Happy 2019 dear readers! I hope you had a fantastic December holiday!
Clerkship Updates! I have just completed a month in In-Patient Psychiatry and I have to say that it was an extremely humbling and eye-opening experience! My rotation consisted of following patients in the psychiatric unit, doing consults and reassessments in the ER, reassessing medical patients with psychiatric symptoms on a number of different wards, as well as interviewing and assessing families in Child Psychiatry.
What I learned from this rotation
I went into this rotation with trepidation because I felt I did not have much experience managing mental illness but I learned so much from my patients about their life-stories, hardship and resilience. I was humbled by what they have been through and how far they have come. I was surprised by how attached I got to some of my patients and how much emotion I felt towards them. These were people from all walks of life. It could be me, it could be you. A very humbling experience. I also feel that this rotation really helped me improve my interviewing skills which will be very applicable to my interests in Family Medicine.
What I enjoyed most
Seeing my patients get better and discharged from the hospital, particularly after a long admission! I also really enjoyed the human side of medicine on this rotation. Many of my patient interviews were simply about getting to know the person in great detail, which was really a wonderful and sometimes emotional experience. The teaching and support during this rotation was also excellent, with plenty of opportunities to share our reactions and feelings about the rotation.
What I struggled with the most
The greatest challenge for me on this rotation was wondering if I was really helping my patients significantly. But I was amazed how many patients appreciated simply being listened to during their moments of crisis and how the hospital was actually a refuge and place of stability for them.
My take home message
My In-patient psychiatry rotation was really great. I learned so much from the staff and patients. I am realizing now more than ever that it is really important to reflect on each day and process the feelings you have about what you see. It is human nature to feel the pain others have and so I feel it’s important to process these feelings in a way that works for you. Some suggestions include reflection, art, music, talking about it or writing about it.
Next rotation….Urban Family Medicine! Thoroughly excited! Stay tuned for more updates. Wishing you all the best for 2019!
As I write this, I am sitting on a paving stone step, listening to the wind blow through the slender pointed leaves of majestic eucalyptus trees towering over me, forming a blanket of protection against the omnipresent African sunshine. My family and I are thrilled to be spending the Christmas holidays in my home land…Kenya, where I was born and raised.
It has been 7 years since my husband and I were last back. And this is the kids’ first trip to Africa. They have loved every moment of it, from the perfect weather, to the friendly people, to the delicious food, to getting to meet cousins, aunts and uncles for the very first time. Words cannot express the joy in seeing my own children embrace the culture of the country where I grew up and of which I have so many beautiful childhood memories. It feels like I have come full circle!
During our 2 weeks here, we have been staying at my mum’s house in Nairobi and the kids have already reignited the bond with their Gran who they hadn’t seen since 2014. We have been having a wonderful time and I am not sure the kids will ever want to leave at this rate!
And what about med school? The last block (Neurology) was fantastic. Without a doubt, one of my favourite blocks! The last month of school was quite intense with block and anatomy exams, presentations and standardized clinical exams. It is bittersweet to have come to the end of my “classroom” learning (already!) but also very exciting to be starting TCP (Transition to Clinical Practice) in January. My rotations will be in 3 main blocks:
Family Medicine, Pediatrics, Neurology
Surgery, Anesthesia, Radiology, Ophthalmology
TCP will run from January to June and then, after a one month summer break, I will begin my 3rd year clerkship rotations at the end of July.
The next few months will be quite an adjustment for our family due to the long hospital hours. I will have to be strong being away from the kids so much but I know they are in good hands and we will work through this as a family!
In the meantime, we will enjoy our last week of vacation here in warm, sunshiny Nairobi before heading back to snowy Canada in the New Year. Merry Christmas to all my readers and thank you for reading! I hope to continue to hear from you in 2018! Whatever dreams you may have, continue working towards them and never give up! All the best!
There’s something I just love about trains, particularly old trains. As a child, we used to take the train from Nairobi to Mombasa at the coast of Kenya during the school holidays. The trains were old and rickety with small cabins that could fit four people. We would congregate at the train station in the heart of downtown Nairobi in the late evening in anticipation of an all-night journey to the vibrant coast of Kenya, it’s white beaches drenched by the warm waters of the Indian Ocean.
As we drifted off to sleep lulled by the chaka-chaka sound of the old train, the night was pitch black and the stars crystal clear. The morning greeted us with salty, humid coastal air. We would spend most days swimming or running along the beach, our feet entangled in dark green seaweed. Each night as we slept, I loved the rhythmic sound of the waves approaching and receding from the beach.
As we headed back to Nairobi on our favorite rickety train, we eagerly looked forward to the next year when we would be back to enjoy the lure of the majestic Indian Ocean.
My latest experience of trains was through the eyes of my 4 year old son who spent the afternoon with his daddy, uncle and cousin on a ‘boy’s day out’ at the Exporail train museum located south of Montréal. The museum has plenty of large trains to explore, model train set-ups with the finest level of detail and of course, train rides!
It’s been years since I have been back to the coast of Kenya. I will forever cherish the memories of the old train-rides shuttling back and forth between Nairobi and Mombasa in my homeland Kenya.
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.
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.
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!”