Archive for tag: masters degree

Summertime and the Living Is Easy

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 working.

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.

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Image Source: http://blogs.trb.com/news/opinion/chanlowe/blog/

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.

Hey, Everybody! Welcome Back!

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!

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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 Wednesday.

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 done.

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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.

Update for the Week

It's raining again. It looks like the Florida winter might be over. Yeah, yeah, yeah. I know that for every other place in the country the weather has been a LOT worse than it has here. It's been, I think, the coldest winter that I've experienced since I've been here (since 2005). The crazy thing about living in Florida is that for about 5 months out of the year, it doesn't rain hardly at all. It's very, very dry (as far as rainfall goes). Of course, the humidity is still 5000%, but it doesn't rain. Come May/June it rains EVERY-SINGLE-DAY. Sometimes it only rains for 15 minutes in a day, sometimes all day, and sometimes for hours/the whole day. But it's fairly predictable.

So today, it's rained all day. And after all of the months of sun (even when it was cold), I find myself a little bit depressed. So, I went home and took my vitamin D. Vitamin D has been a buzz-study subject for a few years now. Running a quick search on Pubmed on "benefits of vitamin D," returns about 840 articles. But searching for just vitamin D yields over 58,000! Shortage of vitamin D has been linked to Multiple Sclerosis, Depression, Obesity, and Cancer. Whoa! So, what we're finding out is that the vast majority of people are deficient in vitamin D, ESPECIALLY here in Florida. For those of you coming out of a cold, cold winter up north -- I feel for you. I really do. You probably need some vitamin D too. Here's an article on Vitamin D and Depression from the Vitamin D Council. 

In other news, I have finals for the Master's in Nutrition and Functional Medicine this week: Nutritional Biochemistry -- which has been completely different than what I had at National; and also Clinical Nutrition, which has been completely different as well. I've been pleased that there's been some overlap with the information. And I have found that the background that I've received here at National has helped me with the master's at UWS. I've already registered for classes next quarter, there. I'm taking Immune Imbalances and Inflammation and the Botanical Medicine elective. I can't wait to see what shows up.

This next week brings last minute quizzes, papers, and presentations. I'm doing a presentation for PT on therapies for Raynaud's phenomenon (which I've had since I was a kid). I have yet to decide what I'm going to do my Botanical paper on. I'm leaning toward Oregon Grape Root -- but I may choose an adaptogen instead. I need to prep for a practical on knee rehab. No rest for the weary/wicked.

Some of my good friends and classmates are taking boards this weekend. Good Luck to them (and to you, if that's your weekend adventure). We have the weekend off from acupuncture, and I'll be visiting the Gluten Free for Life expo. If you're in the area, it's usually quite worth it.

Last year, Grey and I went and filled up bags and bags of gluten free goodies from vendors. I think we had GF snacks for months. I may have to find a partner in crime to go with me this time. Note to self: it's always better to go towards the END of the expo. Vendors are less worried about running out of supplies and visitors feel less guilty about taking a couple extra.

And lastly, I hope everybody had a GREAT St Patrick's Day. My granny, whose birthday was 3/17 (although I can't remember what year), would've been somewhere around 100 years old right about now. She's been gone quite some time. Little Irish woman, red hair and freckles -- was born on St Patrick's Day. Happy Birthday Granny -- whatever plane you're on.

Looking to the Future

What is the thing in life that you want the absolute most? How many times do we ask ourselves this? I figured it was time for another philosophical exploration here on the blog.

Whether you're still in the planning stages, full on into your training experience or career, or a supporter of someone who is training for a career in medicine, motivation and goals will always be a big part of the training experience. It's so easy to get disillusioned by what it is that we're doing. It feels so endless. I can't say how many times I've had friends, family, or significant others comment to me that I work too hard and have no time for rest, relaxation, or even them. Sometimes it's a lonely and miserable existence to be in medical school. And now that we're all depressed... Motivation is so important--especially now as my countdown is in full swing and I'm starting to think about what comes AFTER school.

I have to give a shout-out to my classmate Julia, who honestly keeps me sane (or less borderline insane) a lot of the time. This weekend we're planning a "vision board" exercise to plan for what comes after we're finished with school. If you're not familiar with the concept of vision boarding, it's pretty simple, and a lot like arts and crafts in kindergarten--but with purpose.

Get a cheap piece of poster board, some old magazines, some glue sticks or tape, and some scissors. If it inspires you, grab a bottle of your favorite beverage and a clear spot on the floor and spend some time thinking and planning about what you want--either short term, long term, or just what you want out of Life. There are no absolutes. I've seen people with vision boards of houses, careers, decorating ideas, healthy living, etc.

I'm looking forward to this exercise. It's been about five years since I've done one of these. Maybe some of my goals were a little bit different; maybe some were the same. Nothing has to be set in stone. As we grow, our goals and desires change. I know one thing that will definitely be right in the middle of that vision board. I want to be happy.

Happiness means something different to everyone. Maybe for you it means a house and a family, a thriving practice, a fancy car, a big garden. For me, it means fulfillment--and laughter. I guess I see a lot of the other things as extraneous. They might be nice, but it's not something that I need to live. But being happy--that's like breathing. When it feels like the world is crashing in, when there are too many tests and I'm being pulled a million important directions, when all I want to do (but can't) is not what I'm supposed to be doing, or when there's some kind of crisis (for me or someone I care about), I have to have a sense of humor. I have to be able to laugh, because I'd much rather laugh, than cry.

This week, like many other weeks, we have exams and projects to work on. I'm coming to the end of the quarter for the master's program at UWS and through midterms here at NUHS. Distractions abound. Fatigue sets in. And thankfully, I have some pretty awesome people (thank you Julia, Grey and Forest, and many others) to remind me to find my motivation, keep my sense of humor, and keep going.

For those of you needing a "feel good" moment, for those starting to feel that fatigue set in, for those that are maybe feeling a little bit lonely in their journey--this video is for you. I hope it lifts you up and gives you a great big smile this week, like it did me.

Have a great week everybody!!!! Laugh. Be Happy.

Marketing Presentation

The marketing presentation is over. I'm really glad. I was sweating it big-time. I put a lot of work into it -- the design and layout of the logo, the tagline, all the wording for the sample brochure -- all of it. Even though it made last week's schedule pretty intense with all of the other activities, now it's done and I can watch my classmates do theirs (and enjoy them), and also focus on other things.

GreyforestlogoSo the plan for my future practice is to be both multi-disciplinary and integrated -- where the practitioners not only work together, but complement each other in abilities to provide a larger scope of practice. The basic premise is that in order to take care of the whole person, we have to approach the whole person. So we'll have everything integrated into the practice from seminars, movement classes, and functional medicine to counseling, acupuncture, and herbal medicine. My idea is to have five practitioners to start with: Chiropractic, Naturopathic, Acupuncture, Massage, and Behavioral Medicine. I'd like to also have an herbal compounding pharmacy on site -- in addition to a number of nutraceuticals available.

 

I've also entertained some ways to expand down the road. The addition of hyperbarics, a medicinal and natural foods café, and inpatient care seem more than logical. I realize that they're big and potentially lofty ambitions, BUT I think with the right team of practitioners, we can definitely do it. Anybody want to help?

Upcoming Week

This week I have a few things due: notes from my head-to-toe practical; my community resources listing and BETS research (I'm working on Alzheimer's and choline -- or hoping to); and on Friday I have my functional rehab practical. I'm so glad I'm going early with that one as well. That REALLY frees up my week 14. There's nothing like having a little bit of extra time to study for things or work.

Master's Program

The Master's is going well. This last week it was tough to get everything done because of the exams, presentation, and practical. I was scrambling to get it all done by midnight on Sunday (all of my Master's work is due by midnight Sunday). As it was, I was falling asleep finishing the last assignment. It could have gone better, but that's what happens when you're falling asleep answering questions. The topics for last week were mostly gut immunity -- which I find fascinating. I'd really like to figure out all of the possible permutations of gut disruption -- beyond gluten and casein, microbes, etc. Did you know that 70% of the immune system is located in the gut? Even inhalants are partially mediated in the gut. If you're really interested in learning more about this -- try the Textbook for Functional Medicine -- chapter 28. While some of the physiology is a little tedious, putting the pieces together is pretty fascinating.

Well, that's all from me. I've registered for next tri -- except for electives. I'm trying to decide whether to take acupuncture or not. The jury is still out.

Have a great week everybody. Good luck with studying, projects, and whatever else is going on. This Friday we have the Turkey Bowl. Can't wait.