Tuesday, October 30, 2012

Med Sleds: 'Tis the Season

I had been locked in the quiet study room for going on eight hours. My eyes could no longer take the fluorescent lights. My ears could no longer take the silence or frustrated sighs. And my brain could no longer take all the pharmacology it was cramming. It was time. For. Facebook.

I defiantly turn the volume up on my Mac as loud as it will go (all you Mac users know that this is not very impressive.... but what can you do), hit 'play' on some Justin Bieber song (no judging), sign on to Facebook, and start creeping. My East Coast people are my main targets today, and it becomes a competition to see who has the most exciting Hurricane Sandy update. My family and friends are all back on the east side of this glorious nation, and my best friend lives in Manhattan. Another friend lives in Virginia. He was freaking out, as the ocean is literally in his backyard, and this was his first hurricane experience. I asked him how he was preparing, and his answer was "Batteries. And beer. Lots and lots of beer." Solid. 

Anyhow, the most memorable status was from my friend who is a pediatric nurse.

"manually evacuating the PICU and NICU in NYC?! who ever thought they'd actually use the med sleds. wow, that's some dedication right there. it's no joke up there...prayers for all of them..."

Someone asked what med sleds were, and here was his response:

"Basically they're plastic sleds used to evacuate patients in emergencies. but the baby ones, which they'd use in the NICU in this case, have a foam fit-in that can hold 4 babies as you take them down the steps. but doing that for an entire NICU which probably has a lot of babies in it, and doing it in the picu which has kids of all sizes, plus kids that are intubated, need to be bagged by somebody, and God forbid a kid is on ECMO..."


http://evacuationchairs.com.au/webfiles/fck/image/Medsled%20Infant%20Insert.jpg


This image really hit me. This is the first time that a big storm/natural disaster has occurred while I've been in med school, where I actually thought about what it would be like to be a healthcare provider in this situation. 

Imagine having to transport four very sick, most likely premature babies in a sled down who knows how many flights of stairs, while the power is out. And then, where do they go from there? Imagine coordinating with all of the patients, parents, family and staff to ensure that the right baby goes to the right healthcare center, with the right parents, and gets the right treatment. 

Imagine having to transport these kids down those stairs, in the sled, while someone else is bagging them. 

How do you monitor vitals in transit? How many patients will code during transit? How many patients will die or suffer worse injury as a result of transit? 

So many questions filled my head. It made me so thankful that there are other people out there that train for/know how to deal with these situations. But really, can you ever be truly prepared for these situations? In which case, I am so thankful that there are resourceful people willing to take risks, work long hours and put aside their own family concerns to save the lives of others.

Rescue response to natural disasters, such as this scenario, highlight one of the many reasons why medicine is so awesome. Awesome, as in the true definition of the word: extremely impressive, worth great admiration.

Medicine is awesome. It is challenging. It is scary. And it is totally worth it. 

Imagining being a physician in a scenario such as this one absolutely excites me and absolutely terrifies me. Game time decisions. Intuition. Creativity. Risks. Knowing that someday I will be at a point in my career where I will be able to perform at that level is worth very single minute studying, every single drug I have to memorize (even if they don't even use it anymore), every single minute of lost sleep, and every single meal I forget to eat (well.... almost... I really like food).

Basically, this post is a shout out to all physicians, healthcare providers, rescue workers, and volunteers who have been involved with reinstating organization, normality, and most importantly, hope during a natural disaster. And, to all of the family and friends who took care of these brave people's families/children, so that they could do their job.

https://s3.amazonaws.com/healthtap-public/ht-staging/user_answer/reference_image/8988/large/Natural_disasters.jpeg?1349479091

Sunday, October 21, 2012

PAMPin' Ain't Easy



 image

There are a few people that I have referred to numerous times throughout my postings, therefore I am officially assigning them blog names.

Meet PAMP. 


The med school version of a P-I-M-P.

In scientific terms, a PAMP is a pathogen-associated molecular pattern that is recognized by the body's immune system, triggering an immune response and, hopefully, enabling the body to clear the pathogen (anything infectious, like a virus or bacterium, germs!).

No worries, PAMP did not earn his nickname due to a lack of hygiene... although, there was one time last year where I'm pretty sure he didn't shave for a couple of months and I was starting to get concerned.


PAMP approaching finals week.


PAMP earns his nickname due to his legit dance moves, chill approach to life, general awesomeness, and the fact that last year when we were all suggesting trivia team names, his suggestion was "PAMPin' Ain't Easy." Genius.

Meet HSIL. 

HSIL stands for Hot, Sexy, Intelligent Lady.
One of HSIL's favorite quotes, with one of her favorite ladies.


In medicine, HSIL, aka HGSIL, stands for "high grade squamous intraepithelial lesion."

HSIL earns her nickname due to her love of ob/gyn and my love of acronyms. Works out nicely!










Anyway, one could argue that PAMP and I both held our own on the party scene most Fridays throughout our M1 year. To be honest, I never stayed in on a Friday, excluding finals week. My approach to med school is more of the "Have no life during the week, then refuse to study on Friday, Saturday....and if I can pull it off.... Sunday."

Yes, M1 year was challenging. But, partying on Friday, and occasionally Saturday, was totally feasible. Unfortunately, I'm quickly learning that my "no studying on the weekends" philosophy may not cut it for M2 year.

Last Friday, something unheard of happened.

I did not go out.

I know. I can hardly believe it myself.

I got home from my exam around 5pm. Immediately crashed for 3 hours. Woke up at 8 and caught up on Grey's Anatomy. Essential part of my Friday routine. Then, around 9pm, the texts started rolling in about going out. And you know what? I was in PJs, in my warm bed, probably (definitely) in dire need of a shower,  tuned in to Netflix. I weighed my options and chose to go to sleep at 10pm. On a Friday. I had to check my temperature to make sure I wasn't ill. When I woke up the next day at 11am... yes, I slept for 13 hours... I realized I definitely wasn't sick. I was just an M2, which requires much more time and effort than M1 year. Fortunately, the material is much more interesting and actually relevant.

Then, something else unheard of happened.

I studied.

Hard.

On a Saturday.

I'm cringing.

I was so confusd by my actions, that I had to go out on Saturday night. So I went out. And I had one drink. And then, something unheard of happened.

I stopped drinking after one drink.

Why?

Because I wanted to get up early on Sunday.

To study.

WHAT IS GOING ON!?!?!?? The answer, as we know, is simply "M2".

Yesterday, after our pathology exam, I came home and crashed. Again, I woke up at 9pm, and my friend texted me to go out. I was in PJs, bed, and in need of a shower... but, I sucked it up and showered and forced myself to go out. Never thought it would come to that. As I was getting ready, I texted PAMP.

Me: I know you're probably studying or chillin with ur gf, but we're heading DT around 11 if you want to join!


PAMP: Ha. I am doing neither. I was actually thinking about sleeping soon. Because I am 47 years old. (PAMP is 24.)

Me: If it makes you feel better, I slept from 5-9. And it was awesome. This M2 thing is really crampin our styles! I am forcing myself to go out. Meaning I should probably change out of sweatpants. You know something is wrong when I don't feel like drinking at all. Usually that feeling is constitutively active.


PAMP: I've been down-regulated for awhile. 


Me: Too much stress and med school damage. Hoping we haven't hit the irreversible stages yet.


PAMP: Too late for me. I'm fibrosed.


Me: NO! This is bad. I want you to regain normal function, but I'm almost afraid to have you party, for fear of reperfusion injury.



Nerdy Me was really pumped about how patholigized that conversation was... just another example of  med-school-can't-turn-it-off-syndrome.


Still looking for the Med School Off Switch.


Tuesday, October 2, 2012

ABCs and ASS

So, there is a really great guy in our class, who is married to a wonderful wife and they have a beautiful daughter. He is one of those people I always think of when people are talking about having "successful relationships in med school." In order to help strengthen his relationship and create more family-friendly med school events, he and a few other students decided to create a student group called "ABCs" aka "All 'Bout Couples."
 
 Today, ABCs sent an email inviting married students and students in committed relationships to attend their events. As we all know, I am far from both of these situations, and I'm totally okay with it. But, it was kind of like when I get emails from SNMA, which is a group for "diverse" students. Last year, I lived with two "diverse" students who are both members of SNMA. Well, in the beginning of medical school, I really wanted to join SNMA because they have fun events and I enjoy diversity. Both of my roomies laughed when I said this, because I am not "racially diverse." Personally, I think that is crap, and I felt discriminated against - mind you, I never dwelled on it and I truly don't care, but for the purpose of this blog, I'm recounting these events. Just because I'm white means I can't be diverse? I believe the simple definition of "diversity" is "difference." Well, aren't we all different? Anyway, it felt like a slap in the face. Today, I read the ABC email and it was kind of like getting slapped in the face, but in more of a Three Stooges way - I read the Subject Line, laughed because I knew it didn't apply to me, opened it up to read anyway, then felt bad because I couldn't participate lol.

My reaction was to immediately get on Facebook and message my close med school friend (MSF), who is also single.

Me: not gonna lie, everytime i get an email for All 'Bout Couples and it says its only for those in committed relationships, married, or with children.... i feel pretty discriminated against LOLOL


MSF: Agreed. We should start ASS "Always Stay Single"