Tuesday, September 16, 2008

Wish List: paJAMAs

When they start making flannel JAMA PAJAMAS, please tell me so I can get me one'a'those. Brillz.

Thursday, September 11, 2008

Welcome, MS1's!

Orientation for the youngsters started last week, but I just wanted to say "HI" on my blog to the fresh-faced med students who will be having their white coat ceremony tomorrow. Sorry for being a deadbeat MS3, you will probably never see me unless you like to shadow doctors at Moffitt (you eager beaver you).

Ironically, as a first year, I always wondered why we didn't meet any MS3's or MS4's, apparently they were too busy to mingle with the first and second years. Also, we never get to attend any UCSF graduations, so there is a particular divide between MS1/2 and MS 3/4, that UCSF could probably remedy to some degree. Anyway, it's just funny that now I AM the shadowy MS3 whom you will never meet, and therefore assume that I am aloof and a little bit eccentric (ah, first non-impressions).

Enjoy medical school, and for goodness' sake, HAVE FUN this year and next year. Enjoy the pass/fail system and relax (you won't listen to me, but i'll say it anyway). Try to go to class. Eat the hashbrowns in the Moffiteria. Avoid the hospital. Do what you love. Hang out with friends and family. Don't worry about the Boards until perhaps Nov.-Dec. of your second year. Be nice to the MSP teachers and don't be (too) mean to the small group leaders. DON'T BUY ANY OF THE TEXTBOOKS ON THE LIST!! (except for Netter's and Blumenfeld, which you can buy in May). YOU NEVER USE THE TEXTBOOKS.

Good luck, medlings!

Tuesday, September 09, 2008

Family Medicine

My family medicine rotation started yesterday, and it's been nice so far. The rotation is entirely outpatient, with no call nights and every weekend free...which is great because i never had a "golden weekend" for 8 weeks on medicine. In many ways, the family medicine rotation is different from other rotations, and not just because it's entirely outpatient, but also in terms of philosophy and mindset. There's an emphasis on continuity of care, being the medical "home" for a patient, and doctors can care for entire families throughout the generations. The "bread and butter" conditions for family medicine are chronic -- HTN, COPD/asthma, HL, CAD, DM. Psychosocial issues like substance abuse, domestic violence, or homelessness -- which can be swept under the rug by time constraints in an inpatient ward -- become more important during family medicine.

During orientation, the clerkship director asked us how patients have already been affected medically even before we see them during the first new patient visit. It was a confusing question, but it's not just past surgeries or vaccinations, etc. that affect a patient...other factors such as environmental pollution, McDonald's, and rising gas prices can affect someone's health. I never appreciated how family medicine can be a vehicle for advocacy for many different things in the "real world" that impact health and well-being.

On another (non med) note, the media has exploded recently with the debut of Sarah Palin -- i've never seen so much press on one person in one week. She has made the news interesting lately, to say the least.

Thursday, September 04, 2008

Home Conversations

Home in Arcadia before starting Family Medicine.

After passing by Jeremy's old preschool, my siblings and I started talking about how we used to eat dirt, grass, and insects when we were in preschool.

"My friends and I ate ants," Jeremy said, "They were spicy."

"At least you ate them with friends," Samantha retorted, "I ate grass ALONE."

Love my family. :)