Senior Talk

We had the much anticipated "Senior Talk" today. Some of the PA preceptors that we will be doing rotations with visited and gave us an overview of what the next year will be like. We were congratulated for making it to this point in the program and encouraged to continue being successful. At that point, we all smiled and patted ourselves on the back. But...that didn't last very long!

The meeting lasted about an hour and we were hit with a lot of overwhelming information. We received a list of all of the doctors and PAs that will be our preceptors. A lot of the offices/hospitals are located in Brooklyn and NYC. We were also given a procedure log that we need to carry on every rotation. There is a list of 17 required procedures and 7 optional procedures.

Here is the list of procedures (all must be completed 3 times).

Required:

Venipuncture
IV Insertion
Blood Culture
Arterial Blood Gas
Fingerstick
PPD/SC Injection
EKG
Nasogastric Tube Insertion
PAP Smear
Foley Catheter Insertion
Pelvic Exam
Rectal Exam
Dressing Change
Throat Culture
Suturing/Stapling
Splinting/Casting

Optional x 3:

Chest Tube Intubation
Endotracheal Intubation
Central Line Placement
Wound Debridement
Newborn Delivery
Removal of Foreign Body From Eye
Fecal Disimpaction

Of course the goal is to do every single procedure as many times as possible. As well as do any type of procedure that an MD/PA asks of you.

Every rotation lasts 5 weeks. Here are the required rotations:

Internal Medicine
Pediatrics
Emergency Medicine
Family Practice
Surgery
Geriatrics
OB/Gyn

We have to repeat one of the required rotations as well as choose one elective rotation (ie. psychiatry, dermatology, orthopedics, neurosurgery...basically any specialty/subspecialty of our choice).

At the end of the 5 weeks, there is an exam. You must pass the exam to move on to the next rotation. We will also be assigned a medical topic and have to present a powerpoint presentation to our classmates and faculty at some point during the year. There is also a required community service project of our choice that we have to complete (30 hours). And faculty will be visiting us at the hospitals/medical offices where we will present interesting patient cases including history and physical, labs, diagnoses, treatment (etc) to them.

When the meeting ended, there were a lot of blank stares and strained faces.

The guy sitting next to me whispered, "I'm scared!"

I let out a nervous giggle and winked...

"Me too...but don't tell anyone!"

On With The Show!

School has been pretty slow and laid back lately. So, I've been taking advantage of the hot weather that's currently blanketing Long Island with my usual favorite outdoor activities...mostly rollerblading and basking in the sun. Although, thanks to my dermatology class...I've become paranoid about every freckle on my body. If I don't become a hypochondriac by the end of this program it will be a miracle!

This past weekend I travelled up to Ontario, Canada to attend a wedding. This wedding was unlike any wedding that I have ever attended. In fact, this wedding is considered illegal in the United States. But, 130 people from around the U.S. travelled to Canada to witness the marriage of two of my girlfriends from college. Same-sex marriages are legal in Ontario and many people travel there to get married, but according to the locals, a same-sex wedding of this size has never been seen. Local news reporters were even there to capture the event!

The ceremony took place in a hotel overlooking Niagara Falls. The site was breathtaking. Both of the bride's fathers gave heartfelt speeches at the reception, and there wasn't a dry eye in the house afterwards. So, in that sense...it was like any other wedding I've attended...

Love is love is love is love. Love is Love.

Overall, it was a great weekend spent catching up with old friends, partying like rockstars, and forgetting that I'm a PA student (thanks to the cute bartender at the Martini Bar!). I came back to school feeling refreshed, refocused, and excited to get on with the show.

11 weeks until rotations!

Still Here...

Well, I just realized that it's been a while since I've last written. We're finishing up week #2 of the final semester of didactic year and it's been pretty much uneventful! At this point, not much phases me. Classes have been cancelled and added at the last minute and our schedule for June has been revised five times already (that's a record!). So, it's hard to plan anything outside of school.

There are a few weekends where we have class on Sundays. That is irritating when there is plenty of time to fit it in during the week, but for whatever reason...we have to be there...on Sundays in the Summer. (bummer)

The best decision I made in choosing a school is choosing one close to home. I live about 15 minutes away from campus and my gym is located in between. Some students travel as much as 2 hours (each way) and I would have gone insane by now. Sometimes we'll have up to 6 hour breaks and I can't sit in the library and study all day.

I've been doing a lot of rollerblading lately and I validate that by listening to lectures as I work up a sweat. Or I go to the gym and read my notes while doing cardio. Or in my car at the beach or boat dock. This week it was warm enough to sunbathe and study at the same time! Always a multi-tasker, I will basically find any excuse to avoid sitting at my desk lately.

Another reason why I can't stand studying at my desk is because I've recently lost my email buddies. I had a few friends that I would consistently correspond with over the last several months. Some were email and others were through instant messenger. Some have gotten married, had babies, moved in with significant others, or simply faded. And these disappearing acts happened simultaneously within a few weeks time.

I didn't realize how dependent I had become on having friends to chat with while I was up all night studying. Most of them lived in different time zones so that always kept it interesting. I had friends in Italy and Japan that I would correspond with for hours on end. But within the last couple of months, things have changed. It's always an adjustment when your life steers in a different direction as your friends. That has probably been the most consistent development throughout my 20's.

Here today...gone tomorrow...life is constantly changing.

Life changes...but I still have studying to do! That has not changed. I can't wait for rotations to begin. I'm really looking forward to getting started and gettng a move on with my life. Things feel stale lately...somewhat stagnant. I know I am moving forward, but it feels more like I'm treading water lately. That is why they say the third semester is the hardest, I'm tired of drinking from the fire hydrant. I'm ready to start using this information that has been crammed into my head.

I'm ready to hit the ground running...

Semester # 3!

Tomorrow is the first day of the 3rd and final semester of the didactic year! I start rotations exactly 3 MONTHS from tomorrow!!! I can't believe how fast time has gone by!

I thoroughly enjoyed our one week vacation. The last week of finals really kicked my butt. It wasn't fun, but I got through it. And from what I hear, we didn't lose anybody...which is awesome.

We have 8 more weeks of classroom work and then I am apparently ready to take on some patients?!? I have the same feelings about starting rotations as I did a year ago before starting the didactic year. Anxious and scared are a given, but I really feel excited to get out and start practicing. I'm looking forward to seeing what opportunities I find and the different paths that present themselves...and the people that I will meet.

We start off this semester with a bang. This week we have three 12 hour days and that seems to be the norm throughout the month.

I'm looking forward to seeing my classmates again. I'm looking forward to learning again. I feel rested. My batteries are recharged.

Bring It On!

It Takes a Village

It's Friday night and I'm totally exhausted. The week from Hell came and went...and I passed all of my finals! We didn't get our hematology grades back yet, but we were told that if we had failed, we would have been notified.

And I was not notified.

13 exams in one month. 6 of them were this week. Studying (cramming) a semester's worth of information into your brain the night before a cumulative exam, that would stand as your grade for the entire course, was daunting. And this happened 5 nights in a row!

It was a struggle to block out everything else going on in life to sit down and study a different subject day after day. Knowing that once you finished a 100 question exam, it was time to hit the books to tackle the next one. There was no time for distraction. No time for relaxation. No time to smell the roses. No time to simply have a bad day! I felt more like a robot than a human being as the week dragged on. A robot that had a few screws loose and was about to short circuit!!

The pressure over the last few weeks left me feeling really vulnerable and I found myself leaning on my family, friends and other classmates to help me get through it. Although I know that's a natural reaction to high stress and pressure...I don't like feeling that way. But, I'm lucky and grateful to those that stood by my side, listened to me and encouraged me.

It Takes a Village...and in my case...a village that spans the globe!"

Muchos gracias. Domo arigato gozaimasu.

Thank you very much!!!!!

Great Story!

Now this is a doctor that I wouldn't mind working with! (Although his buddies taking his blood should be wearing gloves!)

http://news.yahoo.com/s/ap/20060527/ap_on_he_me/surgeon_s_blood

Bloody Insane!

This morning's Hematology exam was a mess. This is the third class that this instructor has taught us and his last three exams have been challenging, but fair. So, we weren't expecting a torturous exam. The first ten questions sent quivers throughout the classroom because you could hear people moaning and groaning.

We all left the classroom feeling the same way and saying the same thing, "I think I failed."

Unfortunately, those words came out of my mouth too.

There's no time to dwell on it though...cumulative dermatology exam 20 hours from now. It's rumored to be a very challenging exam...

...the insanity continues.

Halfway There...

It's Tuesday and three exams are behind me...three more to go.

Surgery Part 2,
Physical Diagnosis,
Radiology.............................Done!

Tomorrow: Hematology (not fun)
Thursday: Dermatology (interesting)
Friday: Rheumatology (somewhat interesting)

The worst part about finals week is the lack of sleep. It's the lack of sleep that exacerbates the anxiety, fear, tension...that leads to panic, tears....and more tears! Cramming a semester's worth of work into your brain the night before a cumulative final exam that accounts for your entire grade for the semester is INSANE. Absolutely insane.

This week has been the toughest week to get through since the program started. This finals week makes last semester's finals week seem like a cake walk. And I'm sure I'll be saying the same thing when Semester 3 comes to a finish. Word has it that next semester is harder b/c all of the exams are held to the end...and it's the summertime!

Summer + PA School = Lethal Combination

SADD

I have diagnosed myself with a new disorder.

SADD

This disorder does not currently exist, but I'm sure every PA student in the country will back me up. Perhaps I'll write my senior thesis on this subject.

Springtime Attention Deficit Disorder (SADD).

I had no problem hitting the books in the Fall and Winter. But, ever since the birds started chirping...I have a much harder time concentrating on my studies.

Unfortunately, I think this disorder will carry through the summertime...

My motivation at this point is simple. I want to go to Washington D.C. for Memorial Day Weekend. If I pass all of my finals this week, I am off the following week. If I don't pass my finals, then I have to stick around to take a cumulative make up final. And that would ruin my plans for the weekend.

I basically only have one non-married girlfriend left in this world!! And she lives in D.C. We always have a great time together...and t-rex is definitely in need of some F-U-N!!!

6 more finals to go....

Commitment Phobia

I can't believe that we finished our last class for semester 2 tonight!

Only 6 more exams (in 5 days) and then it's over! Unbelievable.

What's even more unbelievable is that I start rotations in less than 4 months! We were given a "wish list" a few days ago. We have to do 7 required rotations in family medicine, internal medicine, OB/GYN, pediatrics, long term care, ER, and surgery. Each rotation lasts 5 weeks. But, we also have to repeat one of the required rotations and choose an elective rotation. The elective rotation can be anywhere and doing anything. For example, forensics, plastic surgery, neurosurgery, cardiothoracic surgery, dermatology, psychiatry etc.

I was overwhelmed by all of the options and unsure of what elective I wanted to choose. The kicker was that the "wish list" is due tomorrow! Yeah, we were given 3 days to map out our future. We are able to change it as we go along next year...

So, for now I chose to repeat either primary care or emergency medicine. And I chose infectious disease, psychiatry, and dermatology as my three elective choices. We'll see how that turns out...I know I will be changing my mind often. I am somewhat of a commitment phobe!

But, that's the beauty of this profession...unlike MDs...I can change specialities throughout my career. I just want to make sure I get a very well rounded rotation experience!

Million Dollar Baby

Going to the gym is my way of dealing with stress. 30 minutes on the arc trainer and life is good again! If I have extra time to lift weights...birds start singing and rainbows appear! As busy as the program keeps me, I still try to get there at least 3 times a week.

Last summer I took boxing lessons with some of the other personal trainers at the gym. I saw the boxing trainer trainer tonight and he started asking me about the program. I guess I sounded like a sissy, because he smirked at me and reached for his gloves.

He handed me the gloves and told me to start throwing punches. It felt good to be "back in the ring" again. We sparred together but he never actually hits me (hard, anyway). As we were sparring he kept yelling at me to keep my guard up. And he said something that really struck home..."Step into the Punch!"

"You know you're going to get hit and if you shy away from the punch, then you're going to knocked out! You have to step into the punch and take it. Then fight your way through it! Keep you guard up and step into the punch!"

So, I'm done being a sissy with this school stuff.

My guard is back up, and it's time to start stepping into these punches!

T-rex

Welcome to Hell!

So the feeling I had a few weeks ago that I was just going to cruise through the rest of the semester has been obliterated! There is a lot of stuff going on within the program and as a result, they've added on two more exams. Basically, the admin "forgot" to give us the surgery mid-term! So, now they added on that exam as well as another pharmacology exam. Apparently, the admin "forgot" to put antibiotics on the exam we took the other day. So, they're throwing together another exam for that.

Of course my class wasn't going to take this without a fight. So, the director of the program addressed the class and apologized for the miscommunication and carelessness of the staff. He also opened up the floor to hear all of our criticisms and concerns about how things are going. There are a handful of instructors that do not take their job as seriously or as professionally as we (as a class) would like. So, once that was revealed, I was surprised that the director actually took it to heart and promised that he would look into it. He is the type of guy that you DON'T want to get in a confrontation with!

He came back and addressed the class again the next day and told us that he is addressing all of our concerns. He even typed up a 3 page memo detailing the changes that he's making in the program. He also asked us to type up an anonymous letter with any other concerns we have about our education and the instructors. I was impressed...very, very, very impressed.

He went on to tell us that we are an exceptional class. He said that some of our concerns are the same as previous classes and that some of our complaints are common at all PA programs, especially at this stage in the game. But, he said that our class approached the issue professionally and that he is pleased with how well our class gets along and at how well we are all doing. Apparently, the senior class does not get along and they have a lot of problems. Our main class is next to the director's office and he says that he never heard so much laughter coming from a PA class before. There were other experienced instructors in the room that agreed with him.

So, that was very encouraging. But, then he went on to talk about the summer semester and our rotations in September. He went on to tell us that we are in HELL and will not be getting out of it anytime soon. He sympathized with our situation by acknowleding the stress we are under and the fact that unless you've been through this process you don't/can't truly understand it. The truth of the matter is that it's only going to get more intense, especially when rotations begin.

I tried to walk away from the meeting focused on the good stuff that was highlighted. But, it is getting tougher in the sense that we all feel like we don't know a damn thing. And they tell us that is exactly how we're supposed to feel. But, that is NOT a good feeling! As much as I enjoy learning about medicine, there is a constant, nagging, feeling of vulnerability and insecurity. And the realization that all of this training (torture) is for a J-O-B!

I know things will get better again once we get through the next 2 weeks, but we're all freaking out. We're all questioning the process. We're all wondering how and why we got ourselves into this in the first place! So, we moan and groan and tears of frustration are pretty common. The thought of keeping up this intensity for the next year and a half is daunting. Knowing that it will get worse come September is downright frightening! But, as a class, we pick each other up and that is really what keeps us going. That is what keeps me going. I also bank on the satisfaction that will come when I start treating patients. It's a short program, but a long road to travel.

And right now we're traveling over some bumpy ground.

A Glimpse of the Finish Line

Semester 2 Completed Classes!
Cardiology
Pediatrics
Pharmacology
Pathology
Pulmonology
Ophthalmology

Final Exams on Deck:
OB/GYN
Lab Medicine
Radiology
Surgery (2 finals)
Hematology
Rheumatology
Dermatology
Physical Diagnosis

The Simple Life

I was talking to a friend the other day about how I feel like the weight of the world is back on my shoulders. He questioned why I felt that way and I didn't really have an answer. Besides the 10 final exams that are waiting for me, life is good. But, there is a heaviness that comes with this program, with this responsibility...with practicing medicine. And some days that heaviness simply wears you down.

But then my friend broke it down for me, in very simple terms. "You will study, you will pass these exams, and then you'll start the 3rd semester. You will study, you will pass exams, and then you'll start your rotations. You'll study, you'll pass your exams, and learn during your rotations. And then you will graduate, and study, and pass the board exam. And then you will work as a PA."

I couldn't argue with him, because he was right. But, it does not feel that simple. There is so much to learn about medicine and it's impossible for one person to know it all. And therein lies the responsibility...the heaviness.

On the flip side, if it were that simple...I wouldn't be interested anyway!!

Semester 2 Countdown

I really cannot believe that Semester 2 is coming to a close. Three finals are done...only 10 more to go!!

This week was a rough one though. I spent the majority of the week recovering from a stomach virus. That was not fun and it made last week's jet lag seem like a piece of cake! When you're not feeling great, it's hard to focus on anything...especially studying.

Today was our Pediatrics final exam. I did really well on the first two exams but I had a feeling that this exam was going to be a doozy. And, although my gut was out of whack this week...I was right. One of the best things about my class is that we all seem to react to the exams in the same way. And it feels really good when you walk out of the classroom and see your classmates in the hallway with expressions on their faces that match exactly how you're feeling.

After several minutes of moaning, groaning, and bickering about answers, we wind up laughing at each other and at ourselves for the different reasons why we chose an answer. My personal favorite is, "when in doubt...pick all of the above!" We've learned by now, that life goes on after ridiculous exams...especially on Fridays when Happy Hour begins at noon!

I have learned some very useful skills over the last few weeks. I've learned how to insert foley catheters, nasogastric tubes, and draw blood. Learning how to draw blood has been my least favorite experience. I do not have a problem dealing with the sight of blood...as long as it's someone else's blood! I do not like to have my blood drawn. I do not like needles going into my own arm. And I do not like having students practice drawing blood on my arm!

I was lucky though since my partner was an experienced phlebotomist!

Trust me, that was not a lucky coincidence! ;)

Scrubs

If you took the cast of Scrubs and filmed them during the didactic year of medical school, you'd get a really good sense of what it's like to be in my class! Tonight was yet another episode full of laughter!

We had two hours of Physical Diagnosis lecture tonight and the MD featured the entire two hours on the RECTUM. Normally this MD gives us powerpoint handouts, but tonight he told us that he just wanted us to sit back and learn by observation. Yup, that meant that we looked at slides of different rectal disorders for 2 hours!!! It was downright disgusting!!!!

The doc lecturing us has a great sense of humor so that encouraged the other comedians in the class to bring it up a notch. I laughed so hard that tears were streaming down my face.

It's nights like this that carry us through...

Last week was a long week but I got through it and the jet lag is gone. But, I'm still getting to bed before midnight and I'm kind of liking the extra sleep! I wound up doing really well on the cardiology and ophthalmology final exams. Which is ironic since I didn't study as much as I usually would for them. So, perhaps I don't need to study as much as I think I do?!?! (wouldn't that be nice?)

We got our May schedule and the semester ends on the 26th. We have 12 final exams to get through in 26 days! At this point in the game, I'm not even phased. We do have 5 exams back to back in 5 days though, so that will be rough no matter what. But, all things considered I feel like I'm on auto pilot now and cruising through. I'm not saying it's gotten any easier, but I know what to expect at this point.

I really enjoy being around my classmates, we're a quirky bunch, and that makes all the difference in the world. When things get ridiculously stressful, someone will break the ice and make us laugh. Spit balls and passing notes has become a favorite pasttime. Before I started the program, I never would have thought that spit balls would be part of the equation! But, when you're bombarded with 9 hours of lecture, day after day, your brain turns to mush and wacky things start happening. And I wouldn't have it any other way...until, of course, I get nailed in the head with a spit ball!

So, I get a week off in between semesters, then it's full throttle until August 10th. Then we actually get a 3 week vacation before clinical rotations start September 5th. And although the thought of rotations is scary...I'm ready to move out of the classroom and into the field. They say the first year is learning how to pass exams in order to pass the PANCE (PA National Certification Exam). And the second year is when the real learning begins. All of the MD and PA instructors keep reiterating that medicine is not learned from a book...it's learned in practice. And, quite frankly, I'm ready to start practicing!

But, before I get to that hurdle I have get through the next 12 exams!!!

Un Dia Sin Inmigrantes

Wow. I apparently missed a lot of news while I was away.

I'm tempted to skip school and show support for the "Day Without Immigrants" rallies planned across the country. Or perhaps I'll just boycott big business for the day.

I'm hoping that a lot of good comes out of these demonstrations.

Every girl has a dream...

http://news.yahoo.com/s/ap/20060430/ap_on_re_us/immigration_boycott_day

Jet Lag Recovery

I will never complain about last minute scheduling changes again!! (yeah, right!)

Well, luck is on my "Jet-lag recovery" side. Today's opthalmology exam was fair. And our Dermatology class from 4-8pm was cancelled! Then we were informed that our Cardiology final exam was being rescheduled for Wednesday morning! Apparently, the MD forgot to fax the exam to the office before he left for his Las Vegas vacation!

Thank God MDs are human!!!

This gives me another night to get back on track. I'm finding it really odd that I've been in bed by 10pm and up by 6am every day...I know that's normal for most normal people...but, it's really odd for me. Especially since I'm studying early in the morning instead of late at night.

But, I'm sure I'll be back to my normal 2am, lights-out, routine by the end of the week.

Oh, there's also a rumor that we will be getting a 3 week vacation in August...right before we start our clinical rotations in September!

I'm already trying to figure out where to go next...

Post-Nippon Blues

My trip to Japan was wonderful. Unfortunately, I do not have the time to write about it. Which is a real shame. I have two exams over the next two days and Jet Lag is kicking my butt. It's always harder coming home...even harder trying to study!!!

My greatest piece of advice to prospective PA students has been to simplify your life as best you can. Well, my trip to Japan blew open the doors I had steadfastly closed shut for the last couple of years. Now that they're open, I'm not so willing to close them back up.

I'm distracted. I'm daydreaming. I'm totally preoccupied. I'm longing for another chance to go..."on the road."

I did have a lucid nightmare in Japan, about showing up to school totally unprepared for an exam. So, school was never too far from my mind. And I know that once I see my classmates tomorrow, reality will sink in and I'll get back into the race.

But, for now...I'm dreaming of cherry blossoms and clinging to the love that radiates from a country 6,000 miles away.

Most things in Japan get "lost in translation"...but love never does.

It just never does.

Full Circle

I've been pretty busy studying and preparing for my trip to Japan. By preparing, I mean bringing over enough "omiyage" (gifts) in order to make sure I don't offend anyone. I basically have to bring a gift to every home that I visit...and it's also wise to have some extra gifts handy just in case I wind up somewhere unexpected (like back at the school where I used to teach etc. )

I've been really enjoying getting to know my classmates. First semester was about surviving and proving to myself (and others) that I do indeed belong there. Second semester has been about stressing less about passing tests and more about strengthening bonds with people in the class. Before you start PA school, everyone tells you that your PA class will become your second family....and that truly is the case once second semester rolls around.

I feel as though the experiences I've had in the past are definitely carrying me through this semester as well as enriching my life as far as being able to connect with others. My experiences traveling the world is on top of the list. My Cambodian classmate is going back to Cambodia during spring break but must fly to Vietnam first. I've been helping him out with his plans. He originally planned on crossing the Mekong Delta in a canoe, but realized over the weekend that because of the "Dry Season", there's not enough water to carry him over and walking it would take too long. My father bought him the Lonely Planet travel "bible" on Cambodia and I sat down with him this morning and we mapped out a plan for him. It's also a much safer plan than the one he originally proposed. There are still plenty of mines that haven't been detonated in the forest between Vietnam and Cambodia...something he hadn't considered.

I also have a classmate that was a corpsman in Iraq. He saw a lot of death and destruction and he asked me about my father's experiences in Vietnam. So, I showed him an article that I wrote about my father's trip back to Vietnam in 2000 and now they're email buddies.

My experiences working for an AIDS organization has given me the opportunity to work more closely with some of the administrators/instructors of my program. I've been asked to help out in finding a Doc/PA/NP to come in and teach our class about HIV medications. I'm also hoping that I will be able to lecture my classmates on HIV/AIDS disease progression and dispelling the myths that still surround HIV. Unfortunately, some of the experienced medical professionals that have taught us about HIV are addressing topics insensitively and misinterpreting the laws regarding partner notification.

So we'll see how that goes...

I've got one more exam and three classes to get through before I can focus on my trip! I'll be up late Tuesday night packing....then heading to the airport Wednesday morning. I'm psyched about this trip. I've had my head in the books for the last 8 months and I need to get a grip on the BIG PICTURE. Leaving the U.S. always does it for me! I did have a hard time making the decision on whether or not to go...but I've definitely learned that I function better when I have more stuff on my plate. And my plate is definitely full...2 exams the first two days after break!!

But, I have two 14 hour flights....that's plenty of time to study!

This is my time to get back to living my life...

DVT

So we're sitting in Pathology class and the prof is talking about DVT (deep vein thrombosis) and his example for DVT was, "a passenger on a 14 hour flight to Tokyo is at risk for DVT!"

I cracked up laughing and so did my friends around me. Although I have no other risk factors for DVT, it's definitely going to be on my mind. I'll be the annoying passenger telling others on the plane to walk around!

I have 4 exams to bulldoze through before I leave next Wednesday! Exams have been going really well and I'm encouraged by the fact that most have been board exam scenarios. I cannot believe the amount of material we have blasted through over the last 7 months...it's enough to make my head spin.

And it's enough to give me insomnia. Other than that...things are well.

I'm hoping jet lag will cure me!!!

Japan Bound

I bought my ticket to Japan!

Japan Bound!!

We finally got our April schedules...on March 31st. Waiting for the following month's schedule is perhaps the most frustrating aspect of my program. Especially when spring break is fast approaching!

I knew the dates of spring break, but I didn't know the exam schedule. To my surprise, April looks like a manageable month for exams. However, 2 more classes were added on: radiology and hematology. But, we're finishing up pathology and cardiology soon.

I've been weighing the pros and cons to taking an impromptu trip to Japan all week. The most obvious con is jet lag. BUT...I haven't slept well since the program began back in September!!! So, I know I can deal with it.

After I booked my trip, I felt relieved and excited! I have received welcoming emails from my friends in Japan. All I really want to do is visit the people that became my second family while living 3,000 miles from home. Life in Japan can be a very isolating experience. If you want a glimpse as to what I'm talking about, rent the movie "Lost in Translation".

When I decided to extend my teaching contract for a second year, I decided I would really focus on solidifying my relationships with my Japanese friends and surrogate families. And that decision has brought many blessings into my life.

And that is why I want to return to Japan.

Spring Break

Big decision to make.

Spring break is quickly approaching. I've been thinking about going to Japan to visit my friends and "family" for some time now. I met some amazing people during the two years I lived there and it would be somewhat of a homecoming for me. I left Japan in 2000, visited in 2003...and it's now 2006.

My former JHS students are now in college! More friends have gotten married and more babies have been born.

And I'm a PA student.

It may be time to introduce the Japanese to the PA profession...

OB/GYN

When it comes to OB/GYN...ignorance is bliss!!!!

OB/GYN

We have an OB/GYN mid-term on Tuesday. During class today (sunday class, mind you)...the guy sitting next to me whispered, "I think I have PMS!" He was studying the OB/GYN notes and told me he was suffering from the following symptoms:

Weight Gain
Headaches
Irritability
Aggression
Tension
Anxiety
Depression
Lethargy
Insomnia
Appetite change
Loss of concentration
Poor coordination
Clumsiness

Although these are all somatic/psychological symptoms of PMS, I opted to diagnose him with the most obvious differential diagnosis: PA School Blues. Then I swiftly reminded him that his symptoms will resolve in 18 months. Unlike the rest of the females in the class...

But, perhaps that is why there are more females in PA school these days.

We're genetically programmed to handle the recurring and unrelenting stressful symptoms of both PA school and PMS!

Who knew PMS could be such a blessing?!?!?!

Dept of Labor

The Dept. of Labor ranks the PA profession as one of the fastest growing occupations in the country. Because of this ranking (last I heard it was #4), it's been featured in magazines and newspapers around the country. I'm not sure which publication featured the profession in the NYC area, but everytime I'm in Brooklyn and tell someone what I'm doing...I usually get one of the following responses:

1. Why not be a doctor?
2. That's great, it's only a two year program!
3. That's great, you're going to make a lot of money!

For the sake of time, I usually only address the first statement and nod my head to the 2nd and 3rd statements. But...here's what I'd like to say...

1. The PA profession is a better fit for my personality, career goals, and personal goals. And PAs report greater job satisfaction in comparison to MDs!

2. It's not really a two year program. The professional phase is 2 years. The pre-requisite phase is 2 years. The health care experience requirement is at least 2 years. Considering my previous psych degree, healthcare experience and pre-reqs...I'm in year 10! TEN YEARS!

3. If you're motivation to become a PA is to make a lot of money, you're NOT going to make it through school. PAs do make a healthy living, but can you really equate a dollar amount to the responsibility that comes with having patient's lives in your hands? You have to be passionate about medicine, passionate about helping people, passionate about learning. Medicine is constantly changing, it is a life long educational process.

There are continuing medical education credits that need to be completed on a yearly basis as well as re-certification board exams every 6 years. In my opinion, there are easier ways to make a comparable salary...and if money is your main goal...re-evaluate your options.

You will not be a happy camper.

Mach Speed

Besides the absolutely insane, mind blowing pulmonary exam 2 weeks ago....March has been a very quiet month. We had a physical diagnosis exam a few days ago and I didn't even get nervous. I had to perform a neurological exam on a fellow student and it worked out really well. We are required to memorize a ridiculous amount of information for these practical exams as well as perform a ridiculous amount of maneuvers/tests that aren't really used in practice anymore. It can be frustrating, but at the same time, it is a confidence booster once it is all done.

We have our first OB/GYN exam next week and although there is a ton of material, it's the only exam next week, so it's definitely manageable. And that's the scary thing...March has been manageable.

April and May will NOT be the same. Once again, we KNOW this is the calm before the storm. Once again, we KNOW we're going to get slammed with several back to back exams for a few weeks in a row. Once again, we KNOW we will be challenged intellectually, emotionally, and physically.

Once again, we KNOW we'll do fine...but we'll freak out anyway!! I know I will get a phone call at 2am the night before an exam from one of classmates freaking out! I know I will call one of my classmates the night before and freak out as well! And I also know that as long as I walk away from an exam knowing I tried my best...I will sleep well that night.

April will be interesting. We have 7 days of class and then we have Spring Break! Unfortunately, we will have exams the week after break. And by then, it will be the end of April...the semester ends mid-May!!

Once again, life is about to take off at mach speed!!

I'm ready!

School Daze

School is going well again. And I'm enjoying all of my classes. Here's a list of the classes for this semester:

Cardiology
Pharmacology
Pathology
OB/GYN
Opthalmology
Dermatology
Physical Diagnosis Lab
Physical Diagnosis Lecture
Intro to Surgery
Surgical Nutrition
Lab Medicine
Pediatrics
Hematology
Pulmonology
ENT (Ears Nose Throat)

So, that's the reason why we're in school 6 days a week. At this point, I don't really mind it because I love learning about medicine. It does stifle social plans...but, I'm used to that by now. I feel really lucky to be surrounded by the classmates in my class. I've gotten to know everyone a lot more compared to last semester. Last semester for me was all about survival and making my mark. This semester is about embracing where I'm at and building confidence by gaining knowledge and next semester...next semester will be about breaking out my wings....cause in September, it's time to fly!!!

The greatest difference between this semester and last semester is the schedule. Last semester we had to be in school by 9am every morning. Each class was 3 hours long. Most days we had between 6-9 hours of lecture.

This semester, most classes start at 10am, but some days, not until 2pm! Lectures last anywhere from 2 hours to 6 hours!!! There is no routine, no flow...every week is different. We also have several instructors for one class. Nothing is routine. Nothing.

I'm handling it a lot better now. As are most of my classmates. It's so reassuring when everyone else complains about the same thing! But, it took us a while to figure out why we were all stressing out so much compared to last semester.

As excited as I am to start rotations (September), it does cause a lot of anxiety. I'm pretty confident sitting down to take exams now. If you give me a multiple choice question, I'm pretty good at picking the right answer. The real challenge for me will be when I'm doing rounds and my supervising physician asks me a question without giving me a, b, c, or d!!! I know this is a common fear shared by all of my classmates...but, the thought still freaks me out.

So, I try to keep it all in the day. I'll deal with it when I get there!

Read This

http://hotzone.yahoo.com/b/hotzone/blogs2986

This is an incredible story.

The "Fun" Stuff

Today was one of those days that I will remember for years to come. We learned how to perform pelvic exams!

Thankfully, we practiced on plastic models and NOT on each other! There are 2 guys in my physical diagnosis lab group and they had absolutely NO idea what women went through each year! Watching their facial expressions during the demonstration was priceless.

Although we were only practicing on plastic models, it was great practice for the real deal. And although I really am not looking forward to performing countless number of pelvic exams during my OB/GYN rotation, I'm excited that I now possess the knowledge and skills to perform such an important medical screening procedure.

Next week: Rectal exams! Once again, I'm thankful that we're practicing on practice models and not on each other!!!

Greater Perspective

I've been struggling lately with re-gaining my perspective on what I'm doing. The last few weeks have been really challenging, both intellectually and psychologically. The last few weeks haven't been that much fun either. And although I always try to focus on the big picture...I readily admit that I lost my perspective for a while.

Over the last few days, the universe helped me get it back. Thanks to the help of supportive family members (st. patty's day family party) and friends (www.bogotabistro.com) . As well as a phone call from an old soccer teammate, who is now the chief resident of pediatrics in Chicago.

My childhood friend attended an accelerated 6 year medical program (undergrad plus medical school) and became an MD by age 24! She is now moving back to NYC to complete a fellowship in pediatric cardiology. She empathized with my feelings and listening to her express how she felt while in medical school comforted me. I know she continues to make personal sacrifices in order to be the best doctor she can be. She's an inspiration to me, and always has been. Her phone call came at a time when I needed it most.

Thanks, Dr. Shetty!

Temporary Insanity

Just when you thought it couldn't get anymore stressful...

We now have classes 6 days a week! My only day off is Saturday.

I will continue to train clients at the gym Saturday mornings.
But, no more hostessing. No more sleeping in.

Something's gotta give.

My new daily mantra, "This is only temporary!"
Temporary insanity.

T-rex Ain't Going Down Like That!

We weren't supposed to have class until 5pm on Thursday (the day after the "Nerds Gone Wild"). I was really looking forward to sleeping in, making eggs, and watching The View with a nice cup of coffee. But when my phone rang at 10am, I knew my plans for a relaxing morning were ruined.

I wasn't a very happy camper when our class president called saying that we were EXPECTED to be at the school at noon to review the test (massacre) from the day before. The stress from the day before was still lingering. And the post-test anxiety kept me awake half of the night. Needless to say, my nerves were still frazzled.

I received a few phone calls from classmates that were thinking about not going in early as a form of protest. I fully understood where they were coming from, and as much as I didn't want to go in early, I couldn't not go. I signed up for this. I chose this path. And this was part of the game.

About 90% of my classmates showed up. When our pulmonary instructor walked through the door he smiled and said, "Don't attack me!" I was relieved to see him smiling. I was certain we were going to get yelled at for doing so poorly on the exam. But, to my surprise, we heard the opposite.

The instructor said, "I know you guys were upset with me and with the exam, but I am VERY happy with the results! You guys did a great job!"

WHAT?!?!?!

The instructor then addressed EVERY SINGLE one of our concerns. He listened to us as we expressed our disgust at getting tested on information we never learned. He listened to us as we expressed our dissatisfaction with some of our lectures. He listened to us as we told him about the unnecessary stress we went through.

The bottomline is that HE LISTENED TO US. And that made us all feel better.

Then the director of the program came into the room and also congratulated us on doing a good job on the exam. He told us that they purposefully put 30-40 questions on the exam that they knew we weren't prepared for. They did it on purpose. They wanted to see how we would do. They wanted to see if we'd crack under the pressure.

The highest grade on the exam was an 80. They told us that if we scored between a 60-80 then we did well. They told us that the majority of the class did score in that range and that our scores were higher than the national average for board questions at this point in our training. They told us to be proud of ourselves.

I felt very confused and overwhelmed by what he was saying. My classmates weren't fully buying it. The director also fielded questions and addressed our criticisms and concerns about our education. The director responded with, "You guys have to TRUST ME...we've been doing this for a long time and we want every one of you to succeed and pass the boards...TRUST ME!"

After he left, the instructor spent the next 2.5 hours reviewing the exam with us. He reviewed the questions that the majority of the class got wrong. There were 35 questions on his list and with every question he asked us why we got it wrong...what we thought the answer was...and if it was a fair question based on the education we received to that point. It was unbelievable and even moreso when the class accepted responsibility for the questions we legitimately got wrong.

I have to say that my classmates are extremely professional and mature when it comes to stuff like this. It's refreshing to be surrounded by classmates that hold themselves accountable for their actions. A class that is more concered with learning how to take care of patients than outscoring each other on exams. Although I have a hard time believing everything we're told...I do believe them when they say we're a "special group". Your classmates make all the difference.

After we finished reviewing the exam, we all went upstairs to the program office to get our "unofficial" grade. The grades will be curved after all. But we all wanted to know if we fell within the coveted 60-80 range. So we waited on line, single file, and one by one went into the office to get our grade.

When I walked into the office the instructor said, "Good job!" I scored within the range. But, I still felt uneasy about the experience.

It's taken me a couple of days to recover from that traumatic day. For the first time in my life, I've put ALL of my eggs into one basket. My life revolves around school. I've never had to work so hard before to achieve a goal. I've made many sacrifices to get to this point and to sit down at an exam and not know the answer to 20+ questions is a very unsettling experience. It freaked me out and I got scared. And for the first time since the program started, I caught myself thinking, "What am I doing this for?"

So, my next challenge is to turn that fear into motivation. I'll be damned if I sit down for an exam and get hosed like that again.

T-rex ain't going down like that.

Nerds Gone Wild!

Today was not a good day.

We had a cumulative final exam on the pulmonary system. I did well on the mid-term so I felt somewhat secure going into the final. But, I still studied my butt off and sacrificed yet another weekend to hit the books. But, for some reason...in the back of my mind...I felt like no matter how hard I studied...it wasn't going to pay off.

I started the exam and the first 5 questions were easy. I was getting into the groove and felt optimistic about the next 95 questions. But, for some reason, I noticed that the room was especially quiet.

It was, indeed, the calm before the storm.

Twenty minutes into the exam one of my classmates busted out laughing and said, "Are you kidding me, we never learned this!" This classmate is usually very reserved and quiet (no, it wasn't me!) and shocked the proctor. In fact, she shocked the entire class. The proctor quickly walked over to her, but by then, it was too late. The ENTIRE class had erupted into chaos.

For the record, our class is normally well behaved and professional.

"Who wrote this exam?"
"Where is the instructor, this is ridiculous!"
"Are you ***** kidding me?"

I've never seen anything like it. A class full of angry, smart people revolting over the fact that they were getting hosed on an exam.

"Nerds Gone Wild!"

When other people freak out, I get calm. So, I sat back and observed. Some were so angry, their faces were bright red. Some were muttering curse words under their breathe. Others wiped tears from their eyes. One girl even stood up and walked around to calm herself down. I'm telling you...it was CRAZY!

It may sound strange, but some of the questions provoked strong feelings of anger and betrayal. And I will try to explain why...

We were set up by the same man that told us..."there ain't no crying in PA school". The same man that reminded us that we would be held accountable for everything that we've learned up to this point, on any exam, at any time. So we studied our butts off...and we were given questions on information that was never EVER presented to us. I'm not talking about a few questions here and there....I'm talking about blocks of questions...between 30-40 questions on a 100 question exam!

There were clinical questions that included lab results and radiology findings. Yet, we haven't taken lab medicine or radiology yet. Clinical questions require critical thinking and that is what this exam was all about. Critical thinking was not the problem. But, when you haven't been taught two major components that would lead you to a diagnosis...it's frustrating. VERY VERY FRUSTRATING!

The worst part was that halfway through the exam, the proctor left and brought in one of the instructors that wrote questions for the exam. With a smirk on his face, he said, "these are the types of questions you will get on the BOARD EXAM!" That didn't do anything to help my psyche. Although we don't take the board exam for another year and a half (!!!!)...it still struck a nerve within each and every one of us.

Some students left the exam early. Others put down random answers. The majority of us stuck it out and battled through it. We were given 3 hours for the exam. It took me 2 hours and 45 minutes.

I felt completely drained afterwards. As well as the stupidest PA student to ever walk the earth. It wasn't a humbling experience...it was a demeaning experience. Nobody likes to feel stupid. But for some reason, they put us through it. For some reason, they upped the ante without dealing out all the cards.

For some reason, they wanted to strike that nerve within us.

And T-rex doesn't like that.

The Art of Practice

Medicine is not an absolute science. Our pediatrics instructor constantly reminds us that practicing medicine is an art form. There are so many variables and so many different treatment options. When you become a PA or an MD, you get a license to PRACTICE medicine. The key word is practice.

Now, I didn't learn that from a PA/MD/PhD instructor. I learned that from a man living with AIDS. A man who was told he was going to die since he only had a handful of t-cells left. For 2 years, that man was continually told he was at the brink of death. But, he continued to live. And one day, his t-cell count began to rise. And suddenly his medical team was telling him he was going to live. And he did...for 8 more years.

Before he died, I told him I was considering a career as a PA. I had many doubts about whether or not I had the brain capacity to know all there is to know about medicine. And that is when he told me, "Medicine is very challenging, but you have to keep in mind that you will get a license to PRACTICE medicine. I used to get very angry with my medical team until I realized and accepted that there wasn't one person with all of the answers. Until I realized that no 2 human bodies are exactly the same. And I found great peace when I discovered the power of the human spirit. I was told I was going to die 8 years ago...and my spirit said NO!"

So when I find myself getting aggravated by the "know-it-all" PA/MD/PhD instructors...I think of this man, this man who defied the transient laws of medicine and I quickly regain my perspective.

I am a student studying the art of medicine. And like every artist in training, I'm developing my own style. A style that will incorporate the power of the human spirit.

STOP Smoking People!

If people didn't smoke, I'd have a lot LESS studying to do.

Smoking is a risk factor for a bizillion different diseases. And I have to know them all!!!

So, if you're lacking in motivation...please do it for me!!!

This PSA announcement is brought to you by a very tired (sick of studying) PA student.

Academy Awards

Life requires skillful acting at times.

After my performance this weekend, I'm likely to be nominated for an Academy Award next year.

So, after PA school, I think I'll head to Hollywood. Afterall, I wouldn't mind playing opposite Patrick Dempsey on Grey's Anatomy.

I've got the medical terminology down...

Good Stuff!

The messy fog of doom and gloom has lifted.

1. My Godson, Cross Alexander, was born Monday night!
2. I can read EKGs!!!
3. Mid-terms have ended!
4. I slept for 7 straight hours last night...the most sleep I've gotten in 10 days!
5. I will be hostessing Friday night at Bogota!

I feel like a new woman! (actually, it's just nice to feel HUMAN again)

Although mid-terms ended last night, FINALS begin next week for some of the classes. Time is going by so fast that it's hard to figure out what is going on at all times. I can't believe it's March 1st!!!

I START ROTATIONS EXACTLY 6 MONTHS FROM NOW!!!!!

Heartbreak

I suddenly realized why I DETEST Cardiology.

The human heart breaks too easily.

Busted Weekend

I declined on the two party invites.
I cancelled all of my gym clients.
My friend from out of town flaked.
And study group plans went awry.

All in all...it was a busted weekend. This was the third weekend in a row that I spent holed up in my room studying. Two more exams this week and no idea what is happening next week, because we haven't gotten the schedule yet.

I'm a strong girl and I can take the hits, but this semester is a nightmare compared to last semester. One of my peers remarked, "I don't want you to take this the wrong way, but it kind of makes me feel better knowing that you're struggling with everything right now...you're always so composed and stoic."

I didn't take it the wrong way. Misery loves company. And right now...misery abounds. We're all feeling this way and now I realize why they say your peers become your family. In that respect, it's awesome.

I know it will change and I know it will get better. And I know it's par for the course.

And I also know that I need to go to Bogota for some much needed TLC.

www.bogotabistro.com

Snack On This

According to the 2001 Surgeon General's report..."the gains made in past years to improving cardiovascular health have been reversed due to obesity."

Since McDonald's opened it's doors (1950's?), there has been a 300% INCREASE in OBESITY.

Lastly, the greatest factor correlating with the development of obesity is the presence of a TV in a child's bedroom.

Just random facts I wanted to share.

NERD

Sorry to keep you hanging with the last post. Everything is ok. The instructor (a 30 year old "doogie howser" type PA) called us in early simply to review the test. He got a lot of feedback after the exam and gave us the benefit of the doubt on some of the questions. He reviewed the questions that the majority of the class got wrong and then entertained our arguments. I didn't have to contribute during this process because my peers who are used to getting 100's on every exam (there's always a few in every class!) were practically throwing darts at the instructor.

I found it quite comical. But, it was nice of the instructor to review the exam. I wound up doing well on it...considering I thought I had failed. He admitted that there were TWO RIGHT ANSWERS to most of the questions, but that the Board Exam we take to get licensed is written in the same format. So, you have to pick the MOST RIGHT answer.

So, it was definitely a learning experience.

I've been really busy this weekend studying for the next round of exams. We have Pediatrics and Pathology back to back (Tues/Wed). I'm grateful for the 3-day weekend, but it's not long enough. You have no choice but to cram for every exam. It's Sunday night and I still haven't touched Pathology yet.

On Thursday, I go to the hospital to conduct a history and physical on my first real live patient (don't worry, they've already been examined and admitted!)! I'm totally looking forward to it, but the timing could be better. Not only do we have exams, but we have between 6-8 hours of lecture each day as well.

And then there's CARDIOLOGY. I am NOT a fan of cardiology. I can't articulate why I'm not a fan, but I've felt this way for quite a while. And we were taught how to read an EKG in three hours. And three hours wasn't long enough for me! I don't like it. I read an EKG and get a headache from the tiny little boxes. All of the waves look the same to me. To top it all off...the instructor (Cardiologist MD), told us that we HAVE to be able to read an EKG in 15 SECONDS. I thought he was going to say 15 MINUTES. At that point in the class, I started laughing. And this is the first time since the program started that I feel totally clueless.

The EMTs and paramedics in the class say that reading an EKG isn't hard. But most of them have been ACLS certified and reading them for years. So, my advice to pre-PA students...learn how to read EKGs before starting a program. I think it should be a pre-requisite!

If it was a pre-requisite, I'd be able to enjoy next weekend. I have a friend coming in from out of town whom I would like to spend time with, as well as two party invites. But, I won't be able to relax until I nail the EKGs...and unfortunately, there is not enough time to get that done before next weekend.

Adios mio...it's not easy being a NERD!!! ;)

Uh Oh!

I just got a call from our class president. The instructor of our pulmonology class wants everyone to report to class an hour earlier than scheduled...today! We originally didn't have to be at school until 2pm...I got the phone call at 11am. My classmates are scattered all over Long Island...from Brooklyn to the Hamptons!

One more reason why I'm glad I only live 15 minutes away from school!

The instructor wants to review the exam that we just took on Monday. The exam that I said I didn't think I did well on. The exam that everyone left saying they didn't think they did well on. This is the first time an instructor is reviewing an exam with us....and it's the first time that we've had to report to school early and unexpectedly.

The fun never ends...

Happy V-day

I survived the autopsy experience. We were "lucky" in that we were able to view 4 different bodies. Some days there aren't any bodies being worked on.

LUCKY ME!

This is some background on one of the bodies. It was unreal.

http://www.newsday.com/news/local/longisland/ny-lifire114622595feb11,0,2608836.story

As well as a 58 year old man that dropped dead after shoveling.

There was also a 22 year old man who died of a heart attack. Cocaine was suspected.

And then there was the 70 year old man whose body wasn't found until 4 weeks after he died.

The smells are worse than the visuals.

More about this later...my brain hasn't had enough time to fully process what I saw today. And I'm trying not to think about the families in mourning.

It's not easy.

On a side note, it was a great bonding experience for me and my classmates. The six of us (2 guys, 4 girls) went to a diner afterwards and chatted for over 2 hours. It was great to vent and realize that we're all feeling the same way about this new semester. It was also a good opportunity to poke fun at the GUY that was dry heaving during the autopsies!

He's never going to live it down!

Autopsy Tomorrow

The autopsy will go on as scheduled. Our group leader called and there is a body waiting for us tomorrow morning. There are 6 other students in my group and they are 6 of my closest friends from class. That puts me more at ease, because if I happen to pass out, I know they'll catch me!!! The two guys in our group are tall, so if need be...I can always stand behind them.

I asked our group leader if he had any information on the body. His response was, "Think about it like Christmas morning, you always want to be surprised, right?"

So if you want to go to PA school, add one more pre-requisite on your list: a sick and twisted sense of humor!

It's necessary for your survival!

Keep your fingers crossed...

Everest

So the first two exams of the semester are done. One of them went amazingly well (physical diagnosis lab) and the other (pulmonology), not so well.

I had two answers for many of the pulmonology questions. I also had information in the back of my brain supporting either answer. In the beginning of the semester, this instructor told us that he didn't care what our grades were on the exam. He only cared that we learned the material. He also mentioned that he was open to being challenged on some of his exam questions.

I clearly remembered his words and feared that he would give us ambiguous test questions. Well, today's exam just proved that his exam questions are open for discussion. I think he would rather have students in his office proving what they know verbally, than on a multiple choice exam. I did my best on the exam and wrote down the reasons why I could have gone either way with each answer. If I do poorly on the exam, I'll be the first one at his office door.

Medicine is not simple. You need to think outside of the box. I have a tendency to think way, way, way outside of the box! That skill will help me as a diagnositician...but not as a test taker. I don't like rote memorization. I want to know who, what, when, where, and why. And there is not enough time for that.

Last semester was very challenging, but it only brought me to base camp. This semester, I feel like I'm at the foot of Mt. Everest. And when I look up, I'm easily intimidated. But, when I look down, I realize there's no turning back. I've got no other recourse but to keep on climbing; step by step, steady and slow.

I have to get to the other side of the mountain.

I just have to.

Stress

The stress is back on. Exams start next week. 5 exams in 2 weeks, but there is the possibility that more will be added on. This semester has a different feel to it and I'm not exactly comfortable yet. All of the instructors are practicing PAs and MDs...the PhDs are gone. Every class is clinical...no more fanciful theories that enabled your mind to wander and explore. Now, it's medicine.

Now it's all about coming up with diagnoses and differential diagnoses. At this point, I'm blown away by the fact that I have the knowledge to be able to do this. The learning curve has increased exponentially. More is expected of us. Last semester was about passing every class. This semester is about nailing every exam and increasing your knowledge base.

As our director said, "You are all thoroughbreds now and the starting gate has opened. You need to get to the head of the pack and stay there. There's no looking back...you gotta keep on running."

I've cancelled my plans for the weekend.

It's time to get serious again.

Valentine's Day

I've already got a date lined up for Valentine's Day! And it promises to be one of those, "I'm going to remember this for the rest of my life" experiences! Sounds intriguing, eh?

Well, I'm scheduled to go down to the County Medical Examiner's Office to view an autopsy.

Yup, an autopsy on V-day...how apropos!

Our pathology instructor says it's part of the desensitization process. I'm always up for a new experience, but I will admit that I am nervous about this one. At least with the cadavers, we knew it was going to be one male and one female. And we also knew that they donated their bodies to science. We won't have any idea if we're going to be watching an autopsy of a baby, kid, adolescent, adult, or senior...until we walk through the door.

And I find that quite unnerving.

But, as my father stated so eloquently, "You gotta get over it, KID!"

Brooklyn Birthday

It's Superbowl Sunday and instead of settling down with chips and beer, I'm prepping to go to Brooklyn to celebrate George's 30th birthday at Bogota! Apparently, watching football isn't something cool, hip Brooklynites do anymore. So, I'll be sipping on a mojito, snacking on shrimp ceviche, and mingling with the non-football loving types!

I simply enjoy watching any kind of competitive sport. I didn't get to watch much football this past season because I was always studying. The fact that I'm missing the big game is a testament to the love I have for my dear friend, George.

However, there is a hoppin sports bar down the street that I may just have to visit. C'mon, I'm a single gal that loves football. This is MY night to shine! haha

Happy Birthday, George!

www.bogotabistro.com

It's Not Good

I was hoping to leave the bio-chemical terrorism seminar with some inside information. I was hoping to share some good news about the progress that has been made over the last few years. But, from a healthcare standpoint, it's not good. It's actually really disturbing and if I get into it, I won't sleep tonight.

I can't really say that I learned anything new other than the fact that there's evidence of bio-chemical warfare dating back to 2000 BC! Which means that people have been trying to kill other people with chemicals for a really long time. I don't consider myself an optimist, pessimist or even a fatalist. I happen to jive with the realists. Most experts say that it's not a matter of if...it's a matter of when, and where. And I believe that to be true. I believe that to be the reality of the world that we live in.

I really hope that I am not working in the ER when it happens.

But, if I am working, I am now trained to recognize the signs and symptoms of a bio-chemical attack. I'll even know what to do, but I learned that there are not enough meds to go around. I learned that nearby hospitals do have protective gear for healthcare workers, but when today's speaker visited the local hospital, the healthcare staff couldn't find them!

Like I said, it's not good. And I'm starting to get into it...and it's late and I need to sleep so I can learn how to practice medicine tomorrow. Perhaps when I complete this program and walk away with my Master's in Public Health...I'll be able to work on a solution. But, for right now, I'm saying a prayer, then pulling the wool over my eyes and going to sleep.

That's the best I can do...for now.

Sunday School

Sunday School has an entirely different meaning for me now. Tomorrow kicks off the Sunday School experience with a 7 hour seminar on Bio-chemical Terrorism!

Nothing like a relaxing, peaceful, harmonious Sunday to start your week off right.

"There's No Crying in PA School"

The title of this post is a direct quote from the director of our program. Dr. P waivers between nuturing us and terrifying us! He had told us in the beginning of the year that he was trying to change his approach towards students in response to negative criticism he has gotten in the past. I give him credit for acknowledging this criticism and attempting to change his ways.

"There's No Crying PA School" is in response to previous students' complaints about material on exams. Students have complained that during the 2nd and 3rd semester information that is presented by one instructor is often tested by another instructor in a different course. Basically, we're responsible for everything that is being taught to us at all times! Sounds like a reasonable request, but when you have 11 subjects being taught in one semester...it's a bit much. So, we were warned NOT to approach the admin or the instuctors about this! And if we end up crying to him in his office, he will kick us out!

So, I'll save my crying for this blog!

Natural Glow

So I bought this Natural Glow Daily Moisturizer (Jergens) that is designed to..."create a healthy, summer glow all year long...just by moisturizing!" Sounds enticing, eh?

Well, it smells like cat pee! It's terrible. I walked into my sister's room and her response was, "UGH!"

Just thought I'd share that with you because it's distracting me from studying! (I can always find an excuse NOT to study!)

Ironically, I'm not studying for any PA school exam. I'm studying for a Personal Training/Health Fitness Instructor exam. My original personal training certification is about to expire, so I thought I'd upgrade by taking the next level of certification offered by the American College of Sports Medicine (ACSM). Well, if I wasn't in PA school, there's no way I'd pass this exam by just reading the books.

I was originally scheduled to take the exam tomorrow. But because of a computer error at the facility, I had to reschedule it for next week. The administrator apologized a few times, but I took it as a sign in my favor. I definitely need the extra week to study!

The personal training industry has really responded to the needs of our society. Standards and pre-requisites have been improved and there's a strong movement to have trainers pass a national certification exam. I expect this to happen within the next few years. Clients have come to me with all sorts of injuries, diseases, bariatric procedures (lap band) which had me scrambling to the internet to understand. My experiences training definitely propelled me towards this path.

I want to continue training for as long as possible. But, I know my time is limited. I have ideas for the future and I'd love to work in an environment where I'd be able to incorporate both medicine and exercise.

Here's my dream: a patient comes to me with hypertension. I'll be able to take the history, conduct a physical, order labs, diagnose, prescribe meds and counsel. And then walk them through a magic door that leads to a gym! I'd put my sneakers on and then counsel them on nutrition and create an exercise prescription complete with demonstration.

And then the alarm goes off and reality sets back in. I will only have between 7-15 minutes to accomplish all of the above! Such is the state of healthcare. It ain't pretty. But that's why personal training is bumping up their game!

I wonder if health insurance will one day cover the price of training sessions?

Godmother

I was asked to be the Godmother of my cousin Keith's first baby tonight!!!! The baby is due in a few weeks and I had no idea I was going to be blessed with a Godson this year. So now when I'm out with my married Mommy friends, I can whip out a photo and say, "This is my Godson!" ;) Cool, eh?

So, now I am extra motivated for my Pediatrics class. The Doc teaching our class is awesome. It takes a special person to stay in Pediatrics for 25 years!!!! Especially when babies are supposed to cry up to 3 hours a day! The Doc emphasizes that although babies are small, we aren't going to break them when we examine them. In fact, the hardest part about examining a baby is dealing with the new parent!

Ok, back to the books....the babies are on their way!!

Discouraging Article

While I was driving to school, I heard on the radio that today is considered the most depressing day of the year. They blamed it on the cold weather, lack of sunlight and the fact that holiday bills are now past-due!

None of that stuff bothered me today, until I read this article!

click here: Young earners face new financial challenges

Random Thoughts

Semester two is starting off real slow. We're apparently tackling 23 credits this semester. The average college student carries 12 credits a semester...so the next four months promise to be action packed!

We still haven't gotten back our grades from last semester. I think it's a deliberate attempt to finally drive home the point that "grades don't matter!" You hear this over and over and over in PA school...yet, when those grades are posted, there's a mad rush to the bulletin board! Two more students were dropped from the program, bringing that total to NINE. So, our class is down to 51.

Since our class size has decreased, our home base classroom has been changed. We have moved out of the lecture center and into a smaller room with cushy seats and long tables (2 students per table)! We no longer have to cram our adult bodies into the elementary sized desk/chair (torture chamber) contraptions!

I'm liking the change because I am no longer surrounded by the same people. Last semester I was completely surrounded by women. This is not a put-down to these women, I am friends with all of them...but I was surrounded by too much estrogen. You know it's time to move your seat when your menstrual cycles become in sync!! (damn pheromones!)

I find it interesting that the first seat you take usually winds up being the seat you are stuck in for the rest of the semester! It seems to be a universal phenomenom! Nobody changes seats. It's the weirdest thing. Well, this time around, we didn't know we'd be staying in this room. I took a random seat and this time around I've got 4 guys in front of me, 3 guys next to me and 2 behind me (that's more than half the number of guys in our class!!). My same girlfriends are in the vicinity, so I can still chat with them, but I don't feel like I'm going to drown in estrogen anymore.

Once again, there are more girls than boys in our program.

34 girls
17 boys

And the boys are young. Most hover around the 25 y/o point. There are 3 guys in their 30's and two of them are married. It's awesome to be surrounded by so many smart, intelligent, kick-ass women...but c'mon, whatever happened to equal rights? Where are the men???

So to those of you that assured me I was going to meet "someone" in PA school, what program were you talking about?!?!??! haha I'm just kidding...the boys in my class are great. And I do NOT recommend dating your classmates. It's just trouble waiting to happen.

Think about it. When was the last time you were in the same room with the same people day after day, after day after day? Studying the same subjects, with the same teachers, same exam schedules, same homework, same food options, and even the same bathroom breaks? Keep thinking....the last time you were in this situation, was in ELEMENTARY SCHOOL! But, at least there was time for recess back then!

However, we do have a ping pong table in the lounge area. The problem is the boys are ALWAYS hogging the table. Until today, when I was invited to play ping pong with the boys. Although I was wearing heals...I gave them a run for their money.

So to answer the emails I'm getting about the possibility of dating while in school...um, "does ping pong count?" Seriously, when you're in over your head with studying, exams, deadlines, etc....dating is the last thing on your mind.

Every PA and every PA student I consulted with before venturing on this path made it clear...

"You will NOT have a life for the next 2 years!"
"You will live, eat, breathe medicine for the next 2 years!"
"Every relationship in your life will suffer, whether it be friends, family or a romantic partner!"

Sounds like fun, eh? The first two statements actually came from the PA that I shadowed. The last statement came from one of the schools that I applied to. Needless to say, I didn't want to go to that school, mostly because a school that uses fear tactics at an open house is not where I wanted to be. But, there is some truth to that statement. If there is discord between you and anyone else in your life, if you don't settle it before PA school, the drama will expound exponentially and be a major distraction. And there is no time for outside distractions.

You need to surround yourself with people that you know will be there for you, no matter what. Figure out who those people are, thank them in advance (and then apologize in advance for not being able to reciprocate) and let go of the others.

Let go of the others!

Trust me.

Quick Update

Real quick update:

1. My friend was at the airport! I had an awesome vacation in Florida!
2. School started today.
3. Stress levels went through the roof within 15 minutes of the new semester *see below
4. Our Pediatrics MD instructor is awesome, he wore a Big Bird tie!
5. Cardiology class made me realize that I did, indeed, learn a lot last semester!
6. I'm a lucky girl *see below

*The Director of the Program addressed our class and congratulated us for surviving first semester. But then he tried his usual scare tactics to motivate us and I now find that amusing. Fear doesn't motivate me...I am motivated by the opportunities that abound when I do succeed. Big difference.

Then he told us that starting TOMORROW we will start our History and Physical (H&P) rotations in the hospitals. At that moment, everyone sat up straight in their chair and cocked their heads to the side, like a pack of dogs reacting to a high pitched sound, "WHAT?"

Before the break we were told that we would start taking patient histories and conducting physicals on "real, live" patients in local hospitals at some point during semester 2. But, we were NOT told that it would be the week that we returned from break!

I couldn't help but laugh. If this situation would have occurred a few weeks ago, I definitely would have been crying. But, now that I've had some rest and the opportunity to look at the Big Picture again...laughter sprang forth. Needless to say, my stomach was still in knots and my heart was beating wildly.

The director explained that 12 of the 53 (we did lose 7 people) would have to report to their assigned hospital at 9am prepared to conduct a full H&P. The good thing about being in such a large group is that after a few weeks you know you can rely on a certain handful of people to react the way that you are feeling (visibly freak out) and to ask the the dumb question that you would NEVER ever dare to ask. And that's exactly what happened next.

The director addressed every freak out and dumb question and kept us in suspense for a good 20 minutes before handing out the student list with assignment dates and locations. As the papers migrated toward the back of the classroom you could watch the reactions of every student...students either exhaled and smiled or inhaled and contracted every single muscle in their body. There was no in-between.

I exhaled and smiled.

I start my H&P rotations in 3 weeks...so I have time to practice. I am fully aware that I lucked out this time around. Don't get me wrong, I can't wait to start working with patients! But, I would like to unpack my suitcase first and dust off my notes from last semester.

All of this stressful drama preceded 6 hours of peds and cardiology. By the end of the day, it felt as though we never had a break.

Welcome Back to PA School!

Always an Adventure...

So I decided to treat myself to a relaxing 4-day retreat to West Palm Beach, Florida. On Christmas Day I drove past the house of an old high school friend. She had moved to Florida some years ago and I hadn't seen her in about 5 years.

Well, she was standing in the street that day and told me to come down to visit her anytime. So, on Tuesday I decided it was time! I spoke with her twice, once before and after I booked my flight. She had to go out of town for a few days and told me to call her the day before I left.

Well, today is the day before I leave. I called her and her phone is OUT OF SERVICE. It is now 1:15 AM and my flight leaves in exactly 9 hours. And her phone is still OUT OF SERVICE. Her parents are in California. I don't know her address or the name of the restaurant that she works at. The only thing I do know is that my friend is the definition of a "Wild Child". She flies by the seat of her pants and that is what makes her awesome! She most likely will be at the airport, but so far, the start of this "relaxing 4-day retreat" is anything but relaxing!

I am writing this from Bogota Latin Bistro, Brooklyn. I worked tonight and have plans to spend the night here since it's close to the airport. My co-workers seem to think that I will meet a hot guy on the plane, who has a condo on the beach, and everything will turn out alright! ;)

Having traveled alone on numerous occasions in foreign countries, most notably, crossing the Thai-Malaysian border on foot...by myself...I know I can take care of myself in sunny Florida. But, I was kind of enjoying this no-stress week and expected it would carry me through the next 4 days! School starts again Wednesday afternoon and I return from my trip Tuesday night.

On the bright side, it sure does make for a good story!!!

Wish me luck!!!

(or for that hot guy, with a condo on the beach, to be seated next to me on the plane!)

News Flash

According to our class president, "Seven people will not be returning for semester 2."


I had no idea we'd lose that many.

George & Omar "Live"

I should start charging these guys!

Click on this link...then click on the fourth box in the top row...the hot guys in the orange (cyprus) and gray (brooklyn) shirt!

http://www.richerdeeperbroader.com/

Flashback

The time between Thanksgiving and New Year's is a complete blur. I really don't have a strong grasp on the fact that it's January 2006. I didn't have the time to reflect on much of anything, except that my main source of exercise came from unwrapping hershey kisses and spinning around in circles on my desk chair for the last month. Since the insanity of final exams has ended, there are things that I've been meaning to write about...

On Christmas Day, I opened a box presented to me by my Aunt Ruth. It looked like a regular shirt box, but the box felt way too heavy to be shirt or a sweater. My cousin Elizabeth was sitting next to me at the time and she whispered, "Don't worry, we'll explain!"

I'll admit, I was a little concerned! Inside of the box was a book and on the cover of the book was a plastinated man holding his skin! (www.bodyworlds.com) Under normal circumstances, that kind of gift would likely cause a lot of distress to the receiver...but not me! I started laughing because I knew exactly what it meant. Elizabeth started giggling and said, "We're going to Philly to see the exhibit...we're going to see dead people!!!!"

Remember when you were 5 years old and you got a present from Santa that made you feel all special inside, like the infamous Easy Bake Oven, Light Brite, Hotwheels, Cabbage Patch Kids? (I'm totally dating myself!) The kind of gift that really made you believe in the first place??? Well, that is the feeling that I got.

And the trip was awesome. Uncle Terry, Aunt Ruth, and cousins Wyatt and Elizabeth escorted me to Philly to witness one artist's creative expression of the most fascinating piece of work known to man: the human body.

In my opinion, in order to get through PA school without losing your mind, you need a solid support system. And although I am a single gal (another necesity in my opinion!)...I have a wonderful supportive family: nana, mom & dad, sisters, aunts, uncles and cousins...many, many, awesome cousins! All have offered words of encouragement along the way and they are all greatly appreciated. Thank you.

While on the topic of family, I've realized that I also have a second family and home in Brooklyn. I never could have imagined that I'd be hostessing in my best friend's restaurant while in PA school. It has provided me with the opportunity to meet new people, make new friends and flirt with the cutie patooties in the kitchen. In essence it has allowed me to keep my sanity as well as support my cafe latte addiction (I'll probably be asking for double shots of espresso next semester). But, if I wind up moving to Mexico after graduation...Omar and George are to blame!!! www.bogotabistro.com

Happy New Year!

Uncanny

I'm starting to believe that the psychics at MSN are legit!! Or, someone at MSN is reading my blog and personalizing my horoscope!

Here's to all the Virgos...

After the emotional havoc you went through over the last few weeks, the period beginning today will be quite soothing. You can take advantage of these smoother, calmer waters to rediscover inner emotional harmony and improve the balance of your energy flows. Moreover, t-rex, if your physical health is not quite up to snuff, the weeks ahead should give you a chance to rest and recuperate.

We finally got our January schedule Friday morning and it looks as though it's going to be a pretty quiet month. Although, I know by the end of the first week, the rest of the month will be full of classes....and two months from now the heat will be back on.

After a good night sleep, a fun morning at the gym, and a night out in Brooklyn, I've got my wits about me again. And I'm excited for the drama that is destined to unfold over the next few months. As it is, it's hard for me to believe that 9 months from now I will be starting my first rotation!

9 months from now...WOW!

I Crossed the Finish Line!!!

I know I stated that I planned on finishing this "race" with my fists pumping in the air with jubilee....well, it was more like I crawled across the finish line, and several hours later, I still don't have the energy to fully appreciate what I just accomplished.

It was a rough week. I felt like I was filming a re-make of the movie, "Groundhog's Day". Everyday felt like the same day. The only thing that changed was the subject matter on the exam. My sleeping pattern got extremely messed up early in the week. It all started New Year's Day when I didn't get to bed until 4am. It was the most sober New Year's Eve I've ever experienced (as one customer put it, "I was the hostess with the mostest" at Bogota!)...but staying up late caused me to feel like I was hungover the next day! But, I hit the books and battled through it while everyone else I knew was relaxing and enjoying a restful start to the new year.

I had planned on falling asleep early Sunday night...but the last time I looked at the clock, it was 4am. And unfortunately, that pattern continued every single night, until last night when I got to bed at a more reasonable hour, 2am! Exams started at 10am everyday. So, I was at school by 9am for some last minute studying. After the exam, I'd take a 90 minute nap, eat, and then study for the rest of the evening which eventually turned into early morning.

For those that are heading to PA school and wondering what it takes to make it through (well, I can only comment on semester one!)...this is it. No matter how smart you are, or how high your pre-requisite GPA was, you will study MORE than you ever thought was possible. I've never EVER (emphasis on EVER) had to study all day for anything. NEVER, EVER, EVER. I have been an A-/B+ student my entire life...and although I seem to be in that range (at this moment in time)...it's taken a hell of a lot more time and effort. A hell of a lot more time and effort!!!

Physiology and Biochemistry presented the most challenging exams simply because the nature of the material is extremely challenging. That wasn't true for most of the 6 other classes. The issue with the other classes was that it was an extreme amount of information crammed into 2 exams for the entire semester. That meant that EACH exam was worth 50% of your grade! Hence, the reason for the low-grade anxiety that pulsed through my veins at 3am every morning!!!

After today's exam, I went to lunch with some of my friends from class. And although we're happy that we finished first semester, you couldn't tell. Today's exam was (excuse the language) a total ball buster. I know a lot of people were counting on doing well (since the first exam was relatively easy) to boost their GPA. You need a 2.7 to stay in the program...and those that were borderline did not get a reprieve this week. It is possible to pass every class with a C and still get booted out of the program! Needless to say, not everyone will be coming back.

I took a nap when I got home and then rewarded myself with a two hour "binge" at the gym. That helped me to feel more like "me" again and not some kind of studying machine. My "Bogota Boys" invited me in to Brooklyn for some celebratory drinks (www.bogotabistro.com)...which also brought me closer to realizing what I have accomplished...but I'm going to postpone all celebratory activities until tomorrow.

I feel tired. I look tired. I am tired.

T-rex needs to sleep.

Imagine a World Without Hate?

We impeached a president because he lied about cheating on his wife.

What about the guy who lied about "Weapons of Mass Destruction?"

+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
"As of Friday, Jan. 6, 2006, at least 2,194 members of the U.S. military have died since the beginning of the Iraq war in March 2003, according to an Associated Press count. At least 1,720 died as a result of hostile action, according to the military's numbers. The figures include five military civilians."
++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++
A suicide bomber struck a funeral for a Shiite politician's nephew Wednesday, killing at least 32 mourners, wounding dozens and splattering tombstones with blood — part of a surge of violence as Iraqi leaders try to form a coalition government.

The bomber struck as more than 100 mourners chanted a ritual Islamic prayer, "There is no god but God." They were at the cemetery to bury a 14-year-old boy a day after he was killed in a failed assassination attempt on his uncle, Ahmed al-Bakka, the director of the local hospital.

"We were walking in the funeral procession when a strange person joined the crowd," said Amer Khazim, 37. "Suddenly, there was a strong sound and we were turned upside down . ... I saw many legs and hands flying all over the place."

__________________________________________________________

Bird Flu

I guess this guy hasn't heard of the impending Bird Flu pandemic!?!?!


http://news.yahoo.com/photo/051214/ids_photos_wl/r3981654709.jpg

The Final Approach

This is the first time that I've ever experienced having final exams the week after the holiday break. I've been thinking about it and this is what I've come up with...

Imagine you are running the NYC Marathon (26.2 miles) and you know that the last mile of the run is uphill. So you mentally prepare yourself throughout the race in order to give yourself the best chance of getting up that hill and finishing the grueling race.

Well, imagine at mile 25 the director of the marathon temporarily closed off the road leading to the final stretch of the marathon. He sat you down, gave you a beer and hot sandwich. You were reunited with your loved ones and perhaps a massage was thrown into the mix.

A few hours later, the director re-opened the road leading to the final stretch of the marathon. And there you are, amongst the other runners, and you look at each other and realize you've lost the rhythm and flow you had at the beginning of the race. You've had a taste of the easy life again and think, "Why am I doing this to myself when I'm so much more comfortable lounging around amongst family and friends?"

Well....that's exactly how it feels right about now.

There are 4 final exams this week.

Tuesday: Physiology
Wednesday: Biochemistry
Thursday: Microbiology
Friday: Physical Diagnosis

All semester long, physiology presented the most challenging exam, with biochemistry a close second. So, I wasn't surprised when the administrators decided to schedule the two toughest exams back to back. I guess having a week off for the holidays was considered special treatment...so they're back to the cruel and unusual tactics!

The good news is that one week from now semester #1 will be over. And I will be on a REAL vacation. I don't have plans to go anywhere, but unlike this past week...next week I won't have any "I should be studying" stress lingering in my mind. I felt like I was carrying a weight on my shoulders all week...

So, here I am, trying to get myself back into the race. I'm slowly morphing back to my pre-holiday studying mode. I've got the necessities: comfy sweats, caffeinated tea, and hershey kisses. I'm back in my studying stance: slumped over my desk with my butt firmly planted in my superduper cushioned chair (necessity!!). Classical music playing in the background interspersed with snippets of physiology lectures (digital recorders are a lifesaver). And I'm starting to feel that my brain is slowly warming up as I rapidly approach the final ascent to the finish line.

I'm hoping to finish the first leg of this PA student academic adventure the same way I finished the NYC marathon in 2001: Standing on my own two feet...with my arms raised up over my head, fists pumping in the air, with a huge smile clumsily plastered across my exhausted face.

(Visualization exercises increase performance success!!! And anything helps at this stage of the game!)

I almost forgot the most important factor that keeps even the most experienced marathoner going...family and friends (even strangers) cheering from the sidelines!!! I am truly grateful for the ample supply of support from my family and friends.

And before I put my blinders back on...

Thank you...it has truly been a team effort!

Happy New Year!!!

HAPPY NEW YEAR 2006!!!

If you're still looking for a place to go tonight, stop by Bogota!

No cover charge or inflated prices.

And I'll be hostessing!

www.bogotabistro.com

Teenagers Do the Damnedest Things!

Imagine being this kid's parent??

http://news.yahoo.com/s/ap/20051230/ap_on_re_mi_ea/journey_to_iraq

Merry Christmas!

Closing In on Semester One!

This week has been absolutely insane. I can't believe the amount of material that we're being tested on 6 hours from now in anatomy. Incredible. 200 questions, fill-in...no word bank, no multiple choice, no matching. Straight up fill-in...

The stress involved in preparing for such a test is strange. The competitive side of my personality wants to keep on studying while the rational side of my brain says, that's enough...go to bed. My brain doesn't like straight up memorization. It's not natural.

After the stress of the physical diagnosis exam (oral/practical) and the physiology exam (I passed) my brain is begging and pleading for a break...and so is my body. I'm doing everything I tell my personal training clients NOT to do. I'm skipping breakfast, drinking too much coffee, eating too much chocolate, and sitting in a chair at least 9 hours a day. My muscles are sore from being cramped in a tiny desk...terrible. I just keep telling myself it's only temporary.

Two more days. Three more exams. And then I can rest my brain and exercise my muscles and yes, I did just forget that it's Christmas. Wow...that's terrible.

Finals week should be a breeze compared to the last two weeks. But, you never know. We have one exam everyday from Tuesday to Friday with no additional classes.

And then Semester One of this bizarre experience will be done.

I cannot believe it.

The Good News...

I will have a 10-day break starting the second week in January!! whoohoooo

10 days? Hmmm....where should I go?

That's almost enough time for an international soiree.

My Japanese sister just got engaged.

Hmmm....Tokyo anyone?

Travelling is my vice.

Wait a minute...I just remembered that I'm a broke college student.

Bummer.