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.

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Useful Apps for Fourth Year

I cannot believe that it is already September and recruitment season is almost here. These were the apps that helped me keep my sanity through a wonderful fourth year that was full of adventure and excitement as I closed the book on that chapter of my life. 4th year was a lot of fun but still a lot of work and a TON of stress. These apps helped to relieve that stress.

***I am not sponsored by any of these apps/companies… I found them throughout the year and thought they were useful… I’m still using them!***

  1. NRMP PRISM app

This app, designed by the NRMP, was great for tracking the programs I applied to, interview dates, and they even had a ranking system. I have been telling every 4th year student about this app! (And, it’s free!) You choose which Match you want to enter (Main Residency vs. specialty like Urology, vs. fellowships), add your programs, and update once interviews get going. It was so helpful, and I already had a framework for my Rank Order List (again, easing the stress… a little).

Waze

Honestly, I’ve been using this app for a long time well before interview season. It’s a crowdsourced GPS that shows you the fastest route to your destination and it updates in real time so you can avoid wrecks and traffic jams. I spent so much time on the road driving to the majority of my interviews 😳 and this app saved me a lot of time. All I had to do was type in the address and drive. (It also shows you places to stop along the way…. where to get gas, restaurants, etc.)

Audible

In speaking of all that time on the road… after awhile, I grew bored of my iTunes and even the radio and I needed something else to stimulate my brain while the miles ticked by. Audible is a branch of Amazon and there so many choices. Some books are free, you can be ‘gifted’ your first book by a friend, or you can sign up for a membership (this is what I did) and get discounts on books. In the membership, you get one credit per month to use on any book (any $ amount), plus discount if you buy additional books (plus they have new free books pop up all of the time). I spent so much time on the road (I literally stopped clocking the hours because it was insane), but I would use my monthly credit toward the longest audiobooks I could find. I started the _Outlander_ series and some of them are 30-45 hours of audiobook… and some of them I listened to more than once. Now that my round of interview season is over, I still use this every day on my commute to and from work.

Calm

At the beginning of 4th year, I downloaded the Calm app to give meditating a try to see what it was about. I liked this (FREE!) app because it had lots of material on it that I found soothing. There was plain background noise (I use mountain lake, pictured above), guided and unguided meditations, and series of meditations (such as, A Week of Calm, A Week of Stress Relief, etc), and all of that was free. Each meditation is 10 minutes long or so. Since then, they have majorly upped their game. Now even the free version has daily meditations on topics to ponder, more series meditations, a section just for music, and–my favorite–SLEEP STORIES. I have such a hard time falling asleep when I am 1) alone 2) in unfamiliar places and 3) stressed about the next day’s interviews, all of which I was doing on a regular basis during interview season. My sleep was suffering during that time, but in using this app, I gained back a lot of peace. I still use this app every day, and I upgraded to the paid version so I have access to all of the content. They are constantly adding to the content, with new daily meditations, sleep stories, music, series, etc.

Those are my top choices for useful apps for 4th year. What apps did you find helpful?

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 😂). 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 Pathology 

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. 😦 

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?!