.

It’s moments like these when I feel especially close to God. I  breathed in the fresh air and took the opportunity to pray and sing. There were no requests or complaints for God that day, just a simple prayer to thank Him for his goodness and to appreciate the beauty of nature. Just then, a small deer trotted quickly past us almost as if he waited for the opportune moment to cross right in front of us. I scrambled for my camera but he was too quick for me to catch him in action. Before I knew it, he had disappeared in the dense foliage of the woods. Granny later informed me that he was probably a young, excited “teenage” deer, exploring the woods for some adventure.

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Luna moth found by Granny in the woods

After the tromp in the woods, Caleb and Granny got to work making cheese puff pastries and they were delicious! Caleb and daddy then disappeared into the woods again, sneaking in a canoe-ride and swim in the lake. The water was tranquil, undisturbed and peaceful. The “boys” had dared to cross it at this moment of complete calm and solitude. As we said goodbye to the panoramic mountains, I couldn’t help feeling an overwhelming sense of gratitude to be blessed with family both far and near. Sometimes I just gaze at my children and wonder, “Are they really mine? All mine? Amazing!”

Caleb and daddy canoeing on Horse-shoe Lake
Can you spot a little boy? Caleb and daddy canoeing on Horse-shoe Lake
Naomi getting a better view from daddy's shoulders
Naomi getting a good view from daddy’s shoulders
A picture of Northern Tooth Fungus courtesy of Granny
A picture of Northern Tooth Fungus courtesy of Granny