Well, that's what Billie Holiday thought. Here in good 'ol'
Florida, it's HOT (and also very busy). This is the boys' last week
of school; clinic is in full-swing; classes are well underway; and
the schedule is getting crazy. I'm 3 weeks away from finals for the
Master's program. Schedule changes are tough. I'm still getting
used to being in clinic and splitting my time between classes and
How was your Memorial Day weekend? Mine was SUPER low key. After
Acupuncture on Saturday, I spent time with friends in Tampa, and
Sunday and Monday were focused on reading, research, and recovery
(the new 3 R's). The Master's has me working on all kinds of stuff.
I'm most fascinated, right now, with articles on lifestyle factors
and inflammation. Dr. Seaman's classes really focused on some
basics of inflammatory cytokines and the biochemistry of the food
we eat and what it does to our body. Now I'm at a whole different
level of learning with this, and it's REALLY cool. I'm discovering
how the same set of cytokines, combined with other hormones use the
foods we eat to make things even more complicated. How we think and
feel about what's going on in our lives can lead to chronic
inflammation, autoimmune disorders, and chronic disease. I'm so
glad that I've chosen to study this for the rest of my life.
Right now we have several classes on how we, as physicians,
should interact with patients. Whether it's doctor-patient
relationships, jurisprudence, or clinical natural medicine -- we're
discussing everything from what we're responsible for ethically, to
how patients (or potential employers) might perceive us. The latter
topic has created a bit of a rift in my life. We were counseled to
be careful how much of our personal life we allow the public to see
-- specifically, our patients. Do we give patients our phone
numbers? Do we friend them on Facebook? Do we give advice out in
public? Do we share pictures of ourselves online? The idea behind
it incites a lot of fear -- that we'll have stalkers, or share too
much that can be used against us, or somehow lose patients because
of things we do, say or show.
I don't like this at all. As alternative practitioners, I think
we have a little bit more lee-way than others might. Some of us are
into some unique areas of study. We are more touchy-feely, and that
lends itself to a different type of interaction. They say that
we're less likely to get sued because we tend to be more
interactive with our patients. So, except for the stalkers, why
would we want to withhold that information from those people in our
lives every day? I guess it's something that we all have to think
about. What do YOU think?
Have a great week everybody. As always, if you have any
questions or comments, please feel free to contact me.
Nearly two and a half years, countless exams, memorization of
facts and figures, pathologies, prescription drugs, and maneuvers
that scare you to death -- and you think you might actually know
"something" (but not everything). And then the first patient walks
through the door and you realize nothing you could've possibly done
thus far could have prepared you for what you're about to
experience. Welcome to being a student physician.
Throughout my various collegiate undertakings, I've felt
ignorant. There was never much of a point to thinking I knew
everything or even all that much because I was constantly reminded
that whatever bits and pieces I've pulled together meant only a
drop in the bucket toward what's out there. I hate feeling
ignorant. Maybe that's why I'm constantly reading and researching
-- because I know that I don't know anything.
Ricky in Radiology Positioning class
(Special thanks to Dave Aiello and Ricky King for this
Dr. Harrison, our clinician, brought up an excellent point last
week (he has LOTS of amazing pearls of wisdom). He said that the
stuff that we learn the best is the stuff that we're faced with. If
there's a condition that we, a family member or friend, or a
patient has, we WANT to learn about it. And so we learn those
things the best. But when something is sitting right in front of
you, there's this overwhelming need to know it -- right now.
Sometimes that learning curve can be pretty frustrating.
Questions get asked. Tell me about your family. How are you
feeling? What's going on in your life right now? Can you describe
this or that sensation? As the physician, you're supposed to know,
not only what it is they're talking about, but also how to put all
of it together to make sense of what is in front of you. It's a
complex task. Then you have to take the person in front of you, and
figure out how to make them better, take away the pain they're
having, help them cope with what's going on in their life, and help
them re-enter their space of wellness. And of course, you hope that
they're working with you on this. This takes skills they don't
teach in school. We can take all of the interviewing skills
sessions, basic and clinical sciences, and psychology classes and
still not be able to put all of these "issues" into the complex
Being that sits in front of us. So, as I sit here wearing my white
coat, I can honestly tell you that nothing I've done over the last
two and a half years prepared me for my first patient. Not a thing.
Not even remotely. Of all the things I've learned, even over my
whole life, listening seems to be the most beneficial.
One of my biggest fears when starting clinic, besides being
worried I wouldn't know what to do, is that I would be stuck with
pure musculoskeletal cases. I know, this is chiropractic and
musculoskeletal would theoretically be a big part of most chiro's
practice, but I wanted the hard cases. And I'm getting them. From
complex vascular issues to hormone imbalances, I've had to do
research in the first week on topics that we didn't learn in any of
our classes. Before any physical exams, before any orthopedic
testing, just doing the history, I'm learning so much. I love
learning this way. Get a topic, find out as much as you can, and
then apply it.
Pick up a copy of Harrison's Internal Medicine, and
also a copy of the Textbook of Natural Medicine, and
Textbook of Functional Medicine. All three of these will
serve you very well. Even though these three are great resources,
there are some things that still require digging. I love a
challenge. Good thing I'm in the right field.
Have a great week everybody!
Two weeks of break isn't anywhere near long enough. It seems
like just about the time that I get into a new groove of being out
of school, things start up again. But, this time -- it's different.
I'm an INTERN!
My intern badge
Last week was the first week in Student Clinic. We went through
procedures and charting info and a bunch of other things. I think
it's going to be AMAZING! Dr. Harrison (our clinician) has taken
the time to explain so many things to us already. It's a whole
different world, now. I don't know what I thought it was going to
be like, but it's different. And I think it's going to be great. I
started out this week as a secondary, and I see my first patient on
Break was wonderful. I was able to take some time off, do some
volunteering, and work on some projects. I feel "lighter" -- having
been able to accomplish some things that I hadn't had time for thus
far. That having been said, I'm still behind. That's not
tremendously surprising. I'm making lists and slowly getting things
Sunrise over Tampa Bay
The Master's has been ongoing. My classes right now are in
Botanical Medicine and Immunology. I've learned so many fascinating
things. Last week I got stuck in researching zonulin and tight
junctions. I've been trying to pool together all of the locations
that contain tight junctions in the body, so I might be able to
link proteins and chemicals that disrupt the tight junctions with
disorders that occur at those locations. I have to stop myself
sometimes, from going too far down the rabbit hole with some of my
research -- because I'll get so engrossed that I forget about
everything else. Sometimes I have to stop myself at the point of
too many questions. It turns out that some of the ones that I came
up with last week (according to my professor) don't currently have
answers. I guess I'm not the only one with questions.
I'm looking forward to the Tri mixer -- whenever that will be --
and Wednesday with my first patient. I'm secondary on patients
before then, so that will be interesting as well. Mostly, I just
want to say how excited I am to be here.
Welcome back, everyone! I'm glad you're here.
I can't believe this week is Thanksgiving. Happy Thanksgiving
everybody! A few of my classmates are heading out of town, up
North, over the river and through the woods, but most of us are
staying somewhat local. Those that are going up North are getting
ready to be bundled up. I understand there are record lows --
especially up in the Northeast. We're actually expecting a brisk
temperature of 66ºF on Thanksgiving. Everyone will have their
parkas and snowboots on.
Friday night was Turkey Bowl. If you've never heard of the
infamous NUHS Turkey Bowl, here's where you'll become indoctrinated
in this time-honored tradition. Students, alumni, faculty members,
and significant others launch themselves onto the football field to
non-violently duke it out to compete for (starting this year) the
Stiefel Cup [named for the president of NUHS and former dean of the
College of Professional Studies - Florida].
This year, the victors were from Tri 1 and Tri 6 (including our
own Antoinette Stewart and Lauren Domanski) and our MVPs were Dr.
Chris Arick and Danielle Spratt. It's my understanding that no
severe injuries were met and no one went to the hospital -- so it
was a good game.
We had a HUGE turnout of people! A lot of the faculty came out
-- including some professors that I haven't seen in a really long
time. I saw new students that I'd never seen before. I met spouses
and kids that I didn't know existed. It was just a really great
"family" environment. There was really amazing food provided and
the people that weren't playing just hung out. It was really cool
and made me wish that I'd gone last year. The funniest thing was to
see our professors and Assistant Dean (Dr. Daniel Strauss) don
shorts and T-shirts and blend in with all of the "kids." We really
couldn't tell the difference between them.
So, this is the last week before finals start. Next week is
practical week and the following week has all the written exams.
I'm not looking forward to either -- but I'll be really glad to
move on. I've already taken the Marketing final, the final
practical for Rehab, and the Phlebotomy written final is this week.
I'm checking off boxes and crossing things off my list (and trying
not to go crazy).
Well, that's it from me. I hope everyone has an amazing holiday
-- that you have just as much dinner as you want, just enough
family dysfunction to seem OK, and just enough tryptophan to have a
really good nap. And of course, in true medical student style --
dissect the turkey -- don't carve it.
Did everybody have a good break? Did you even get a break?
Finals are over! We all survived (endured, even). From what I can
tell, everybody did really well. Mostly, I think we're glad that
we've made it through all the basic sciences and are now in
clinical sciences. WHOOOHOOO!!!!! I can't believe we're finally in
Treasure Island drum circle
All of our class scattered to the wind--Europe, New Jersey, all
over the globe! I had an especially busy break. I spent the first
week looking for a new place to live, and then the second week in
Illinois. I drove to see my folks (and extended family) in Central
Illinois. The trip was AMAZING! I've forgotten how much I miss the
Midwest (did I just say that out loud?), and how much I miss my
I grew up out in the country, amidst farmland and such. I
literally spent 2+ days up to my waist in dirt. It was pure heaven.
I planted perennials in one of their flowerbeds that will hopefully
take over and be low maintenance (and fodder for my mom to watch
from the kitchen window). It's got me all psyched to do some
gardening of my own (in between studying, of course).
The first week of school was both a trial and a triumph. I
received the go-ahead to move into my new place on Monday, so I
started moving boxes and such into the garage. They are still
fixing random stuff in the house. At 2am Sunday morning, I finished
moving the last of the stuff out. Special thanks to my classmates
and friends, Jacqlyn, Julia, and Alid for all of their help. Julia,
Alid, Grey (my son), and myself moved ALL of the heavy furniture in
less than 3 hours! They were, as Dr. S puts it, "machines!" I
couldn't have done any of this without you guys--all my love and
undying gratitude. I mean it!
So, other than unpacking and getting things sorted, I'm back to
school. The class schedule looks like it's doable, but it's gonna
be a toughie! Two classes with Dr. S (although one is early in the
morning when I'm not yet awake--I wonder if he's noticed), several
other interesting ones, and my favorite: Botanical Medicine (Yes,
I'm being serious). I've taken Bot Med under different
headings/schools before, and I practice a little home chemistry in
making my own medicine. I have for several years. In my
not-so-humble opinion, you can never know too much about medicinal
plants! I've already obligated myself to showing how to make
hydrosols, which are like essential oils but can be made at home
and not quite as strong. Now if I could just find that book. Where
did I pack that thing?
I'm looking forward to an exciting tri--morning classes and
Treasure Island beach
Incidentally, it's hotter than Hades' vacation spot down here in
the old FL. Summer has definitely arrived. Stay cool and hydrated,
kiddies. If anybody has any garden requests for me, let me know.
I'll be putting seeds/plants in as soon as I can.
Welcome back! (I know I'm glad to be here!)
• After the DC Degree
• Botanical Medicine
• 1 Year at National
• Marketing Project
• First Week in Student Clinic
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