Passed the Step 2 CS and CK! The year in review 2013

22 01 2014

This is overdue post, but I passed Step 2 CS in May and Step 2 CK in August. There was a delay in the scoring report so I didn’t find out until the middle of September last year. The year in review I have completed most of my elective rotations.
After my Pediatrics Core rotation, I’ve completed:

  • Cardiology:  the doctor taught us a lot, there was a post devoted to this previously.
  • Pulmonology: after this tough rotation, I became a better note-taker. Walked out of this feeling like I got infected with TB.
  • Radiology: the most enjoyable rotation in this lifetime
  • Pathology: the nicest people I have ever met … probably bc they don’t deal with the stress of people on a daily basis lol
  • Heme/Oncology: learned so much about terminal conditions…
  • Infectious Disease: by far the best rotation I ever had. We had no residents so basically we were experiencing the real doctor life by doing everything. Walked out of this one scared of contracting Coccidiodomycosis which could basically be outside the lungs, in the skin, in the bones and joints, in the brain. My heart started to hurt after this rotation, makes me wonder if I even got infectious endocarditis like some bacteria vegetating on my heart valve.  There wasn’t an evening when I wasn’t feeling flushed or feverish after each evening coming out of the ICU/DOU units especially after patients have die from the H1N1 swine flu. It could happen to anybody when your immune system is lowered.

Now I am doing a Surgery Core rotation which has actually been treating me very very well! No pimping, no nasty attacks from Residents or Attendings. This is great! I don’t know about the last 6 weeks though, we will find out.

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Family Medicine week 6 completion

12 12 2012

This whole time, we get so excited when given an opportunity to work with the Attendings… However, today was a major disappointment, sadly to say. I had quite an expectation that our interactions with patients would be spectacular but the Attending doc I followed today sadly ruined the whole experience. He was not good with talking to patients at all. Why? I do not know.

But working near one is like serving besides some VIP, at times one can get your head chewed off and all we can do is just say “I’m sorry” and admit whatever faults that could have been better communicated.

Communication … he needs to improve on that.





Family Medicine rotation week 2

16 11 2012

It’s been stressful this week for my Resident. Even I feel the pressure. We had a cancer patient and two stroke patients and a Crohn’s patient… and in the previous week we saw CREST scleroderma patient too. The dementia patient is not ours anymore and is under another doctor’s care, but somehow he’s kind of like mine bc I have to keep visiting the same room he’s in.

The dementia patient walked off into the stairs today and tried to elope, but he’s a cute elderly. I told him “I have pampers. You want?” and he said “ok” and came back up the stairs. lol

However, not everything is rosie and fun. The stroke patient must have some kind of infection. I don’t know if it is sepsis or his blood pressure is malignant bc he was diaphoretic sweating from his forehead, feverish, and had hematuria. Was he going through kidney failure? I saw his green discharges from the eye yesterday but don’t know if he received antibiotics or not. His care is up to my Resident so what happened from last night to today? At this point, I am wondering what did the Cancer patient family say or do that made their care even more urgent than this patient’s? Was discharging them that important that the doctor had less time to focus on his other patient’s health? But thank God the Chief and Attending were there to help.  They made the appropriate decision to transfer our patient to where he could have constant monitoring as his blood pressure kept fluctuating in the 200s and 140s.

All I can do is pray for the guy to hang in there and get through this. He was doing better yesterday when I held his hand and we shared a laugh. I hope he can improve in a few days.





Near the last week of Psychiatry. My first rotation

2 10 2012

I haven’t been able to really collect my thoughts on everything that has happened thus so far.

Week 1. The first week of Psych went very well bc I was fortunate enough to have a super personal and nice Resident guide the way and teach us.  We learned Freudian theories and how to apply it to Human Development and Behavioral health. We traveled through Detox and Substance Dependence units and did Acute Partial Hospitalization / Mental Health and Chemically Dependent units.

Week 2. Went horrendously on Day2 and the next Resident and I settled things diplomatically so that it wouldn’t escalate. On top of that, I gained so much insight and understanding into his world also. Aside from what went wrong, he had made it up tremendously by giving me the guidance I could never have asked for elsewhere. I had the most memorable time in the unit as well since it held a lot Schizophrenic patients that I could never have imagined being all in one place.  My first encounter was with a patient who had a straight face and said “I feel like a muppet” causing me to turn around to look. What we do here is hold back any giggles or laughter even if we find it funny what the patients say sometimes.

The patient had also one day knelt in front of me and cried, begging us to call her mother, and it just startled me as I was at a loss of words and did not know what to make of it. The patient’s tears were real. The world they live in is so real in their minds and it was sad for me to understand what they go through.

Week 3. Another acute unit

Week 4. Children’s unit. The things that you learn here can break your heart at the same time enlighten you.

Week 5. That’s where I am right now. The Residents have switched units and I can sense that there is much strain or tension for the ones in charge of us. It must be difficult for everyone who feels obligated to be in charge of the students. Especially the ones that keep ditching unit time with the Residents to go study. Even the ones that got permission for time off to study got chided for hanging around studying. It’s been quite a challenging week. Things have gotten so much easier on the units in terms of filling out forms. The tension is just passing around, so we have to be extremely careful not to tread on toes. Even giggling could be seen as inappropriate. It’s just an inconvenience that there are not personal counselors or Psych therapists for these doctors who are working there. If only they had one, the well-being and mental health of the department would improve dramatically. For now, I’ll try not to be the target or dart board. It’s just kind of hard to do that sometimes.  What I’m doing now is just taking it all in stride even with the chiding and disapprovals. Some things once done cannot be undone. We should move forward. With my time here, I have enjoyed the Attendings joy for having students so much more and appreciate any chances of interactions we have with them.

Next week is exam time and I have very little time to think about anything. Few things I did learn is that there are some very serious students out here and a few who are the “I-know-it-alls”. They like to direct and boss people around and two are even as nasty as to isolate a fellow classmate, and another likes to say “I said her name, not yours” kinda deal.  Sometimes, you just have to laugh it off and pray for better days in the mist of other’s ignorance and immaturity. Ignoring the negativities is a must.





Passed USMLE Step 1 !

12 07 2012

I received my score yesterday morning it posted at 5 a.m. instead of noon time as the ECFMG / Oasis site stated, just a few hours earlier than expected. So 15 gray hairs later and all the time and effort injected into studying, reminds me that I have made it this far and should be so proud of myself! 🙂

I ran out to get the Physical Exam done and scanned turned in all the appropriate documents required by the Clinical Department (with guidance from my colleagues as to what to send. Thanks you guys!)

Today, I spoke with my really good friend about Ross training. I’m not going to lie; Ross was not a joke! And passing the first part of the licensure exam doesn’t make me entitled to being pompous about anything. It was a struggle the whole way as being out of school and bring out of touch with reality made it even harder to finish up to this point. Making the decision to go see my grandpa and hanging out for more than a month was a major break in studying. When I came back, I practically had forgotten a lot of things learned before. Saying one could review or relearn was basically lying to oneself, but  managed to pull through. 🙂

Since the basic sciences portion of my training was the most painful 2 years. What’s important is to not bottle it all inside and to find someone who can give you a slight positive pressure and the emotional support you need plus good ears on days when you need to cry.  Everyone needs someone to shoulder their burden for them to pour their heart out. Any negativity and drama has to be tuned out from your life in order to be successful. Choosing the right people to hang around with is also important: while one can motivate you to do better someone else can really drag you down.  At the same time it is important to talk to someone who really understands and comprehends what you are going through, not someone who will talk down to you or belittle you for the decisions you have made. You simply cannot please everyone!  At the end of the day, it is always yourself whom you have to battle with. Just remind yourself to breathe and take it day at a time as it comes.

What’s important is to try to be happy with yourself. Try to not take everyone’s problems to make them your own as you are already struggling. Because when one is not happy, it truly shows on your face and we age so much faster. Life is very beautiful and colorful. This beautiful rose reminds us to wake up and enjoy everyday of the life that is given to us.





Going to the end of earth for you

3 04 2012

I liked Kelly Clarkson’s version here but Trish Yearwood’s voice fits this song so well too.  I’ve learned to block out some very difficult challenges and at the same time I am going to work hard to look at a brighter future ahead.





BOOKS!

9 02 2012

Basic sciences is really hard. I thought this would be a fun post to just reminisce the books that used during our two years of training.

Semester 2 repeated books from semester 1. plus Neuroscience.

Books semester 1

Semester 3&4 books

Medical Microbiology / Immunology. One  is written by Dr. Louise Hawley (who actually teaches at Ross!).
Pharmacology
Pathology
Intro to Clinical Medicine (can read online AccessMedicine)

 

 

 

   

All you really need are these, especially MedEssentials:

Bates' Guide to Physical Examination and History Taking 2008  Netter's Clinical Anatomy 2005  Grant's Dissector 2008