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Archive for September, 2009

Ever hold a heart in your hands?

No, I’m not talking philisophically. I mean really hold a heart in your hands. A heart that was once beating and supplying blood to the rest of the body. It’s unbelievable.

For the first time, I saw just how perfect the heart really is. It’s so ingeneiously created – everything is there for a reason! I followed the path the blood takes and finally really understood how it works. I saw the remnants leftover from our time spent as embryos. Life is about transition after transition, build-up and degradation, formation and re-direction. It’s so beautiful!

And then, I also saw the kind of work that can be done on a human heart to correct defects or parts gone wrong. New arteries were put in place of others, making sure that blood would continue to supply portions of the heart that were failing. I saw a pacemaker attached – how do they do it? And I saw what an unhealthy, failing heart looks like – large and overworked. And (this was the part that had the most impact on me), full of plaque. I don’t know how any of you think of plaque, but I’d see it on TV or in pictures and think, “It looks like squishy stuff that’s blocking a portion of the vessel.” It’s actually plaque, people. It’s actually very hard, almost like stone. It definitely gave me a new outlook on my own habits.

Healthy eating, exercise, and low stress? No kidding.

Now. How to work on those….

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Want good advice?

I’ve got it for you, right here, right now.

Ready?

You won’t believe it though. But I promise you it’s true!

(Yup, it’s one of those things I wish I had been told before coming to medical school).

Now you ready?

LEARN YOUR PHYSICS!!!!

I’m not even kidding. Learn your physics. Don’t sit there and think, “Ppffftt… Why do I need to know how Ohm’s Law works or bother with learning about circuits in parallel or series? I’m never going to use it again after this anyhow.”

WRONG!!!!! SO WRONG!!!

Guess what, my friends, physics will forever be with you in physiology. (Consequently, physiology is probably one of the most important medical school courses you will take. Think about it. Your body is based on it.)

Okay. So I’ve said my peace. Learn your physics. Or rather, understand the concepts behind it. No need to memorize, but be able to reason through it.

Now back to physiology…

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Resurfacing

It’s been a long time! I apologize for the lack of posts, especially if you’ve been one to actually follow regularly. Let’s see what I can let you all know about the (almost) last month.

You know that phrase, “hit the ground running”? Well, imagine that, but this time, hit the ground sprinting. And believe you me, you’ll be sprinting for the rest of your time here.

I think that this will be the beginning of my 6th week here, but already it feels like I am seasoned. Our days are very packed. We have an average of 4-5 classes in the morning alone followed by lab demonstrations and/or lecture related labs. Afterwards, I’ve found that we usually choose to make the most of our time and attend all the available TA sessions and congregate into small groups to review that day’s (or week’s) material. So what happens? I often don’t get home until about 10pm or so at night.

My poor Liesl.

One of the first major obstacles was to deal with the slew of exams. On Friday, the 18th, we took the anatomy and statistics exam for the lecture portions. We also took the skills exam for anatomy lab. Then, we had six more exams on the folowing 21st of September: Histology, physiology, genetics, microbiology/ immunology, biochemistry, and embryology. It was excrutiatingly tough.

Those of you who know me know that I am not one to slack off or to avoid tasks that need to be done. I may be a little disorganized (I mean really, my room is an organized mess…) but I nonetheless know how to handle my business. I studied long and hard. I did the best I could. The results? I only “passed” half of the exams… and it was heartbreaking for me.

So what does this mean? Will I fail? Am I doomed? Worse yet, am I stupid?? No. No. And absolutely not. (I just haven’t demonstrated that I knew enough of the material just yet ).

My Deans here have been of great support. I’ve met with them and discussed everything that could have gone wrong to get to the root of the problem. Essentially, here were the issues:

– Test anxiety. Huge issue. Not to blame, but definately a contributing factor. I must learn how to overcome it and to do so by the next set of exams.

– We were tested on six exams in ONE day. This was meant to allow us to guage how well our current study methods served us and to see if there was anything we could fix RIGHT NOW. So I’ll discuss that in a minute, but I pretty much ran out of time to study for some of the courses, and for others I was over-confident. Okay. I can fix that.

– Learning style. Here’s an important topic. I’m not sure if any of you feel the same way, but I’ve always been taught to study by reviewing my class notes, writing notes in my own words, reading the books, and taking notes from the books. Underline. Highlight. Bullet point. The list goes on. I’m not saying that it doesn’t work, but for me it has not allowed me to perform to my potential best.

Something that I’ve found over the last month is that I am a very auditory-kinesthetic learner. I need to move while I am learning, or to associate my learning with movement. I also need to discuss the topics, to reason through them, to see the words I hear. It’s quite probably the worst type of learner I could be, but after this set of exams, I am convinced that that is who I am. Here’s why…

I was fortunate enough to find another classmate, Rosyland, who was also an auditory learner (although she is Auditory-Visual). This worked well with me for a number of reasons. Firstly, I’ve always had trouble interpreting diagrams and graphs. The fact that this was a strength for her allowed me to be able to discuss visuals with her and thus learn concepts better. Secondly, I was able to disucss topics with her. She taught me, I taught her. It was great reciprocation and since it was a two-person team, short hours spent on lessons were so much more productive than the time I would have spent trying to write my own notes down. The results? The courses I was able to review with her, I passed with flying colors. The courses we didn’t have enough time to get to (we found each other two days before the exams), I, well, didn’t pass. What more proof do I need?

I know that I seem disjointed and that I’m rambling. I do apologize – I have an awful lot on my plate and that will not change anytime soon. Some of the lessons of the first exams taught me that review needs to take place MUCH EARLIER than the weekend before the exam. Thankfully, Ros (that’s what I’ll call her from here on out) feels the same way. We’ve decided to meet every weekend and review course material for that week. This weekend was the first and it went great! Unfortunately, we weren’t able to get to EVERYTHING, but we did get through the toughest, most dense material. The rest we will try to meet up and discuss throughout the weekdays. Having reviewed our material this week also allows us to quiz each other on the material regularly throughout the next few weeks (until the next exams) and so stay “well oiled.” I’m very happy and I definitely expect good results. So here’s hoping!

 

Now, time for a fun little riddle!!

What happens when you make students take six exams in one day (after having taken 3 two days before) and expect them to show up for class the next morning?

Only a teeny tiny fraction attend!   (Photo taken 5 minutes after class was supposed to begin. Professor was waiting for more students to show up).

 

Okay. Back to studying! I will update more regularly now 🙂

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Testing

 

Friday, September 18th and Monday, September 21st were testing days. This is what the scene looked like in the hours and before the exam. They mean business!

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Do what the cat is doing…

 

….. and say a little prayer for me!

– That I not panic

– That I breathe and remain calm and confident

– That I have the mental capacity to reason through questions and be able to correctly identify structures on the the Upper Extremity

– That I remember how to do simple math =p

– That I get a good night’s rest and not be tired during the times of the exams (8-10am and 2:15 – 2:40pm)

 

Cross your fingers!

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Worth a thousand words

Sorry, I really want to keep updating but I just don’t have enough time to write about everything I want to right now. After the 21st, things will be better again, so bear with me. Until then, live with a few images! 🙂

Liesl’s “cave”

It got a little chilly, so she burrowed her way under the blankets:

She couldn’t decide whether to fall asleep sitting up or laying down – but looked so cute!

Me and my Liesl! (She’s so sweet. I was feeling extremely tense yesterday afternoon and decided to take a nap. 10 minutes in, I felt a *pitter patter* on my chest and hear purring by my ears. I opened my eyes and she was staring at me. Honestly, if she could talk she would have said,

Whatcha doin’? You know what, I don’t think you’re feeling very well, so I’m just gonna plop myself down here and stay with you until you feel happy again.

She stayed with me there, asleep on my chest, while I slept for the next hour. I love her to pieces!)

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There are two ways to face the future. One way is with apprehension, the other is with anticipation.

 

Just keep your fingers crossed for me.

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Reflections on the last week

Hey, so it’s been a few days. Believe me, that’s a testament to how busy it gets over here. A normal day can look something like this:

Class 1: 8am-9am

Class 2: 9am -10am

Class 3: 10am-11am

Class 4: 11am-12pm

Lunch break: 12pm-12:50pm

Demo#1: 1pm-1:30pm

Study time: 1:30pm-3pm

Anatomy or Micro or Histo lab: 3pm – 5:30pm  (these lab times can vary depending on your lab number)

Or sometimes it can be replaced with Biochemistry small group

Point is, you’ve got something going on at all times of the day and the hours that you’re “free,” you’re really only free to study. Time management!! Key point 🙂

I think that, by far, the most intimidating course has been Anatomy. Honestly, it is just like learning a new language. Tell me if you understand this:

Branches of the profunda brachii artery supply adjacent muscles and anastomose with the posterior circumflex humeral artery. The artery terminates as two collateral vessels, which contribute to anastomotic network of arteries around the elbow joint.”

Okay. I’m not too dumb. I understand that they are talking about an arterial supply (meaning oxygenated blood is being pumped away from the heart and to the rest of the body). I understand that the location in the body must be around the shoulder or upper arm area (key terms: brachii, humeral). But what the heck does “anastomse” mean??? What are collateral vessels? Is posterior “up” or “down” or “behind” or??? Do you see what I mean? The above was only one of the more simpler examples too.

Thus, I’ve had to spend the entire first week of school trying to figure out how to even read through a sentence in its completion without being utterly confused halfway through. At the end of the first week, however, I still had not learned my first week’s structures. Week two begins, and I’m only barely beginning to understand week 1. And so on and so forth. Now we are on week 3 and it is my turn to dissect. As a dissector, I am in charge of giving a demonstration to my fellow teammates at the end of the week. Me! By the end of the week, I have to know this week’s structure and be able to teach them about it. It’s intimidating!

Really brings a whole new meaning to the colloquial saying, “I know it like the back of my hand.”

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Liesl

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The bonds of friendship

This isn’t necessairly class related, but I still found a conversation that a classmate and I had pretty humerous. My classmate’s name is Amara. It went like this:

During a study break, we contact each other via the gmail talk feature. In speaking, I find out that a strong point for her is in biochemistry/microbiology and  she finds out that a strong point for me is in embryology/genetics.

Me: So you’re good in biochem/micro? You’re my new best friend!!

Her: So you’re good in embryology/genetics? You’re MY new best friend!

And then she added,

Her: Wait a second… we weren’t best friends before?! Their isn’t a bond tighter than anatomy buddies! =p

(Clarification: Amara and I ended up deciding to work/study together through anatomy lab. [Almost] everyday, we go itno the lab and study the structures together. We drill each other and so on and so forth. Believe me… no bond is stronger than that one =p )

Anyhow. Oh, the life of a medical student =p

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