Archive for tag: friends

A Week of Heart Filling and Story Telling

Ahhhhh, a day off in the middle of the week! To start, thank you to our veterans for serving and for giving us a reason to take a break. We had Wednesday off this past week and I savored that free time. I had all those good intentions of writing up a case due at the end of the week, and getting started on a paper for pediatrics class, but in the end I took my day off to relax and do laundry (so exciting)!

Dinner, drinks and laughing with my ND-to-be girlfriends

As a med student, you really have to take advantage of any free moment. On Tuesday evening, knowing we wouldn't have class early the next morning, a few of my best ND student friends and I went out for food and wine. We cozied up to the restaurant's fireplace and the conversation never stopped. I rarely see all of these lovely friends because of taking the full-track option of classes. These days I spend most of my time on campus in the clinic, rather than in classrooms and hallways where I can cross paths with my buddies. Because of this, we had so much to talk about! We reminisced about our cadaver in first tri anatomy and discussed our visions for our future practices and families (JheriAnne is pregnant with twins!) I drove home that evening all filled up with loving support from my people; I am truly a lucky gal.

Speaking of good experiences, I volunteered to sit on the ND panel at Campus Visit Day this past weekend. I think I've volunteered for this position 3 or 4 times before. I keep coming back to sit and talk with prospective students because I love talking and articulating my excitement for naturopathic medicine! I always leave these panel sessions feeling even better about my choice of profession. One of the things that came up in discussion for all of us on the panel was that the ND students at NUHS form a very supportive community. We share study guides, organize study groups, encourage each other to take a break and get out, and generally do not compete with each other for grades. We are all here to build our profession, so what's the point of creating excess competition within our little community? 

At the ND student panel for Campus Visit Day

We are certainly a group of healers who come to this medicine because we aim to doctor with caring support, rather than through sheer force, dominance or authority. It's a beautiful struggle to display authority with my patients so that they understand the importance of attending to their health and trust my knowledge, while at the same time allowing my innate compassion and tenderness to come through. Just writing this post has me all extra excited about our medicine again! It's that easy to love what I do.

If you're a prospective student with questions about being in an ND program, whether you're bound for NUHS or not, please do not hesitate to reach out to me! Email me at and I'll be sure to write back.

Med School Firsts and More Traveling

Another good week come and gone and we're already a month into the Fall Tri! This past week was marked in particular by more travel and some med school firsts: suturing and a Grand Rounds presentation.

Wendy, Mallory and Lisa prepare to learn suturing

For years I've watched my dermatologist mother suture her patients after removal of suspicious moles or biopsy of suspicious skin conditions. She works so methodically, looping the long end around the forceps and securing a tight knot in one smooth motion. After my first attempt at suturing I can tell ya, it's harder than it looks! However, after another hour of practice following that first attempt, I'm already feeling better about it, though I still need more practice. The tricky part is focusing on all the components; holding the tools properly, spacing your stitches just right, and pulling them just tight enough, but not too tight....

Lisa performs her first sutures on a plastic arm!

I also gave my first Grand Rounds presentation to a room full of interns, clinicians and students from lower tris. In 9th Tri we present for about 30 minutes on a clinical question, whereas in 10th Tri we spend an hour discussing a case and research. As I mentioned last week, I presented on The Case of the Missing Organ. My talk focused on the concept of considering a new basis for health in patients who present for care after having an organ removed, and on the importance of identifying the cause of dis-ease if removal of the organ has not solved the problem. This presentation was inspired by two of my patients, one who has had the colon removed, and another who has had the gallbladder removed. I was nervous, but it seems to have been well received and now I can check that off my to-do-list for the tri!

After an interesting week I took to the skies again for a trip to Vermont to celebrate the marriage of one of my very oldest friends. In addition to getting all dolled up with a delightful group of young women (I also wrote about them in a post from March: Crunch-Pop and Lovely Intelligent Women), I got to go for a beautiful, brisk morning stroll with my mom and discuss patient cases, and danced with my dad to music played by a live band. Everything about the weekend was beautiful!

A view from the top of The Flume, a little hike in northern NH.

Hanzi and I made a point to stop for a walk in the woods of the White Mountains on our drive back to Boston, where we caught an early flight back to Chicago the next day. We also got to watch the lunar eclipse/blood moon with my parents on their back porch. I hope you all got to see that celestial masterpiece; what a perfect symbol of the impressiveness of this world that has conspired to bring about all the things from the marriage of two wonderful people this past weekend, to my reaching this stage of naturopathic medical school. 

Hanzi checks out the White Mountains scenery from a covered bridge.

Speaking of a world conspiring to bring about things for us, please do not hesitate to email me with any of your questions, thoughts, concerns, or celebrations from your process of applying to, or considering this Naturopathic journey. I am never too busy to reply; I love your emails! You can reach me at

Clinic Collaboration, Gorgeous Weather, and Work To Do!

In preparation for some days I'll be missing for wedding travels, I did a double shift in the clinic last Friday. After working 7 to noon for my regular ND shift, I tagged along on the DC side from 1-6. It was definitely a long but rewarding day.

Gone apple picking on a beautiful Sunday!

While on the DC shift, I consulted with a DC intern friend of mine on his patient who recently experienced symptoms of a GI bleed. I helped put together the puzzle pieces to recognize that the likely culprit of this patient's gastrointestinal misery was the prescription NSAID he has been taking for his knee pain, and not the GI support supplement recommended by another ND intern. It is well known that GI bleeding is a side effect seen with use of NSAIDs due to their capacity to degrade the mucosal barrier of the GI tract.

I was also able to help my friend understand the source of his patient's pain based on the fact that cortisone shots work to control the pain. Cortisone blocks phospholipaseA2, an enzyme that mobilizes arachiadonic acid. This step is at the very tippy top of the biochemical inflammatory cascade. Picture a large family tree where arachiadonic acid is the great grandparent. There are good cousins and bad cousins, and by blocking the cascade of the family tree way up at the top we block both the good cousins and the bad cousins from ever being conceived. Eradication of the bad cousins makes pain decrease significantly, but blockage of the good cousins, or the healthy inflammation, ultimately causes degradation of tissue from loss of a healthy inflammatory response.

If corticosteroids work to decrease pain, we can extrapolate that the patient's pain is caused by inflammatory cytokines (bad cousins). While prescription drugs work to block this inflammation, many botanicals and nutrients (as well as proper nutrition and exercise) can also work to modulate the inflammatory response that causes pain.

My DC intern friend and I had a great conversation about the difference in response he sees with different rehabilitation patients. The patients that respond best to his exercise prescriptions are most often physically fit, they consume a relatively healthy diet, or their injury is relatively new or benign. The majority of patients who do not recover well are either non-compliant, or often have poor eating habits or poor body composition; they live their daily lives in an inflammatory state.

Our conversation was a testament to why we naturopathic doctors/interns always address the basic determinants with our patients. No matter how much physical medicine we try, it will undoubtedly work better if we attend to the first 3 levels of the therapeutic order as well. We must establish reasonable nutrition, support the vis, and attend to engaged or compromised organs and systems. More on our Therapeutic Order at another juncture!

Night out with my ND faves

Besides all this excitement of collaboration in clinic, we had an absolutely beautiful weekend! I got to spend a night out enjoying live music and food with my ND student friends, and Hanzi and I went apple picking! Now, I have to buckle down and prepare my presentation for Grand Rounds. It's called "The Case of the Missing Organ." Stay tuned....

This Sweet, Fresh First Few Weeks

And, we're back! 

I'm sitting at my kitchen table with a glass of wine while a pot of risotto stews on the stove, salmon is marinating and waiting for the oven, and the first week of the tri is complete! It is important to remember to do as much regular living as possible before we hit Week 4 and midterms are upon us. There's something sweet and fresh about the first 3 weeks of the tri that really should be savored.


My first week back was short; we had the holiday on Monday and thank goodness for it! I flew back from Washington, D.C. early Monday morning after an intense and amazing 4 days of an IV Nutrition Therapy Seminar, taught by some outstanding NDs. I am now certified in IV therapy!

IV therapy is a topic we cover in our Minor Surgery class in Tri 9, but due to the nature of practicing/interning in a pre-licensed state without an MD here on staff at the NUHS clinic, we cannot actually perform IV therapy treatments in our clinic. The course taught me so much useful information applicable to my practice of the future, and I got to apply the skills that I don't get to use actively in our clinic here. I am now confident that I could, at the very least, rehydrate a patient, and at the very most offer basic nutritive support to any variety of sick patients. The group also offers further education in IV therapy on specific topics such as cancer support and detox. Judging by my great experience with the basics course, I'm likely to take more in-depth courses in the future. I highly suggest the course if you can find the time and funds to make it happen.


My friend Guy, a 10thtri intern, also attended the course with me. He leaves at the end of Week 2 for an externship in Montana (licensed state)! He expects to use his newfound skills in IV therapy at the clinic in Billings, where he will work for the next few months before graduation. I'll keep my fingers crossed that I can follow in his footsteps next tri... imagine the stories I will be able to share from the West! (Wishing Guy safe travels on his upcoming adventure!)

View hi-res photo

Back to my reality, or at least sort of. I spent the first weekend back at school attending the wedding of two dear friends. Hanzi and I traveled to a club in Pennsylvania and besides watching Hanzi rock it as a handsome groomsman, I got to go for a paddle in a solo canoe, catch up with college friends I haven't seen in 6 years, dance 'til I could dance no more, and shoot trap with some excellent help from the resident shooting instructor. I have returned from the weekend fully revitalized! 

My old college friend Harrison put it pretty well at the end of the weekend, "I hate hangovers, and I especially hate goodbyes." It was hard to leave such a beautiful place and such beautiful friends, but I have returned to campus ready to rock! And speaking of friends, a handful of my closest ND student buddies who started in January 2013 with me are now 8th tri interns in the clinic, and I am so, so excited to have them there with me! Congratulations to ALL the new interns entering this next stage -- DC, ND and AOM alike.


And now the risotto is demanding my attention and the salmon must go in the oven... Hanzi returns from work at the library momentarily and we'll sit down to enjoy dinner together during one of these rare early-in-the-tri nights with no assignments hanging over my head quite yet. Welcome back all; let us have a fabulous fall!

NDs Around the World

Over the weekend, I got to speak with one of my dearest friends for the first time in two years. She has been living in South Korea with her husband where they both work as teachers. Sara and I met when we studied abroad in Australia 8 years ago. In the years since then, I've been the lucky recipient of many visits from Sara and her husband wherever I've lived, all over the country. I have totally reaped the benefits of their summer vacations as teachers. This time, they are in the U.S. for a few weeks seeing family and I am so excited to pay them a visit in Michigan next weekend! It's my turn to make the trip to visit them.

When Sara came to visit in me in Truckee/Tahoe.

One of the most important reasons I moved out west from New England after college (where I subsequently decided on naturopathic medicine as a career), was based on my experience of studying abroad in Australia with Sara. While studying on the other side of the globe, I met so many Americans who hailed from all the very different parts of the United States. I realized that I, an East Coast girl, was so different from those girls from the Midwest, or those girls from Southern California. We all came from very different American backgrounds, and yet these Australians, as well as all the other foreigners we met while out exploring, grouped me in with all the others. I was just another American girl to them.

Adventuring in Australia -- getting inspired to explore my own country.

On account of this, I decided I had better go figure out what the rest of my country was like before I went travelling abroad again. While we all had some American patriotism and our language in common, I felt so different from so many of my countrywomen. I wanted to know what assumptions people might be making about me based on some other Americans they'd met who, as far as I could tell, were nearly as different from me as the Australian girls were, or the Germans.

Now that I can see the light at the end of the medical school tunnel, I am starting to think about where to explore next. I think I have a pretty good handle on what an "American girl" is, based on my experiences living around the country, so perhaps it's time to head into foreign lands!

Between binge-watching Anthony Bourdain episodes, perusing photographs of far away places on BuzzFeed, and reminiscing about our travels of the past, Hanzi and I have caught the travel bug. We regularly toss around the idea of living and working in another country, and have even set some lofty goals of learning a foreign language before we graduate with our respective master's and doctorate degrees (we haven't made any headway on this, yet). Even if we don't make it out of the country, we are ready to explore another region... perhaps Alaska, or Montana, or Maine...

Of course, I also have to think about actual employment after graduation, and for the record, I am equally excited to work as a doctor as I am to see new places. If you're like me and think you might want to explore, either now or later on, keep these resources in mind. There are several networks for naturopathic doctors around the world. Several of my friends at NUHS have traveled to work with Naturopathic Doctors International and Naturopaths Without Borders during their breaks between trimesters. My peers have returned with totally awesome stories of hands-on experience treating patients, living in rural areas, assisting in the delivery of babies by flashlight, and connecting with local people whose worlds are so very different from ours.

In addition to delivering care to the underserved abroad, naturopathic medicine is going global with the recent creation of The World Naturopathic Federation in 2014. This organization connects naturopathic doctors in 40 countries around the world, and endeavors to connect our work with that of the World Health Organization. We might be a small population here in the United States, but we are also out there, all over the world, sharing and advancing our medicine!