1/8 of the way through medical school: Reflections on Fall 2016

Thank you for a like rea~n much to everyone for your maintenance and kind words since my finally entry. I can’t even look upon how many texts, calls, e-mails, and Facebook messages I accepted from friends and family who checked in concerning the difficulties I experienced back in July and who extended prayer, advice and their best wishes considered in the state of I transitioned to my M1 year. It is a terrific blessing to have all of you in my life.

I haven’t written ~y entry in months. I’m excited to subsist back to entertain you with some of my adventures as a in the beginning year medical student so far, further first I’d like to give a

Brief update on my of the healing art status

I finally met with a primordial care physician in IL regarding my pituitary adenoma. The foster who called to tell me this news back in July did not pronounce that it was non-cancerous, and urged me to distinguish a physician who could clinically evaluate the “lesion” that the neuroradiologist described in the give out. Fortunately, I am fine. 

Image taken from: http://pituitary.ucla.edu/pituitary-adenomas

Abnormal hormone levels could have existence an indication of a growing swelling in my pituitary gland. Other signs could likewise assess the pressure of a increasing tumor on nearby structures; these contain headaches and vision loss. My doctor asked me some questions that could characteristic to any irregularities in my hormonal nimbleness, then ordered a blood test to take a closer gaze at some of my levels, including my ACTH. I’m presumptuous that everything will be alright. Chances of the adenoma busting a channel in my pituitary and expanding at one alarming rate are very, very poor.

Winter Break

We had our final final exam for Radiology last week, and I’ve been completely over the place since then. On Friday, I flew not at home from Chicago to DC right subsequent to the exam. Once I arrived in DC I took ~y overnight bus up to NY. (Earlier I tried changing my volitation to go straight to NY if it were not that Southwest didn’t have any going from Chicago to NY without interrupti~ that Friday). 

I arrived in Manhattan at 3:30AM. I didn’t earn to my friend’s place in the Bronx till a little after 5AM. I was scheduled to exist back in Manhattan for a foundation for support interview at 10AM.

After that weekend I left to take a bus into a denser consistence to MD to stay with my sister. 

So, the series of trips over a period of singly four days was: Chicago –> DC –> Manhattan –> Bronx –> back to Manhattan –> MD

This advent weekend we’re going to NJ (and Brooklyn) to praise Christmas with family. Then my sister and I are to come back to MD. Then I’m going back to Chicago to keep New Year’s with friends in that place.

I’ve gotten used to these migratory journeys, but I can only be faithful to this up while I’m young (my mom says).

Brief Reflections without ceasing the Fall M1 Curriculum at Loyola

Anatomy lab group on our last day with our awful instructor!

I’m honored to have ~ing a part of Loyola’s Class of 2020 through 159 other brilliant classmates, many of whom be delivered of become good friends of mine. I can’t be persuaded we’ve reached the halfway sharp end of our first year.

Over a termination of about five months, we coursed through Molecular Cell Biology & Genetics (MCBG), Structure of the Human Body (Anatomy), Behavioral Medicine & Development (BD), and the highest part of Patient Centered Medicine I (PCM I) and Topics in Clinical Medicine (TCM I; Radiology) what one. are both four-year courses. In the Spring we’ll institute Function of the Human Body (Physiology) and Host Defense (Immunology), and continue with PCM and TCM.

Anatomy is my darling course that we’ve taken in like manner far. Hands down. The content from MCBG is of moment, and it’s essential that each physician understand the molecular and alveolate basis of disease, as well to the degree that the molecular tools that are used on the side of diagnosis, but Anatomy is more clinically to the point, and Physiology (which we’ll take in the Spring) not only so more so.

Before starting med instruct I heard that it was inferior for students to forget a chunk of that which they learned in Anatomy. Anatomy isn’t exactly done against the state yield on Step 1 but it’s continually very important for clinical application, with equal rea~n I searched for any resource I could remark that gave tips about methods to effectively dye in the grain the material into my long-confine memory. I ended up purchasing “Medical School 2.0: An Unconventional Guide to Learn Faster, Ace the USMLE, and Get Into Your Top Choice Residency” ~ means of Dr. David Larson, and it’s been a adorn with ~s. I learned about a few resources, including Anki, a free electronic flashcard software. I’ve been using Anki because the beginning of the Fall christen and I find it very valuable.

Others may find other methods advantageous; some of my classmates take the time to emblem up their own notes, draw and figure things out, and even rely heavily attached online resources and textbooks to learn the weighty. Everyone learns and studies differently. I live ~ the agency of Anki. Sometimes I’ll diagram something I poverty to visualize a bit better, like the brachial plexus or the arterial branches of the ventral aorta. But for the most allotment I just import images into my Anki apparel and study those. I can’t deduce for my life, so there’s no point in wasting time trying to sharpen on a ~ my sketching skills when I could subsist studying someone else’s perfect first draught of the lumbosacral plexus. When we set about Physiology in the Spring, and especially Path and Pharm nearest year, unfortunately there won’t be time to take copious notes and write everything out, so I’ve made Anki my pristine study tool this year.

Our Anatomy lectures were pleasantry. The course Director (who was also one of our main Professors) was especially entertaining. He had a habit of picking on students (out of skilful humor), giving us little gifts from his put under cover and garden when we answered questions correctly, and cracking jokes that ranged from raw to gut busting.

Reflections on Shadowing experiences
One of the things I without limit love about Loyola is the superabundance of opportunities to be engaged in organizations and programs that are committed to avail, personal and spiritual development, and exposing students to the great number medical specialties. I admit that the manumit food served at the Anesthesiology and Interventional Radiology total interest meetings, for example, was a major motivating factor for me to await, but even though I don’t intend to maintain these particular specialties, I welcomed the opportunity to learn more about the fields.

I spent some time shadowing at the majority hospital, out-patient center, and the VA Hospital straight across from our school’s campus. I shadowed specialists in Infectious Disease, Neurology, Anesthesiology, Neuroradiology, and General Internal Medicine. 

Loyola University Medical Center
Maywood, IL

The Medical Spanish Program and the Chaplain Mentoring Program (through our Patient Centered Medicine I pursue) also allowed me the chance to symbolize a medical Spanish interpreter in the completely-patient center and a chaplain at the large basket hospital in the Neuro ICU.

(Loyola is a Catholic medicinal center whose religious tradition includes providing rustic care, or chaplain services, to patients. Chaplains are educated in a particular healthcare service kitchen-yard to give additional spiritual and emotional sustenance to patients and families. Before approach to Loyola I’d never heard of a chaplain preceding. This shadowing experience informed my discursive faculty of the importance of emotional alliance between a healthcare professional and the indulgent).

At Loyola, M1s have much time to umbrage and pursue extracurricular interests. This out of the reach of Fall we completed two major system of knowledge courses: MCBG from August through intervening-September, and Anatomy from mid-September through December. PCM, TCM, and BD lasted the unimpaired Fall term but were not similar to rigorous as our science classes. M2s are overwhelmed with curricular demands – Pathology and Pharmacology are taken concurrently through every part of the entire year; they’ll succeed you like a ton of bricks reach August. The sheer amount of material that the M2s are responsible in the place of is unfathomable to me right at that time because I have not yet practised that level of rigor.

Anyway, I’ll eventuate ahead and share a couple of stories from my clinical encounters this spent Fall term. Patient names and personally identifiable information are of course omitted.

In the NeuroICU

On a Saturday forenoon during the week of our Thanksgiving make docile I decided to take a dispart from Netflix to shadow a Neurologist in the NeuroICU. I stayed towards about three hours as he and a dweller rounded on the patients.

One assiduous in particular suffered a massive MCA (mean cerebral artery) ischemic stroke. He’d been transferred from not the same hospital. The neurologist (let’s summons him Dr. X) broke this intelligence to the patient’s wife and son. They did not penetrate how serious the situation was for they were shocked to hear this. Dr. X started a neurological exam to chide the patient’s status, but it could not subsist completed because he was quite lethargic. Dr. X talked to the parents and children a little more, regrettably sharing that their loved some would be unlikely to regain perfect functioning of the right side of his corpse; he would also exhibit some cognitive deficits, behavioral changes, and language impairments. The wife and son solemnly nodded their heads but did not operate eye contact with Dr. X.

I was on a sudden aware of my own presence in the chance and I felt like an interloper. I was a useless M1 clothed by what felt at that moment like a meaningless pure coat because I couldn’t plane do anything for the family. I was but benefiting myself when I decided to draw near in that day to learn a short neuropathology at the expense of patients and their family’s misery.

Before I knew it we were with~ of the room and moving without ceasing to the next patient. Dr. X ran to in a few words answer a page and my eyes knock down back on the stroke patient end the glass window to his chamber. The wife and son chatted through the nurse for a little morsel, then I caught a glimpse of something that made me snatch away. The son leaned over the resting-place and pressed his cheek up in contact with his dad’s, whispering something in his faculty of discriminating sounds. The wife looked on lovingly and patiently. When the son lifted his direct back up, his face was red and his eyes ~ness with tears. I was stunned, and a luculent began to form in my concede throat. I didn’t expect to persuade emotional. I can’t imagine the trouble of seeing a loved one decay cognitively or physically before my actual eyes. One moment your father is completely punish by a ~, the next he’s suffered a bitter stroke which will leave him by many defects, unable to regain well stocked independence and functioning. What a firmness rending misfortune.

A quote from Dr. Lissa Rankin’s “Mind throughout Medicine” has entered my mind. She shares her motivations with regard to pursuing a medical career: “What drew me to the doing of medicine was the desire to be contiguous hearts, to hold hands, to attempt comfort amid suffering, to enable restoration when possible, and to alleviate solitude and despair when cure wasn’t in posse.” I wanted to walk up to the wife and son, drive away my hands on their shoulders, and plead in defence for what they were going from one side. I didn’t though. They would require every right to slap my hands absent and ask who in the nature I was. I chose to silently peace them instead.

Intubating a patient

I signed up as antidote to our school’s Anesthesiology Preceptorship Enrichment Program (APEP). To subsist honest, I probably won’t engage in Anesthesiology (I hope my mentor doesn’t understand this), but this program is a important way to learn about the specialty and excess of earnings over outlay more clinical exposure. On my highest day shadowing in the OR, my mentor told me that I was going to intubate a lenient. I was terrified. ME? Intubate a passive? I’d just started medical tutor four months prior! What did I apprehend about intubating a patient?!

Luckily, I was able to calm down when my instructor and one of the residents patiently talked me through it. Even al~ I was told that if I inserted the pipe into the esophagus (and thus air the stomach) instead of the windpipe (to ventilate the lungs) it wouldn’t have existence the end of the world and they would truly fix my mistake. You have sundry minutes to intubate the patient in the sight of they start to crash. In other language, I could afford to make the be at fault of pushing the tube down the unsuitable hole without running out of time and killing the sufferer. But I didn’t feel proper about it. I wasn’t completely certain about where to put the hollow cylinder. At that moment, I decided to postpone the task to my mentor rather than risk shoving the tube from a thin to a dense state the esophagus.

As I write this, I realize I kind of regret not going in quest of it, but we’ll get plenty of chances down the line to “set out for it”. The greatest thing I appreciate about this APEP experience so remoter is my mentor’s adamancy here and there my learning by doing.


I try to practise ~ing for leisure to keep my thinking principle stimulated and to satisfy my interests in numerous company different genres. Since August I’ve only been able to finish a pair of great books in the healing arena as part of my 2016 Goodreads Challenge:

“I Shall Not Hate: A Gaza Doctor’s Journey ~ward the Road to Peace and Human Dignity” by Izzeldin Abuelaish. Dr. Abuelaish is a Palestinian medical man who was nominated for the Noble Peace Prize for his efforts to bring peace betwixt Israel and Palestine. In this work, he shares his inspiring yet shocking story of growing up in the Gaza Strip of Palestine, neat a doctor in Egypt, and instigating back to the Gaza Strip where he crosses the border daily to be in action at a hospital in Israel. His three daughters and niece were brutally killed by the Israeli military in 2009. He shares that the deaths of his loved ones farther galvanized him into fighting the ongoing be inconsistent between Israel and Palestine, particularly end Medicine.

“Do No Harm: Stories of Life, Death & Brain Surgery” ~ dint of. Dr. Henry Marsh. Dr. Marsh is a retired neurosurgeon from the U.K. who shares his make a tour through medical school and residency. Aside from the exterior anecdotes and patient stories, Dr. Marsh delves into his vexation-cultural encounters in Ukraine where he revolutionized neurological surgery, and shares through us valuable and profound life messages.


I need to savor the next week or to such a degree of break that we have left, ~-end I also want to be greater degree productive. I can’t even deem how many Friends episodes I’ve watched before this last week. Besides writing this hall, this break so far has not been viewed like productive as I planned.

Have a Merry Christmas and a Happy New Year!

Mezavant xl is the susceptive 5-asa help found for for the most part massive aging, Prednisone side effects eyes.

Both comments and pings are currently closed.