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Wednesday, November 30, 2016

Breathing new life into my sails

Right after the my funk/MDD episode/all-time medical school low point, I started OB/GYN. As the rotation went on, I slowly climbed out of the deep hole I had been in earlier in the fall. It was the babies, the procedures, the surgeries, the patients, the Spanish. I felt like every day I was fresher, happier, and more optimistic despite the exhaustion, frustration, and disorganization that characterized this rotation.

OB/GYN fittingly ended on an incredibly high point. This is what I posted on my personal FB wall after my last L&D shift on my last day of the rotation:

It's easy to get down and lose perspective in the day-to-day grind of exams and evaluations during medical school. But then I have a day like Saturday where I delivered a baby girl into this world and unwrapped the cord from around her neck. She breathed her first breaths in my arms and a wave of relief washed over me with each one of her cries. Not only was she seemingly healthy but I hadn't dropped the baby!

As much as third year has been a struggle, moments like these make me realize how incredibly lucky I am to be doing what I love.

Even though I most likely won't go into OB/GYN I will always look back on it fondly.

Saturday, November 26, 2016

Internal medicine from a future surgeon's perspective

I've been on internal medicine this month and I've surprisingly loved it. For the first week, I even considered it as a career.* But then the future surgeon in me would rear its head.

For example, I was discussing plans for discharge with my resident. The patient had come in for stomach ulcers after taking too many NSAIDs for her bilateral knee pain (arthritis).

Me: "Last problem is pain management. I discussed avoiding NSAIDs and taking Tylenol instead."
Resident: "What would you do specifically for her knee pain?"
Me: "Bilateral knee replacement?"
R: "Not quite. Try again."
Me: "Steroid injections?"
R: "How about topical gel?"
Me: "Oh yeah, that could work, too."

Next time I should probably start smaller, at least while on this rotation.

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* Then we spent 5 hours rounding and discussing nursing home placements on a beautiful Sunday morning and that was the end of that.