Wow. It's been an enormous few weeks since I last sat down to
write! First of all, I get to start seeing patients in the clinic!
The time has come. We've been doing something called Counsel
Practice with Dr. Marier, one of our ND clinicians, and we always
start this practice of speaking in a circle by checking in. If I
were holding the talking stone right now I'd tell you I am
overwhelmed, excited, thankful, nervous, and ready to learn from my
All of us 8th Tri ND students spent last week's clinic hours in
orientation, which was all about drinking from the fire hose of
information. We learned a wonderfully overwhelming mix of things,
from tips on how to work with patients, to the tedious checklists
to keep in mind, to learning the machinery that keeps our campus
clinic running. There is so much to learn!
Besides starting in the ND clinic, I am also starting in the
Massage Therapy clinic. After working on two of my professors last
week, I have been granted their approval (not without a list of
things to work on, of course), and will begin seeing real live
clients this week, eek!
In the midst of all this clinic-starting excitement, I am still
responsible for taking 10 other courses: eight in the ND program
and two in the massage program. One of my massage classes is called
Chair, Sport, and Trigger Point. I came home from our first class
last week to a message from a friend telling me how great he felt
after I'd worked on him in class a mere hour earlier. Positive
feedback from peers is so reaffirming! Note to self: communicate to
my peers when they do an awesome job… maybe it'll be just the boost
So, I'll be working hard this summer, but let me catch you
up on my exciting break!
Katie and me on Lobby Day.
On May 4th, I participated in the [American Association of
Naturopathic Physicians] DC Federal Legislative Initiative, the
naturopathic community's lobbying day in Washington, DC. During the
two days preceding our day running from senate office to house
office and back again, we had lectures and workshops on our
initiatives and on how to articulate our medicine. I left the event
with the realization that participating in democracy is relatively
easy! Showing up for a meeting with a legislative assistant is
intimidating at first, but after a meeting or two, the jitters
disappear and you have fun explaining what you do and why it
In the Library of Congress
I learned a lot and also made some powerful connections with
students from other schools while at DC FLI. We have some
incredibly motivated student leaders, and I imagine these will be
the people who rally in the public eye to carry our profession
forward as we graduate and become practicing doctors. I also
realized that our program here at NUHS is really excellent; it
keeps pace with the other, more established programs, and our work
alongside chiropractic students is pretty unique.
Exploring DC's botanical gardens
Not only did I meet and enjoy the company and camaraderie of
students from other schools, but I also got to know a totally fab
group of Tri 2/3 ND students from my very own school! Starting
clinic certainly makes me feel like I don't know anything, but
networking with students from trimesters past has given me some
confidence by remembering how far I have come over the past two
years. I fielded questions, offered advice, and learned a whole lot
about myself from my interactions with Mariah, Sarah, Katie,
Michael, Kolby, and Alex. Thank you all!
All of us from NUHS at DC FLI.
It's springtime! And so it is also, inevitably, final exam time.
Talk about torture...staying inside to study while the birds are
chirping and the neighbors are out grilling and chatting and
generally having fun without me; story of the student life. I've
started my tri-annual 2-week-scramble as I head into the last week
of classes, also known as the first week of finals. I have been
busy tracking down research (for a paper I have yet to write),
making checklists, studying modalities and psychopathology, and
writing up a business plan, while also filing my taxes, cleaning
the bathroom, and.... Do you even care about the details? Let's
just say things are winding up (and taxes are a huge pain!)
Last week's storm clouds clearing, leaving behind super green
grass on campus!
In between the torturous number crunching for my business class
and scouring PubMed for articles, I managed to get out to our
botanical garden season-opener party and pull last year's leaves
off an awakening Ruta plant. I also practiced massage in
preparation for starting in the clinic next tri (exciting!) and got
out for a date night with my main man.
Headed into the
Hanzi and I redeemed our Groupons for the King Spa over the
weekend. If you haven't been there, seriously, do yourself a favor,
you stressed out student! The spa has about 8 or so different rooms
ranging from warm to wickedly hot, the walls covered in all
different things from salt to gold to amethyst to coal. These rooms
are co-ed and everyone wears the same funny T-shirt and shorts
uniform (gals in pink, guys in grey). Hanzi and I started out
sauna-ing in the various rooms, our favorites being the salt room
and the amethyst room. Oh, and the Ice room also feels really
excellent after working up a sweat.
Once we'd had our fill of lying or stretching quietly in each of
the rooms, the two of us split up and headed for our respective
sides of the spa. In the ladies-only section, there are three
different temperatures of hot tub, one cold pool (eek!), and a
steam room. Each time I've been to the King Spa I rotate through
the tubs, then dunk in the cold pool, and move to the steam room. I
do this routine 2 or 3 times and I leave feeling absolutely divine!
(Note: no bathing suits allowed. You've been warned.)
After at least half an hour rotating through the tubs and steam,
I showered off, put on a clean pink outfit, and headed back out
into the common space to meet Hanzi for dinner. We ordered some
delicious Korean food with plenty of veggies. After dinner we
retired to the comfiest chairs on the planet and lounged for a
while, digesting dinner and letting our spa-ified bodies totally
relax. Around 9pm, we split up again for our respective sides of
the spa, changed back into our street clothes, carried our shoes
out to the entrance, and paid for our dinner before driving
Sunny spring day, brewing sun tea on my porch
I can't think of a better way to spend a few hours toguether
before our household goes into finals mode. Hanzi's semester in his
master's program at Loyola is also wrapping up, too. Taking the
time to indulge in spa time quite obviously counts as
"physician-to-be heal thyself." (See my last post for more on
this subject.) It also fits with this emerging spring.
Relaxing, sweating, and purifying at the spa mimicked the drenching
April rain we had this week that left campus sparkling green. I
might have a lot to tackle over the next 10 days (1 project, 1
paper, 1 practical, 1 quiz, and 7 exams), but after my evening at
the spa, I'm feeling more centered and ready.
So here we go! I'll be back in a few weeks to regale you with
tales from my break, and in the meantime, good luck with exams and
enjoy your time off!
A few weeks ago, before she left us (sad face) for her new
position as an Assistant Dean in the Naturopathic Program at the
University of Bridgeport, Dr. Stephanie Draus organized for a woman
who calls herself Comic Nurse to come speak to us during a
Tuesday lunch hour. Comic Nurse told us about how she uses comics
with her patients and with the medical students she teaches at
Northwestern to help tell the story of the healthcare experience.
Whether it is getting patients to express their frustration with
their doctors, or helping doctors-to-be address their anxieties
about their future, comics have proven to be a remarkably effective
form of expression.
Many of us think of comics as funny things that make us laugh,
and with good reason, the adjective means, "to cause laughter." But
we are talking about the noun here, and the noun is a form of
storytelling that involves words and pictures and lets the
storyteller use imagery to express those things that are sometimes
too hard to express with words alone.
You can probably tell that I like using words to process my
struggles and tell my stories. Some weeks though, those words just
don't flow like I'd expect them to. I have the modern day
equivalent of a trash can overflowing with crumpled up papers; too
many untitled WORD docs in my "student blog" folder laden with
half-sentences and stories that never came to fruition. Now I know
an alternative outlet to get my creativity flowing!
No matter which medium you use, storytelling is a powerful tool
for learning, for self-discovery, for communication, and for
teaching. In PT Modalities class a few weeks back, Dr. Hill told us
a story about chopping the legs off a salamander and then
re-growing them with the application of therapeutic Microcurrent.
So of course I remember that Microcurrent is indicated for tissue
healing and repair! The rescue of quadriplegic salamanders is a
pretty great memory tool.
My study comics, Piper and Sun King
I also tell stories to remember my botanicals. For a recent
quiz, I had to remember Solidago virgaurea; common name Golden Rod,
used for urinary tract infections and colds with a runny nose, and
sometimes mistaken for ragweed in allergies. I associate the word
Sol with Sun. So, there's this BIG sun god with a golden scepter
and he's a super powerful diuretic/aquaretic! (This god always has
to pee.) If you look at him directly, you'll start sneezing like
crazy and you'll need him to cure your snuffles. You could think
you're allergic to him, but you're probably wrong, this sun king
doesn't wear rags.
Another favorite Bot Med study story is of Piper methysticum
(common name, Kava.) Piper is an aging socialite in NYC who drinks
too much wine while she lounges around, sedated on her couch all
day, popping muscle relaxants and pining for the elusive man GSH
who she loves but who does not love her back. Piper is also sad
because she has a urinary tract infection and is very worried about
her skin. As you can see, there is a lot going on here with Piper,
so I'll spare you the medical translation.
Reading some medical comics in the LRC
Storytelling is one of the very best ways to remember and to
process emotions, two things we must do often as medical students.
If you're more of an artist than a wordsmith, try like Comic Nurse
does and draw the story. Or, if you're neither good with a pencil
nor crafty with words, screw it, try either one! Because it doesn't
matter if the sentences are simple or if the characters are stick
figures, what matters is self-expression and creative learning.
Last week I mentioned the principle of Physician Heal Thyself, a
concept we discuss in our first trimester of school in our
Foundations of Naturopathic Medicine class. To my fellow students
reading this blog, when's the last time you pulled out those notes?
Reading Dr. Lou and Dr. Draus' words and the notes I made in the
margins reminded me of all the other-than-science things we learn
and must continue to learn. As Dr. Draus reminded us,
this is neither the first nor the last time we will learn anatomy,
physiology, etc., and it's not the first time we learn about the
importance of self-care.
I drove past the gym on my way home from school a few days ago
and wondered how I had managed to get there to work out every other
day while I was studying for boards and attending classes, but how
I had somehow lost the time to go after I took that huge test. So,
I made it a point to go and aaaahhhhhh it felt soooooo good!
I sat on a stool in the locker room after my workout and sauna
feeling like melted gold, and as I stared at my satisfied self in
the mirror, I realized, going to the gym needs to be a priority on
my weekly agenda.
Post-workout, reminded of the feel-good power of a
Physicians do not have a good track record of self-care. As a
whole, physicians are statistically more likely to be depressed,
sick, commit suicide, become addicted to or abuse substances. We
are more likely to have tendencies towards perfection and yet, as
Dr. Lou put it, there is no such thing as perfect medicine. As
physicians we must walk a fine, exhausting line between using
objectivity and engaging our emotions to care for our patients. The
profession as a whole has trouble taking time off, and we rarely
get a sense of closure or achievement as the process of healing is
never complete. And then there are the inevitable financial
pressures as we struggle to maintain an expensive business while
still finding ways to offer care to all of those in need.
Dr. Lou reminded us in
her Tri 1 lecture that we should take a page from our own book when
we ask our patients to please take care of themselves so that they
can take care of others; we must do the same. It makes me think of
my father's wise words that I hold close: "You cannot truly love
someone unless you love yourself." Well, as a physician, you cannot
truly help someone unless you help yourself. To this end, Dr. Lou
reminds us that "Self-care is not an indulgence -- it is a
responsibility to the work and to your patients."
Part of self-care involves cultivating interests outside of
medicine. We should all remember from our neurology and psychology
classes that a healthy brain works on a wide range topics, skills,
and problems. By diversifying our activities and interests, we
support healthy neuronal growth and limit our risk of diseases of
the brain. Robert Heinlein, a bright and controversial science
fiction writer, once wrote:
"A human being should be able to change a diaper, plan an
invasion, butcher a hog, conn a ship, design a building, write a
sonnet, balance accounts, build a wall, set a bone, comfort the
dying, take orders, give orders, cooperate, act alone, solve
equations, analyze a new problem, pitch manure, program a computer,
cook a tasty meal, fight efficiently, die gallantly. Specialization
is for insects."
Champagne and conversation self-care, toasting boards results
and registering for clinic!
Now, I've got a lot to work on based on that list, but I'll
allow that building a fort out of sticks and pine boughs might
count as designing a building, and conning a ship could include
paddling a solo canoe, and so I've achieved some of these things in
their smaller forms. The point of sharing this quote is to remind
us students and future students of medicine that we should make
time, however miniscule an amount, to engage in things other than
learning our profession. And yet, we should also remember that
right now our job is to be students of medicine and that requires a
lot of us. It demands that we spend an extra amount of time with
this subject and this set of skills, for the time being. Believe it
or not, a time will come when I can get exercise by hiking and
skiing rather than biking indoors at the gym. Until then, I'll take
the time to care for myself in the ways I can, within the
limitations of the task at hand, and I know this will make me
better at my job.
This weekend I tried to move slowly. I will spend all week
moving somewhat obsessively and efficiently from one task to the
next. I look forward to the weekend because I don't have to be
anywhere at any particular time with my brain on and ready to go.
Despite this, it's ridiculously hard to slow down after moving
through life at such a clip. I had to make a sincere effort to have
an unhurried shower on Friday evening. I had no plans, and yet I
was operating like I had better soap up quickly so I could rinse
off fast and move on to the next task. The weekends are supposed to
be my reprieve from go-go-go! I'm not kidding guys; I had to
actually think about lathering shampoo with patience.
While we're talking about unicorns and
(Image source: www.twisteddoodles.com)
Why move so fast in the first place? I would prefer to go
through life at a relaxed pace, but medical school is the perfect
storm of lots of time required for sitting in class and for
learning stuff, and high expectations for doing it well. I was
blessed/cursed with the ability to move quickly, as will happen
when you grow up with ambitious parents in a progressive Boston
suburb. Because of this, I can all too easily accelerate to match
the flow of med school traffic and maintain that speed.
Part of the reason I am drawn to massage and bodywork is that a
general attitude of peace and flow permeates such treatments. If I
want to give a good treatment, I must relax into the spa music and
foster an environment that allows my client to relax. I reap the
benefits of relaxation when I meet my client where they are, ready
to slow down and be quiet.
My home office, set up to practice massage and in doing so,
calm my mind.
On the other side of things, an inescapable aspect of working in
the ND clinic is that an air of quick anxiety permeates, especially
on certain days. It can be hard to come in to work a 2-hour
hydrotherapy shift and create a bubble of calm in the midst of an
existing sizzling atmosphere. I have found that if I can channel
that massage mindset and embody the feeling I'd like my patient to
get from their hydrotherapy treatment, the whole appointment goes
much more smoothly. If I succumb to the tension that lurks in the
clinic hallways, I have a harder time taking blood pressure, or I
forget to heat the hot towels for my transition phase of
constitutional hydro. Sometimes it takes this little moment of poor
planning or fumbling with my stethoscope to realize that I am
letting every one else's fervor drive my thoughts and actions.
In a recent appointment, I sensed that my patient was a little
more on edge than usual. Before entering the room again after
checking in with my clinician, I took a deep breath and made up my
mind to fill my being with the word "compassion." I moved more
slowly as I pushed gentleness out in front of me in an effort to
dissipate the angst I'd sensed earlier. And you know, I think it
I'll admit that pushing a positive emotion ahead of me, or
embodying a feeling or a word in order to change the feel of a
space and support a patient, is exhausting. However, I know it has
to be like anything else; practice will certainly make it easier
and self-care (physician heal thyself) has never been more
I've been both praised and questioned for my optimism. The
skeptical people want to know why I am so positive, especially in
the midst of finals, for example. My answer is that while it might
be tiring, I can always sleep. It is easier to be happy than to be
sad. It serves me so much better to look at the bright side than to
wallow in the fog. You can approach medical school as if it is a
dark and scary beast, or you can make it into a giant, shiny
unicorn that might blind you or run you over if you aren't willing
to grab it by the horn and ask for help. Yeah, I like that; medical
school is a huge unicorn. I think I'll stop there.
• Leaves, Flowers, Berries, and Bark
• Farmer's Market
• Should I Study Massage Therapy, Too?
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