Saturday, January 24, 2015

Week 1 of medical school

January 23 2015

BEST DAY EVER. 

It has been a tough week-mentally draining and academically challenging. I will not say that I got through it-because that is not something that can be measured at this particular time. Everyday has been full of the lectures that have me lost at the get go. 

But tonight was so good! We had an anatomy review after lecture and the professor gave a very realistic yet encouraging and honest talk on this first term and what we have to know and be able to do. Of course being able to do the actual work is important-but having a tough mentality is equally important because where my mind wonders-my thoughts, actions and habits will follow. 



I went home after the lecture and was about to cook dinner after having gone for a run when a classmate reminded me that we would be going to anatomy wet lab (the cadaver lab) together. I thought about the anatomy instructor advising us to wait to go until we had prepared and knew what structures to look for-but decided that an hour spent with the body was more productive than 3+ hours spent with a text book and boy oh boy was I right! 

That hour in the lab with the body was the BEST HOUR of this ENTIRE WEEK!
I learned so much and was able to touch and feel and test myself and others and LEARN! 
That really really helped-in regards to understanding the things we're learning and gaining some confidence in studying effectively. Myself along with 4 other students taught and tested each other and found the muscles for this first week on the cadaver then found it on each other and ourselves. It was so cool! We were palpating each other and then the cadaver and flipping through the pages of our books-and subsequently spreading the scent of formaldehyde on everything outside of the cadaver :) My room smells like formaldehyde and bug spray-haha-I know it is gross but funny too. I not only sleep because I am tired but also with a mind that is at peace knowing that no bug would dare to ever enter my room. Haha. 

Ever since studying the muscles this afternoon (Saturday)-I see each one as if it were on the body and know what it really looks and feels like on a person-not a piece of clean, smooth paper. Wow-I do not know how to convey the amount of relief I found when I finally started making sense of these structures. I LOVE that feeling of being able to look out and picture the muscles and tissue that we examined last night. If you were to walk by my study table-it may appear that I am staring at the island in the near distance or the catamaran sailing by-but rather a cadaver’s superficial and deep musculature of his back are what my mind and eyes are focused on (well sometimes those other things distract me :) ) 

Back to studying. 


Psalm 20:4

May he grant your heart’s desires and make all your plans succeed.

-M.H-
Fist year medical student who is literally sitting in the storm (it is raining right now and very windy) 


Tuesday, January 20, 2015

Day 2

January 20

Today was a good day.

Histology lab-not the toughest-but it will require time to learn how to differentiate between all the cell types and slides...
Starting in a few days we will have to each present the slides to our respective groups and clinical tutors (who are extremely competent in this field) when called upon. This will be tough as I already performed a trial run today for my group when called upon-it was hard and I did very poorly. It is so true that doing bad or getting reprimanded really makes you try harder-I will be prepared Friday morning for my histology slide presentations! All the slides look the same-we're supposed to look at an intensely magnified image and know exactly which organ it is, the type of micrograph, the reason for dying it a certain color, the function, etc, and riddle it off within seconds to our tutor....HARD.

Histology lecture was fine today...not the most interesting-mostly pertaining to cell biology.

Biochemistry lecture was review of what I learned in undergrad-just at a fast pace and within a 2 hour time period...

After class I met up with a new study partner which ended up being the best thing that has happened all week in regards to study partners.

I then found a open and nicely air conditioned class room at the top of my dorm (about 8 flights of stairs to get to the top while carrying a 50+ pound back back) to study alone-love it here-I am here now doing biochem. There is a loud fan which really focuses me.

Met with a fantastic study group tonight for about 4 hours of histology review-it was remarkably efficient and that gave me an immense amount of hope that I can do this with the right people and help!!

Going back to biochemistry review now...and my mindset is in a much better place than it was 24 hours ago.

I CAN DO THIS! I am no longer convincing myself of this or faking that mentality but am actually believing it. Thank God.


-M.H-
First year medical student who finally got with the program


Monday, January 19, 2015

Day 1 of term 1

DAY 1 of medical school

Lecture-histology and anatomy.

Lots of information-studying it for hours and hours and wondering how in the world I will learn it all before tomorrow's lecture and lab-everyone says the same thing..."Do not get behind!!!"

The professors seem good but it is really up to me as the student to learn the info-they really only just reiterate what the lecture slide says...

Planning to finish anatomy tonight and wake up early to finish histology then prep for tomorrow's lecture and lab...

Tough day.

In addition to today being the day that it was...My dog of 15+ years, Buster, was put to rest after a progressively worsening illness for the past days. That is a heart break like none other.

Hope you're howling up a storm in heaven right now little pup.
Of all the days...I think it is amazing that it happened TODAY-of all the days....really? That put a damper of my studies-but I have to move on.
I just cannot believe that he ended his journey the day I start mine in med school.
Favorite photo....practicing spanish with mom


Truth for the moment:
1 Thessalonians 5:16-18
Be joyful always, pray continually, give thanks in all circumstances, for this is God’s will for you.

Thursday, January 15, 2015

The next few days after arrival. January 2015

January 15 2015

Wow. 

These last few days have been like none other-and classes have not even begun. It is the anticipation that I am feeling for them to begin that makes me struggle with creating a balance of feeling at peace with everything while acknowledging the reality of the challenge that is fast approaching…

I cannot even remember all the details from the past few days-however I am fully aware that at some point over the past 36 hours-a big change occurred- a good change which I will attempt to convey to you. 

From the moment I stepped on the island from the airplane-I felt like I was on a movie set-this place is unlike anywhere I have ever been and It is beyond what any picture is able to convey-and I have taken hundreds since arriving just trying to capture the numerous beautiful moments of each day. I am amazed that I get to study here.

Three days ago, I went on a few tours of the campus, surrounding area and then the island as
provided by the school. The island tour was a 4 hour experience of pure joy for me. We traveled in a packed bus throughout the curving and steep hills of this paradise. One of the first things all the students spoke of was how CRAZY the driving is in Grenada. I am seriously wondering what the MVA stats are for this country because I feel like even taking a seat in the car is taking a huge risk. The roads are extremely narrow and the drivers drive extremely fast. This combined with wet, foggy conditions made for a thrilling time. It is almost as thrilling as the Jurassic park ride at Universal studios. They say that if you can drive here-you can drive anywhere and I would not argue with this logic. My family and friends have seen me drive my little 71’ VW bug around at home and always scorn me for zipping around the way I do…well friends-you can no longer complain about my driving!  I thought I was going to die when me and another student took the taxi from the airport. We zoomed down the road at a remarkable speed and swerved in and out of the lane-coming within inches of people and other cars. This is not an exaggeration!


During the tour, we climbed into the mountain areas to view a national rainforest, a bottomless lake that is the product of a volcanic eruption, a very social monkey named Jack (affiliated with Pirates of the Caribbean), ate “oil down” (local Grenadian food), nutmeg ice cream and a delicious coffee drink, went to see the hospital where we will eventually do rotations, the hotel where meals, a view like no other, health care and TV are all free (the local prison) and my all time favorite….ETANG waterfall. Just typing that gives me goose bumps! Wow. What an extraordinary place. It was raining hard as we walked along the path to the falls but this added to the thrill of the beauty and heightened the sense of adventure. The tour guides advised us to jump into the falls and at first, only two guys agreed to jump. Then a few more decided to jump and then I decided to jump!! I wish I could replay that moment over and over-because that was when the change occurred. That was when I think I let go  of my presumptions of this island and the schooling and the challenges-and just knew that this was going to be good-I needed that moment of release and I am really looking forward to going back sometime during the term when I need to really clear my head. 

I do not know yet how medical school will go-I am hoping for the best and have this rookie sense of confidence, optimism and determination that is playing in my mind... However, what I imagine medical school to be like is similar to the feeling I had upon jumping into that waterfall. As I approached the edge, my heart raced faster and I grew more anxious as the fear grew inside me while looking at that somewhat large leap. Yet-there is also this strong desire to jump to the beauty below. As the days approach for classes to begin and as I attend the orientation sessions, talk to upper term students and continue learning more about what I am about to embark on, there is this combination of both fear and excitement. It is similar to walking toward the edge of the water fall cliff and looking down-I have this growing curiosity and even though it will undoubtedly be un-nerving- I feel like school is just like that moment when I decided to step off the cliff, the fall into the water below is thrilling and scary but the landing does not hurt-it is so worth it! I am hoping that this will be the case with medical school! 

I am now very curious as to how I will feel once the term is underway-but that is the beauty of documenting this and seeing that change and my response. I have this prediction of the experience and I am about to begin the experimentation portion of the process. Please pray for this! 

After my initial jump from the waterfall-I jumped repeatedly until we had to leave. I was completely soaked in my clothes but was all smiles the remainder of the day. 

I have met a variety of very interesting people. The most amazing thing about SGU is the diversity. This is the place to be if you want to get to meet someone from Iran, Korea, Africa, Canada, India, US, South america, other carib islands, London and so on and so forth within a matter of minutes. This is what appeals to me so much and this is the type of community I want to live in. The international experience is something I have been missing and craving for many years-and as much as I love Oregon and Florida (the places where I have spent the majority of my years) I have yet to experience this type of cultural beauty. And the best part-we all love medicine!! 

It is a sifting process-meeting people and forming relationships. Not everyone I meet will turn into an amazing interaction and connection-but that is ok because each interaction is significant in some way-however small it may be. Each person leaves an impression on someone and whether we are aware of it or not-they do leave an impact that can be positive, negative or a mixture of both. I am always amazed at how my day ends compared to how it begins-every morning that I have woken up here-which has only been a total of 4, feels completely different from the day before. I meet someone that I can laugh with, someone I feel I can study with and someone I can swim with, someone to shop with, someone to walk with, someone to dance with, someone to share a plate of food and good conversation with, etc. I am very curious as to how the people that enter this season of my life will affect it-and how I will affect them. The lord has always blessed me with the most amazing friends when having traveled to different places and during my studies-so I simply know and trust He will provide here. Good things take time-I am convinced of this-and have experienced it over and over-so even though it may be tough to wait for-the beautiful friendships that I want are out there on the horizon. 

Speaking of horizons…I stumbled upon the most amazing sunset of my life the other night. I went to meet someone at the “cliff”-the famously photographed place of the university near the southern most edge of the island. I had been waiting in the grass and talking with another upper term student when he advised that I check out the nearby trail for a killer sunset view. So as the sun was setting, I walked to the edge and saw a miracle-I really cannot describe it any other way. It was incredible. The sun was melting into the pure blue water. There were some Grenadian fisherman on the outmost rocks and me and some students spotted crabs with each new wave cycle that crashed onto the rocks below. I stood there and every thought I had dissolved immediately. It was very calming and now I  know where I can find this type of peace when the work starts heating up. 

I walked back from the trail and ended the evening having a nice discussion with an upper term student who is heavily involved in the emergency club. While sitting there, his 5th term friend joined us, gave me some advise for school and shared his insights, then proceeded to play classical piano in the dimly lit terrace for our enjoyment. Does this even sound real? I know, it doesn’t, but it is. :-) 

The next day-I went to the grocery store with my roommate-this was quite the outing!! I took the bus with her and spent an unfortunately large amount of money on an equally unfortunate little amount of food. That is life here-incredibly expensive-then again I can be incredibly cheap. We then went out for pizza and got to know each other more. I really enjoy her! She has been a great roommate so far and we live together really well. I am curious as to how things will go when our last roommate arrives considering we have a good thing going. 

The following day, I met up with that friend-Roy-who is very social as described before-and had lunch with him and his friends. I enjoyed their company and felt like I was with a group of older brothers. (I do miss my brother and got to see him for only 15 seconds when he answered my Facetime upon pulling into the ER at home-he was on shift but at least answered my call to say hello.) We then went to Grand Anse beach-which was my first time. It was gorgeous even though it was cloudy. The clouds and darkness added to the dynamic feeling of being there. Only Roy and I swam but we had a lot of fun and had a hand stand contest :). 

We then went grocery shopping and I was completely soaked. I feel as though I spend a good majority of time here completely soaked….

On a side note-I finally bought an umbrella- fortunately it is very large-however, unfortunately it is every color of the rainbow-but it was the only one the store had and I desperately needed to decrease the time I spend each day being wet from head to toe. Everyone must have bought the cool, mono colored umbrellas. Oh well-it does its job. 

Then came yesterday-the start of orientation! 
With the exception of learning about the school and their policies-there was nothing too notable. I will share the most interesting piece of information I learned: having any trace of marijuana on you will cost you 250-500K and place you in prison for 2 years. You can imagine what the consequences for other illicit drugs will result in… Swearing in public will do the same-I think the fine was slightly less and the prison time is only 2 months. 

I like those rules.

After orientation, me, my roommate and a few others went to Grand Anse beach… we had approximately 20 minutes of sunshine before it began to set. This was another one of those miraculous  evening views. Wadding in the blue water and looking out to the volcanic hills sprinkled with lights looked unreal while watching the large cruise ship sail away. While swimming, I got to practice my Spanish for the first time since arriving! That made me feel like I was back home with mis amigos and amigas! Que bueno!

I then came back “home” and had a nice evening talking with my roommate and sharing some dinner. We had walked off campus to a restaurant and I got my new favorite- nutmeg ice cream. Although I had showered, I had made a cloud of bug repellant around my entire body to avoid mosquito bites-I was bitten yesterday and would really like to avoid starting the term with contracting chikngunya… pray for health and protection. 

Today, was another day of orientation-better in my opinion because we learned about the special group I have been placed in-AEP. I will get extra tutoring and guaranteed this on a weekly basis. I chose biochemistry for the subject that I think will be most difficult. It was either this or anatomy-I am sure both will be challenging but I have my reasons. I am hoping that this group will really be helpful and effective. 

We also learned about loans-I have never taken out a loan nor been in debt and that changed within a matter of seconds last month when I accepted close to $40,000 for just this term. It does not even feel real-that  remarkable amount of money. 

The club fair was after that financial session and I signed up for emergency club (learn to read EKGs, intubate, start IVs along with other emergent/first responder duties). I am SO looking forward to this! I loved working in the ER over the past few years and feel like I am in my element. Needless to say, I am really looking forward to that. 

I also signed up for the surgery club, radiology club and international students club. I hope I am able to lead a balanced schedule that will allow me to be involved with the clubs and do exceedingly well in my classes. I often question/complain why there are only 24 hours in each day when there is so much I want to do. I then walked to the dock and enjoyed looking at the dark water and far off lights on boats and the surrounding island. 

I then ate dinner with some new friends-one of whom is from Colombia and wants to be a trauma surgeon-for some reason I can foresee a good friendship here :) We practiced Spanish all day-which was awesome because she corrected me a lot and helped me in my speaking. Tonight, I laughed the hardest I have laughed in a long time while eating dinner with her, her roommate and their funny guy friend. We ate chicken shwarma and sat outside and enjoyed a breeze while flags of bob marley waved in the wind. The music playing was great (mix of reggaton and Caribbean) and made me and my new Colombian friend want to dance-but we only swayed. 

And now I sit here and as I write out my memories and thoughts-they prompt hundreds of new memories that I have made over the past several days. I left Oregon one week ago tomorrow-and arrived on the island only 4 days ago, however I feel like I have been here a long time. Things are getting more familiar but still hold that amazement and beauty that they did when I first got here. 

Looking forward to the days ahead. Even though things are going to change drastically-It will be like that water fall experience- I am inching my way closer to the leap-but just know that it will be good. 

Lastly, the idea of “patience” has been something I have pondered a lot over the past few days. Patience in terms of starting this term, patience in terms of forming valuable friendships and patience in terms of trusting that God knows exactly what He is doing. 
“Be joyful in hope, patient in affliction and faithful in prayer.” Romans 12:12


Ps. As the fun and craziness increases, the pictures decrease. I can’t miss those moments! It is like that scene in the Walter Middy movie-even though the object of the photo is in clear view, the photographer chooses to not spoil the moment by looking through his camera lens. Sometimes, you just need to be capture the moment with your eyes as a non-digital memory. 

-M.H-
First year medical student -who is waiting with anticipation as the storm approaches. 


Monday, January 12, 2015

SGU: First Weekend , January 2015

SGU -The start of medical school, January 2015 

Day 1-2: January 9-10 2015

Travel from Redmond to San Fran.
Running late all morning with arranging last minute things and trying not to forget important information. Flight from RDM to SFO was in a small plane and I sat in front of two men, one 33 years old and one in his 50s. They had the most interesting  discussion and I was very interested in listening. Upon landing in SFO, I attempted to get into the United  club without success. I then found a little lounge that was empty and quiet and got comfortable and watched an episode of The Gran Hotel, Spanish drama/mystery series that is MUY excellente!!! The window seat that I was assigned to made for a nice view however the plane was surprisingly hot (possibly due to the fact that there were approximately 300 passengers and it was packed full). I attempted to sleep with my memory foam pillow and black out eye mask (amazing) but really only sat at an approximately 100 degree angle and tried to sleep for 5.5 hours. It was terrible. 






Arrived to Newark at 0730, saw lady liberty (she is rather tiny-but then again I was descending from the air). It is cold and snowy here. Proceeded down to baggage claim where I managed to get my three 50 pound bags pilled up followed by my two carry on bags and roll them up and down the elevator a total of 5+ times…person A-“you need to go to the 1st” floor, person B: “go to the 4th floor, basement, baggage claim, etc”. Needless to say I rolled my bags around and around all the while causing an increase in both my stress and blood pressure followed by an exponential increase in my disinterest in this airline and their system. I then was told I could not check my bags more than 12 hours from when my plane departs, keep in mind this is at 0730 and my plane is scheduled to leave at midnight…. So after a mixture of both cordial and freaked out behavior, I sat in a chair surrounded by my bags across from the United counter until they said that the computer would now allow me to proceed…at 11:30am. It was ridiculous. Shame shame shame. It is really amazing that a computer can dictate  the functions of real humans. This is a sad sad occurrence that happens all too often. So, after a sleep less night, along with no water on the plane (even though I begged for a water bottle and the stewardess only gave me two small glasses of water-in which I soaked half up in a napkin and wiped down my head and arms and neck because it was so hot sitting crammed next to people-coupled with pushing 150pounds+ around the various floors to sitting in an exhausted state to hearing my name being called over the airport intercom requesting my presence “due to having lost a valuable item” then realizing that I lost my wallet….then asking every person who worked for united where to retrieve my wallet and none of them knowing-to finally finding the lady in charge who had checked me in just minutes previously-asking if I could show her ID to prove it was my wallet-but she had all my ID (with the exception of the boarding pass thankfully)

I boarded the flight to Trinidad-first class and slept most of the way (with the exception of eating my first class meal :) )

Day 2 of travels: January 11 2015

Arrived to POS, Trinidad
Airport is roughly the size of Redmond. The island is gorgeous. 
No cell phone or internet functioning
Had to pay Liat Airlines 138 for my excess baggage-expected this though
Met a 5th term student named Preri-she seemed stressed and was making me stressed but did have some interesting things to say. I then began talking with another 5th term named Firas and he was much more calm and way more informative. We talked the entire layover and also had another 1st term student, sammir, sitting with us. 
Flew to Grenada-I thought the pilot would land in the ocean that is how close we were in the small propeller aircraft.  
Arrived to Grenada-it was hot-but not so bad considering I was in a long sleeve, sweater and puffy coat. 
Came to campus-wow. 

Assigned my dorm room-in St. David’s hall-SMALL! But it is mine and private so I am very happy. 
I pray pray pray that I  have grace in my health and no bugs bother me-no fever or illness. I pray for a good relationship with my roommates and have a good group of friends.

Registered, got all my books -a lot and HEAVY
Got my ID badge
Put my  name down for a mail box
Signed up for every tour of campus and the local water fall, Entang falls for Monday
Met a vet student named Katie from CA, she is nice and I think we  are very similar. We went and got local phone numbers then ate Subway for dinner-costing me a whopping $20. SO EXPENSIVE here!!!!!!!!! Lord-bless my finances and provide for food please! 
Went to the dock after dinner and watched the waves-met a girl from India named Samana-she is a 5th term med student and tried to relay the importance of enjoying my time and the beaches here and balancing time. She was with a 1st term med student named R who is from Africa and is VERY social-he invited us out but I was way too tired and could not even comprehend spending additional money at a restaurant. I then walked to the end of the dock and sat with 2 first term med students, M from Michigan and B from Idaho. They were nice and we talked about the little cove and how they went hiking and dove into the water off the edge near the dean's office (it is where all the famous pictures of the university are taken) 
We sat there for a while and then all headed home when it was dark. I came to my dorm and became exceedingly tired-I was asleep by 8:15 I think-I fell asleep with my computer and phone-both writing things mid sentence. I then woke up around midnight realizing this and was so happy to stay in bed. The dorm is a little chilly so I am using both the comforter and the gray sheep blanket-I am comfortable in long sleeves and pants. I have my memory foam pillow and now my neck pillow because I woke with a terrible headache-I think from the position along with the busy weekend I have had. I took migraine medicine using the water and ice cubes that I had UV’d with my pen earlier. I then woke up just before 4am and have been thinking and writing and praying. I opened my little book on scriptures and read about assurance-very appropriate for this experience. “Faith is being sure of what we hope for and certain of what we do not see” Hebrews: 11:1. This is very reassuring because I have a desire to do very well here-in fact I want to do exceeding amazingly well and learn and become a good student to then become a good doctor-of course fear and worry and self doubt try to creep into me and take over my mind-but I hold onto the promise that “I can do all things through Christ who gives me strength.”

Start of my second official day on the island…it is 0500 and I think I should go back to sleep. I am waking up in a few hours to start my busy day that includes tours and asking more questions and figuring out my phone which is no longer working….well all I can do is take each moment as it comes and remember that things will work out. It may be tough and very very difficult at times, but the result will be something beautiful and so worth the strenuous journey. 

My head ache has resolved and now, using my neck pillow and the cheetah hat, I am going to go back to bed listening to the rain and my sound machine. Good night (good morning) 
Thank you Lord for this!

Ps.
I read my mom’s letter last night and LOVED it! I especially loved the three ingredients” Prayer, Patience and perseverance!!! 


Lastly:
On an ending note:
I created this "blog" many many months ago-before I even applied to SGU-I created it after having read of another student's experience at SGU and really wanted to look into the school.
At the time the term "cultivate" was really pronounced in my mind so that was the title...I honestly do not know how to change the title...but here is the definition of that interesting word and I think it is very fitting that the timing of things has happened the way it has:

cultivate:
try to acquire or develop (a quality, sentiment, or skill)
prepare and use (land) for crops or gardening.

This is a journey of development-in terms of academic development and personal and spiritual growth. 

-M.H-
First year medical student