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Author Archive for mylifemypace

one step forward, three steps back…

The good news (I think): I’m finally almost done with my dissertation revision. I could have it done by the end of this week if my thoughts didn’t keep fluctuating and then focusing on how ephemeral life is. That and the fact that all I have left to finish is the discussion. One section doesn’t sound tough, but it is the section that needs the most work and the one that is the most difficult for me to write.

The bad news (or maybe not so bad if you really think about it): I’ve been asked to consider stopping my clinical work (read: my third year) and starting up again with next year’s class so that I would have my dissertation completely behind me and be able to start completely fresh instead of jumping back in with now super-experienced third years with only psychiatry under my belt. I have mixed feelings about this particular strategy. On the one hand, I do need that extra time to “prepare” myself as best I can by reviewing things like the physical exam and clinical reasoning, which I never was very good at in the first place. Also, since I’ve already done one rotation, I can take my last block off and study for Step 2, which I need to do well on since I’m going after Radiology. Oh yeah, and if I were to really return on rotation 5 as planned, I would be so far behind that I would not have any time to do any away rotations during my fourth year before having to apply to programs. I really believe that this extra year will be advantageous to me in helping me become the best possible Radiology applicant I can be. And, of course, I’ll have no more dissertation hanging over my head. On the other hand, now I’m going to be yet another year behind. One more year of not being done. Of not moving on with my life. Of not earning enough money to afford as many Chanel handbags as I want (though, really, in the grand scheme of things, I realize that life is far too short to spend coveting overpriced designer handbags). Oh yeah, as if it wasn’t hard enough to join the current class I’m in, I’ll have to do it all over again with a new batch of people. Not to mention that I’ll have to start the warm-and-fuzzy doctoring class all over again. I suppose I’ll just make sure to take on an early case since I’ll know what they’re all about.

Hmm…now that I’ve listed out all the pros and cons, it’s perfectly clear that taking the rest of this year off and starting again next year really is the best thing for me to do. Now, it’s not set in stone yet. There’s going to be some headbutting between bigwigs over this plan, but we’ll see where it goes. Until it’s decided, I’m sure as hell going to enjoy my carefree days. There’s nothing like tasting just a tiny bit of the third year of medical school to make me appreciate the finer points of doing nothing 10,000% more than I ever did before.

i took the plunge!

So part of our third year curriculum includes the much-loved warm-and-fuzzy doctoring class that kicks my ass because I’m so not warm and fuzzy.

I’ve been trying to not be super quiet, but it’s been hard because my group consists of people I don’t know who all seem to know each other so well and because there are a couple of extraverted people who tend to dominate the discussion. But I am thankful that there are only about 2 extraverts instead of 6 when I got screwed during my second year.

Well, the other day, our session was about dealing with family members of someone in the ICU who isn’t going to make it. The discussion centered on how difficult it is to handle such a tough, emotional situation in a way that makes the family feel better. And, of course, just to make things hard on us, there was going to be a standardized patient interview. We decided to fly by the seat of our pants early in the course, with the interviewer volunteering on the day of the interview instead of pre-assigning days to people. Of course, I did not volunteer. Not because I was afraid of it being too emotionally draining or heartbreaking or whatever. But because this case required loads of empathy, which I severely lack and I didn’t want to be evaluated doing the thing that I am weakest at (these stupid mock interview evaluations go into our Dean’s Letter to residency programs!). Someone else volunteered, so it was okay.

But after learning the heartbreaking details of this particular case, the volunteer interviewer chickened out, saying that she knew she would break down during the interview (which I thought was lame because we all know that this is fake!). She did break down right after making that statement and left the room in tears. Somebody apparently has too much empathy. So with her out of the picture, we had to procure another volunteer. And no one else volunteered. Like I said earlier, I wasn’t about to volunteer either. But after two prolonged awkward silences, I knew that I was ripe for being picked on because I hadn’t talked much in any of the prior sessions. So before I could be forced to “volunteer,” I volunteered.

And the interview was hard. Our standardized patients were an irate father and a hysterical mother. The mother I could deal with. The father…not so much. But I eventually muddled my way through and it wasn’t an utter disaster (as has happened to me before in my second year warm-and-fuzzy doctoring class). I actually got pretty good marks, which I’m happy about.

What I’m proudest of though is the fact that I volunteered and that I wasn’t as self-conscious and nervous as I usually am about these things. Maybe it’s because I don’t know these people and don’t care what they think of me. Who knows. But it was a really big step for me. This case was hard for me, but not in the same way as it was for other people. Everyone else’s heart breaks over the case itself and they fear that they cannot stay unemotional while talking to the patient’s family. I have the opposite problem: I don’t really care and I’m not very good at pretending that I care. Which one is harder to deal with? Well, I think that less people would fault an overly emotional doctor than they would fault one who just didn’t seem to care. There is such value placed on empathy that it makes me feel that I fail at being a doctor just because I lack in that area. Forget my smarts. I’m screwed because I don’t have empathy.

Well, at least I was able to fake it until I made it this time.

on second thought…

I’m kinda screwed. Let’s count the ways:

1) My hypotheses suck. In my defense, I knew they sucked and I didn’t want to go with them, but my major professor made me. And now I get to look like an idiot when my committee member calls them “naive.”

2) My results suck. It’s not good when your baseline measurements are significantly different from each other.

3) My discussion sucks. That would be because no one told me how to write a dissertation discussion. And also because my hypotheses and results suck.

So yeah, I spent a week sulking over these sad facts. I finally got off my ass and started working on my revision today. And it’s not fun.

whoo hoo it’s revision time

Just the thing I was waiting for. Revisions. Do I sound excited?

It was hard enough getting the damn dissertation out. Now I have to revise it? I’m not actually as incredulous as I might be sounding right now because I know that my writing and my logic are not perfect and I expected that I would have to make massive revisions. I’m actually glad that the comments are pretty mild and that I don’t have to rewrite the whole thing as I had feared. But that doesn’t mean that the task doesn’t seem daunting to me. Especially because my world has just been turned upside down by issues I would rather not discuss. Just when I was getting back on my feet, shit happens to knock me back down.

In any case, one of the reasons why I’m just a tad annoyed at some of the comments I received is that a lot of them are about things that my stupid major professor told me to say or do that I disagreed with but that he said were fine. And when they got called out and I pointed out to him that it was him who suggested them to me and forced me to write these things, he tried to deny it or imply that I had misunderstood what he had told me to do. He actually criticized me on something he himself told me to do and which I hesitated to do! When other reviewers point out these things, it’s not like I get to defend myself and say to them, “But my major professor made me do it!” I just get stuck with these reviewers believing that I’m an idiot when I’m not. And that’s why this whole revision stings a little bit. Not because I think I’m perfect, but because not all of the mistakes are mine.

But what can I do, right? It’s always been like this with my major professor. If I just suck it up this time around, then I can be done with him for good!

just when i’d lost all hope in mankind

So my husband and I braved the weekend and college kid crowd at Ikea today to get a bedframe for our new king bed. Needless to say, it was crowded. And annoying. The last straw was when this lady totally bumped into and then rubbed up against me as she walked behind me while I was in line. It wasn’t even a tight fit and she didn’t even bother apologizing like a decent human being. She was lucky that I had (wisely) chosen not to carry my Chanel because I surely would have kicked her ass if she had bumped into it instead of my ratty Coach purse. Yes, I know it was an accident. And yes, no harm done. But I’m just sick and tired of how rude we’ve become. A simple, “excuse me” would have taken less than two seconds to utter and would have sufficed.

We finally made it out in one piece only to realize that we had underestimated the size of the bedframe we had just purchased. Or overestimated the width of our Prius’ trunk. Either way, there was no way in hell we were going to fit the headboard in our car. We debated whether our other car, a Japanese sports car, would be able to hold it and decided that we had no choice but to try. So I ended up sitting outside of Ikea with our impossible cargo for an hour waiting for my husband to make the trip home and swap cars. It was not fun.

When he returned, it still looked like an impossible task, but my husband was convinced that it would fit. As we were trying to figure out how best to lift the box so that we could angle it into the trunk, we were surprised to hear the young man sitting on a bench nearby offer to help. I would have been less surprised if he had busted out laughing at us and our antics. But true to his word, he helped my husband lift and place the headboard into the car, saving me from having to do so. And yes, it did fit. Barely. And hanging out of the trunk by a foot. But we made it home…thanks to the kindness of a stranger, something that doesn’t happen too often anymore today and gives this jaded writer a sliver of hope that decent people still exist in this world.

At the same time, this event makes me ask myself if I would have done the same I were in that guy’s shoes (assuming that I would have been of help). I know that I would definitely consider helping. I just don’t know if I would act. Sad but true. What about you? What would you have done?

yatta! it’s done!

FINALLY! I completed my first draft of my dissertation last Thursday, just in time to go on vacation! I can’t believe it took so long and all I wrote was 94 double-spaced pages. Looking back, it was really my own inertia that prevented me from finishing…the task just seemed so monumental that there was no point in starting, even when I had already finished everything but the discussion. I literally sat on my ass and watched my puppy for three weeks instead of working on it. When I finally did start writing again, all it took was a week for me to finish! Of course, it’s not done until I get my committee’s signatures and turn it in, which will probably require several painful revisions, but at least I’m over the first hurdle. I just hope my major professor can put his narcissism aside for a moment and not nitpick every word I’ve written. Not likely, but I can still dream…

in response to my dear reader post…

Ages ago, I noticed an onslaught of new user registrations without much in the way of comment-posting, so I wrote a post requesting that readers give me some input about what they want to see on this blog. I am now finally getting around to responding to loyal (I hope so still…) reader 314’s questions listed below.

1. Did you ever have any dream careers as a child?

When I was in elementary school, I wanted to be a scientist. I even went so far as to draw a picture of myself in a labcoat working with chemicals at a lab bench when I was in second grade or so. So I’ve always been interested in the sciences. In high school, I wanted to be an astronomer until my mom told me that I’d never find a job (she was probably right). Not very interesting, huh?

2. What did you think being a doctor meant when you first decided to go to med school?

I lived a pretty sheltered life until my mom passed away when I was in high school. Even afterwards, I remained pretty sheltered (thanks to a psycho possessive ex-boyfriend). I had never really been exposed to what it is that doctors actually do except for what I saw whenever I went to my own doctor, who was invariably either a family practician or a pediatrician. So I thought that being a doctor meant having my own general practice and that was what I wanted to do. I thought that being a doctor meant seeing sick people and making them better, even after watching doctors fail to cure my mom. To put it simply, I was pretty naive and idealistic about the whole thing.

3. How/why has that changed as time passed?

Well, the first thing I learned when I started med school was that there were all these different specialties that I could choose from that I had absolutely no idea existed before. Then I learned that I do not, under any circumstance, want to go into a general field of medicine (e.g., family practice, internal medicine, pediatrics). Then along the way, I learned that being a doctor isn’t all that it’s cracked up to be. I don’t like seeing sick people. I don’t want to see people die under my watch. I don’t like the long hours and being treated like crap. I’ve been lucky to have pretty pleasant patients so far, but I’m sure the day will come when I get abused by a patient who thinks that I’m not good enough for them (and they would probably be right). I haven’t yet been yelled at either, but I hate living each day in fear of the time when I will finally get yelled at. I’ve also learned that a large part of medicine is about how well you get along with people, which I utterly fail at. I make do and plenty of patients like me, but when you put me next to Mr./Ms. Extrovert, I look like an utter failure. So what’s changed from my idealistic vision of everything is that med school is full of abuse and that the long, hard road is seldom worth it. And that contrary to what I had hoped, I cannot change who I am and be good with people. Which means that I have to hide in the shadows in Radiology instead of becoming a brilliant diagnostician (because, unlike TV, I’m pretty sure I can’t be an ass like House and still have a job).

Wow. How utterly demoralizing. But you introverts might as well know that med school and being a doctor is 100x harder if you’re an introvert before you jump in.

update: of puppies, chanel, and iphones

Yes, I’ve been MIA again. It’s really hard to write when I’m too busy being a blob.

I deferred my second rotation because the ghost of my dissertation just would not stop haunting me. Translation: my asshole major professor kept demanding a draft from me despite the fact that no one really expects us to pump out a dissertation during our third year of med school. It was a tough decision, but it was just something I had to do in order to make sure that I could focus completely on my rotations so that I don’t fail. One can skate by with only half a mind on Psych, but not while on Peds or Medicine. And I’ve been making good progress so far.

This whole deferment has allowed me to enjoy life a bit more, which is good because I’ve learned to appreciate the little things, like watching my adorable corgi puppy sleep in my lap all day long. It’s also bad because I will have to learn to live a shadow of a life once I return in August. I’m not yet sure how I’ll deal with that yet, but my preliminary plan involves large amounts of Prozac.* Speaking of my puppy, he is absolutely awesome! He’s the cutest thing ever! I always thought that I would miss him having a tail (my other dog has a really fluffy tail that has a tendency to knock things over quite often), but I now find my puppy’s little nubbin to be quite adequate at expressing his emotions and quite cute to boot. From behind, he looks like a bunny hopping when he runs. He’s a handful, but nothing compared to the horror stories I’ve heard about other breeds. I definitely cannot imagine my life without him and can see why Queen Elizabeth II has a bunch of corgis.

What else is new? Well, say hello to my new acquisition:

Isn’t it pretty? It better be because it costed $1000 more than our 52″ LCD TV. I could also have bought the Macbook Air with the amount of money I spent on this purse. Or that Canon 40D DSLR that I’ve been coveting for a year now. But, no, because I am a woman after all, I instead blow my money on a Chanel purse. And all because it’s purple and shiny and super-limited-edition. It was supposed to be my reward for finishing my first draft of my dissertation. I was just at the boutique to try it on so that my husband could then later buy it for me when I fulfilled my end of the bargain, but we ended up buying it because Chanel newbie that I am didn’t realize what incredible good fortune I had to even be able to find it at this late juncture, but at least had the good sense to know that I would forever kick myself if I passed it up. So I possess this purse that I wasn’t planning to buy for another 10 years now and I am quite broke. It is also still all boxed up (my husband was kind enough to let me take it out for a few hours to take pictures of it) waiting for me to finish that draft before it can come out and play. And now you know why I’ve been so productive as of late.

And lastly, somehow beyond all reason, my husband was able to convince me to wake up at 4:30 am the morning of July 11th to head out to our local Apple store to wait in line for the iPhone 3G. Because, of course, I just had to have it. So that’s what we did. And it was quite the interesting experience. We were, of course, not the only crazies as there were already 50ish people there by the time we got there and the line grew to well over 100 people by the time the Apple store opened. I thought I would feel really lame about waiting in line for a phone, but I have to say that I was glad to have experienced it. Of course, my shiny new iPhone 3G was defective and I had to go back a week later to get it replaced, but at least I have one now. By the way, it’s also all sorts of awesome.

*I kid. Sort of.