Long Time No See

The last time I posted, I had just found out that I matched into one of the programs on my Rank Order List for a residency in pediatrics, accomplishing a goal I’ve had since I was 14.


It has been such a long time since then, and I haven’t written about it. After Match Day, there was so much to do, and it felt like we had no time. It all went by so quickly.

We immediately went on the hunt for a house. On one Saturday, we toured 19 properties, put in an offer, and bought our first home.


My brother got married with my Ladybug as the flower girl:


I finished my final med school rotation in the NICU, which I absolutely loved.


We had to find a new daycare and it completely broke my heart to leave the one we’d used since the Ladybug was 8 weeks old.

I GRADUATED!


We took a family vacation to Key West, FL, Dry Tortugas National Park, and Savannah, GA.


We spent two weekends painting the house and moving in, with the help of the best family and friends.

Then the fun started. Mountains of paperwork and training and licensing and certifications before even starting orientation.

And now they call me Doctor. Paging Dr. Allie. It is real, and no longer a fantasy or far off in the future. It doesn’t feel like it at all. I’m currently on my second rotation, which means I have “survived” July of intern year, but not without rubbing one of the children’s hospital’s ladybugs for luck on my first day.

Motherhood and Trauma on Surgery

When I was on my surgery rotation, there was one day that was particularly rough. It was a Saturday and I was on call by myself, without any classmates. I saw more gruesome and horrifying things in that one day than I could ever imagine. It was a day that permanently broke something inside of me. There is no going back after a day like that. One of my attending surgeons even came up to me later to say how well I handled those situations (totally a lie, but pretty awesome coming from a surgeon šŸ˜‚). This is why all doctors are wounded healers. 

After being awake for 30+ hours on that call day, I went home hoping to crash in my comfortable bed and try my hardest to forget everything I’d seen and done. As soon as I stepped in the door of home, I hear, “Mommy?” Coming from my daughter’s room. I was spent. I had nothing left to give mentally, emotionally,… just nothing. I felt sub-human. Still in my scrubs, shoes discarded at the door, I walk into my daughter’s room to her smiling face, chanting “Mommy!” While jumping in her crib. My sunshine, happy to see me. 

A year and a half later and I’m finally sharing a piece I wrote that day. Writing it helped me deal with some of the residual effects that I still feel. 

Med Student Mom

Matched!

The first time I ever went to a Match Day, I thought it was a special kind of wonderful. A huge room absolutely packed with family and friends, medical students jumping for joy with their envelopes telling them where they were going for their training… it was so much fun.

And it wasn’t even MY DAY. It was just so fun seeing everyone else so happy.

And yet, I was unbelievably sad. Three failed applications to medical school and I had just about given up. I’m sure any sane person would have.

But, I am stubborn, and I am just different. I remember telling David once that I didn’t know if I would ever truly be happy, working as a scientist but regretting never going to medical school. I’m pretty sure even he, my biggest supporter, thought I had lost my damn mind when I said that. Maybe I was just being dramatic, but at the time I was working a job that I absolutely hated, due to circumstances beyond my control. Attending that Match Day filled me with a newfound optimism. I’ve got to try just one more time. Whatever the outcome, then I will be done and I will move on. Just one more time.

Now, almost 5 years later, and my Match Day is this Friday. Today I got this email:

I started a new rotation today, and we were busy seeing patients when I heard a very faint ding! in my pocket. And I just knew, That’s it. That’s gotta be the email. As soon as I had a split second to check, all I saw was, “Congr–“ on the subject line.

And now my Facebook and Instagram feeds are all filled with the same picture from friends in med schools across the country, and I am so happy for everyone. We are almost at the finish line for this leg of the race.

So, so happy. I get a Match Day, I get to have a residency position to start the process of being a pediatrician. I am so overwhelmingly relieved. The constant stress of medical school has all been in the hopes of landing a residency.

First and second year: Make good grades and pass Step 1 so I can land a residency.

Third year: Make good grades and get good letters so I can land a residency

Fourth year, early on: Pass Step 2 and put together a great app so I can land a residency.

Fourth year, after interviewing: Please let me Match into a residency! Did I put programs in the right order to Match? Did I rank enough programs? Will I actually get to be a resident?

It almost makes me wonder if Match Day will be anti-climatic. Thank goodness that’s all over???

All of that aside, I am so relieved. In four days we will have an answer and can start looking for a house. I’m ready. I’m so ready. I’m not ready. But I’m ready. There will always be so much I don’t know, but I am finally almost there. PagingDrAllie, pediatric resident physician.

A dream, ever so close to becoming true.

 

129 Days


Today I was reminded that even though I’ve learned so much in med school, there is still SO MUCH I don’t know and need to learn, practice and repeat. The answers don’t always come from textbooks. I am so thankful that as an intern, there will still be several layers of supervision as I learn to navigate the responsibility of making medical decisions. 129 days! Tonight’s agenda, though, is learning about QI & peds EKGs as well as reviewing some articles & brushing up on sedation meds. (And NO, I’m not hardcore studying for Step 3 yet, but I ALWAYS keep reading material & a To Do list on me!)

On a separate note, my ROL (rank order list, the list of my preferred residency programs in the order of my preference) is certified and will be locked in tomorrow night at 9pm. Match Day is LESS THAN A MONTH AWAY and I am so excited. I just want to KNOW already. I’m itching to start the house hunting, moving, moving on with my life, etc!

Pediatric PathologyĀ 

For the past two weeks I’ve been on a pediatric pathology rotation.


I had no idea just how much I have forgotten about histology slides since the first semester of med school.

Simple, cuboidal, squamous, stratified. Ciliated. Eosinophils, neutrophils, H&E stain. So much specific terminology, ways of describing the sectioned specimens under the microscope.

The first thing I did on my first day was look at slides of placental tissue. Then I realized… I have no clue what exactly it is that I am looking at, or even looking for. šŸ˜¦ 

The umbilical cord sections were easy. Normal three vessel (one vein, two arteries) and even one two vessel (one artery) cord. That much I knew. But the other slides?? Totally no clue. That’s when I realized that in histo and path in first and second years that I’ve never actually looked at placental tissue before.

It’s been pretty cool so far, being on pathology. I’ve gotten to section placentas by myself, evaluate kidney biopsy samples, perform an autopsy, and went to neonatology M&Ms. There is so much to learn in medicine, there’s no wonder they make us pick a specialty because there is no way to know everything.

The End of Interview Season!

After 15,000 miles, 6 vehicles, 4 flights, 4 new states, and 6 audiobooks, I am finally DONE interviewing for residency! How fitting that I wrapped up my season in the same place where I wrote my personal statement last summer. I have met so many incredible people over the last three months, and I feel so incredibly blessed to call this field mine and get to work this summer. Now… how to come up with a Rank Order List when I LOVE my top 8 programs?! 

Welcoming 2017

Looking back over the past year, I thought I’d start out with my resolutions for 2016. How well, or how poorly, did I do? Where do we go from here?

Here’s an excerpt from last year’s New Year’s post:

Last week, I found this idea: a “7 x 2016”, a prompt for making wishes become goals instead of ‘traditional’ resolutions. I really liked that idea, so here goes mine, with a couple additions:

Learn how to.….. speak in medical Spanish. Back in high school and even college, I was pretty good in speaking Spanish with native speakers. However, it’s true that what you don’t use, you lose. I’ve bought a guide and have already conquered the first chapter. Here’s hoping for better communication with some of my future patients. This one has been a success, in some ways. One of the perks of being a medical student is that sometimes we are offered discounts on this… like Rosetta Stone. Our class got a deal on the Spanish set, and I jumped at the chance to use a program to increase my skills. I’m still not done with the program or with the Medical Spanish text I bought, but every little step is a victory so I’m calling it a win.

Start……. My Year of Kindness. One thing I’ve been noticing lately is a genuine lack of kindness in our community. I’ve got a few ideas on what to target for each month, and I’m really hoping this new venture is a success. More on that soon. This was also a success, and one that I am very proud of. In January of last year I pioneered a project christened My New Kentucky Home that served the refugee and new immigrant populations of my city, and it was a smashing success. What a way to kick off a year of Kindness!

Stop…… Doubting myself. I do it all the time. It’s a hard habit to break, but I realize what a detriment it is to my psyche and my performance as a student, wife, and mom. There is no room for it anymore in this new year. I have gotten better at this. It is a very slow process, but I’m gaining more optimism by the day. It’s so easy to give up on some things because they seem so daunting. Slowing changing that inner voice has helped my life in a big way.

Travel to.….. This one is my favorite, I think. While I feel like I am overdue for a visit to somewhere outside the USA. It’s been almost 5 years since we went to the Caribbean. However, I think that adventure might still be awhile off. This year, we’re planning on a post-third year pre-Step 2 studying family vacation to Washington, DC and Virginia Beach–three new states for me and the Ladybug’s first trip to a beach. Much slower-paced than we’re used to, but that’s ok! Making memories with my family is a priority this year. We made a ton of memories on that trip to DC and Virginia Beach! The little one had a blast too, so I think another beach vacation is in the cards for 2017.

Find…. Two half-marathons to run this year. With rotations, it’s not like I can just pick which ones to do this far ahead of time, so I’m wondering if I should skip the local half-marathon in April (during my OB/GYN rotation… just watch my week of nights in L&D be the same time as the race) and plan for one in summer and another in the fall. Any suggestions for fun ones to run? As it turned out, the local half marathon WAS during my two weeks of Labor and Delivery, when I was working intense hours at an intense pace. So, this goal was a flop. I failed. But that doesn’t mean that I didn’t gain something along the way. I was much likely to be found at the gym this year, even if I didn’t get to run in those races that I hoped for. I no longer hate the gym. I no longer feel that it is a chore to go, but instead I actually look forward to going. Baby steps! My most consistent part of the year was probably during Step 2 studying, since I would get in a run before sitting down to study as part of my daily routine.

Try…… New restaurants in our area. Since there is a great probability that we just may not be living here after The Match, I’ve insisted that instead of always going to the same places (which I love, honestly), that we try some new places that are unique to the Louisville area. We’ve asked friends of ours to go with us to a new restaurant once a month. I’m really excited for this new Double-Date Night! This was also a major fail. Between my schedule, the Handsome’s long hours at work, and conflicting schedules with friends, this one did not get off the ground. However, we still have high hopes for 2017 and adding more friends to the mix.

Be more……. Girly. Since being in med school, I quit dressing nice for class/school in general unless it was absolutely necessary. Then once I became a mom, I put myself last on the list of people to care for. I love dresses but don’t think they look right on me. Since losing so much weight, the brand-new clothes I bought for rotations in July already don’t fit me, which is a blessing and a curse. I hope to actually acquire some style this year, and maybe even keep my nails painted and try new lipstick or something. So this one is a win for me too. This has been the first year in a long time where I actually took care of myself. Taking pride in my appearance wasn’t on the radar before because I was simply trying to survive, and spending time on myself didn’t feel like it had good return on investment. However, now I am feeling better about myself (it’s all part of changing that inner dialog!).

And then two I added to make my own “9 x 2016”:

Less….. Screen time/wasted time on my phone. I wonder how much efficient I would be if I transferred all of my phone time to work time. Not that it’s bad to focus on something outside of medicine for awhile, but I find that I scroll through all the social media apps when I’m bored and spend much more time on them then I intend. There was good and bad to this one. I was much better about staying off of Social Media during my dedicated study time for Step 2 CK, but outside of that, I STILL pay far too much attention to my phone.

More…… Memories/Playtime with my kiddo and hubby. The Ladybug loves for momma to come home and do nothing but play until it’s her bedtime… which sometimes eats up a large amount of my study time, and sometimes makes me worry that I’m not a good medical student. However, I don’t think this is time wasted (such as when I’m on my phone). I always, always, always make sure that I tell her that I am happy to see her and that I love her as soon as I pick her up each day. I want to soak up all of this sweet toddler time as I can. This one was definitely a win. 4th year has aided in my ability to make more special moments with my family, since I’ve had much more ‘free time’ this year than in the previous three years. Every opportunity I get to pick up the little one early from daycare to take a surprise visit to the park, I take. It has been amazing and so sweet.

So what does that leave for 2017? 2016 was my best year yet for sticking to my goals throughout the year. Previously, my ‘resolutions’ were usually broken by the first few weeks of the new year. This year’s successes are making me much more optimistic for 2017 and beyond. 2017 has the potential to be the best year yet with so many new adventures on the horizon: my brother is getting married in the spring, I graduate in May, we will be purchasing our first home before the start of residency, and I will finally get my MD and start training to become a pediatrician. Many new things were introduced into my life this year, which were unexpected and totally outside of my 9×2016 list. I have started meditating using the Calm app (which I love!), increasing my yoga practice, and becoming minimalist. These were things I never saw coming but I am so glad I found them/they found me and my family, and I fully intend to keep them throughout 2017.

My 9×2017:

Learn:… Spanish. This is just a continuance, and still something that is very important to me. It has already helped me form greater bonds with my patients and their families just by saying the phrases that I do know, and acknowledging that I still have more to learn but I am TRYING.

Start: Racing. I made good strides of going to the gym more frequently and PR’ing my times, but I want to bite the bullet and actually race this year. I’ve already signed up for a local series of races where I can build up my distance.

Stop: Feeling guilty for not knowing everything. So much of medical school is realizing just how much I STILL DO NOT KNOW even when I am killing myself with studying. It is OK that I do not know everything. There is an opportunity to learn each day, and I plan on fully taking advantage of that and asking more questions… all of which will make me a better physician.

Travel to: We have several plans for travel this year, with the first adventure being next week. I could go on and on about this one, but for now I will just say there will be hiking and sunshine and a few new states/possibly countries.

Find: The right program, the right home, the right mentors. Some of these are time-dependent, but there will be a lot of work to do come Match Day (3/17).

Try: New restaurants (a continuance of our goal for last year) along with new foods! As part of interview season this year, we get a lot of dinners out with residents in all of these new cities and I’ve made it a secondary goal to try meals I would ordinarily never try. From butternut squash ravioli to my first taste of Indian food (which I LOVED!), it’s been a good idea to branch out and try new cuisines/flavors.

Be more: Of an advocate. One of the things I love most is projects, especially those that help people. I do not have much experience on the political side of things, but as I start residency it is increasingly important to me that I learn how to fight for my patients, their families, and their needs. Learning this skill is one of the things I am most looking forward to in residency, in my new role. How exactly do I plan to do that? First of all, I’ve been interviewing at programs that excel in advocacy. There are other opportunities for training through local and away electives. I’ve also been looking for great mentors. No matter where I end up Matching, I will have a solid foundation to help me with that endeavor.

Less: Screen time. This one is a hard one to break (I mean, I’m blogging right now, so….), but I realize that especially with screen time, less is more.

More: Meditation, exercise, relaxation, reflection, minimalism. All of these things, to me, go together hand-in-hand. What I haven’t been doing much of lately is reflecting and writing about how these things have helped change our lives for the better.

I am looking forward to a 2017 full of adventures and memories. What are your goals for the new year? What big adventures are on your heart and mind? Share with me! Let’s encourage each other to make 2017 the best year yet!